When people think about rhinoplasty, they often imagine changes to the tip of the nose. But for many patients, the nasal bridge—or dorsum—is just as important. The dorsum plays a major role in the overall appearance of the nose and face. If it is too high, low, wide, or uneven, it can affect balance and harmony. That’s where dorsum rhinoplasty comes in.
This procedure focuses on reshaping the nasal bridge to create a more natural and proportional look. Whether you have a dorsal hump, a flat nose bridge, or asymmetry, dorsum rhinoplasty can help refine your profile while still keeping your nose in harmony with your other facial features.
What Is Dorsum Rhinoplasty?
Dorsum rhinoplasty is a surgical technique that specifically targets the nasal bridge. The goal is to adjust the height, width, and contour of the dorsum so that the nose looks balanced from every angle.
Common reasons for dorsum rhinoplasty include:
- Dorsal hump reduction – Removing or smoothing a hump on the nose bridge.
- Dorsum augmentation – Adding height to a flat or low nasal bridge (common in certain ethnic rhinoplasties).
- Straightening – Correcting a crooked or uneven bridge.
- Narrowing – Refining a nose that appears too wide.
Because the dorsum is central to facial symmetry, even small adjustments can make a big difference in overall appearance.
Techniques Used in Dorsum Rhinoplasty
There is no single approach to dorsum rhinoplasty. Surgeons choose techniques based on the patient’s anatomy, goals, and needs. The most common techniques include:
1. Closed vs. Open Rhinoplasty
- Closed rhinoplasty uses incisions inside the nose. It leaves no external scars and is usually preferred for minor dorsal adjustments.
- Open rhinoplasty involves a small incision across the columella (the strip of tissue between the nostrils). This gives the surgeon more visibility and precision, especially for complex dorsum reshaping.
2. Dorsal Hump Reduction
A dorsal hump is often made up of bone, cartilage, or both. Surgeons carefully shave down or remove the excess to smooth the profile. The challenge is avoiding an over-reduced, “scooped” look. Modern techniques focus on creating a natural contour.
3. Dorsal Preservation Rhinoplasty
This newer technique preserves as much of the natural dorsum as possible. Instead of removing large amounts of tissue, the surgeon repositions and reshapes it. This method often provides more stable, long-lasting results and avoids an unnatural look.
4. Augmentation
For patients with a flat or low dorsum, surgeons may use cartilage grafts (from the septum, ear, or rib) or implants to build up the bridge. This is especially common in Asian and African rhinoplasty, where the goal is often to increase nasal height while maintaining natural ethnicity.
Who Is a Good Candidate for Dorsum Rhinoplasty?
You may be a good candidate if you have:
- A prominent bump on your nose bridge.
- A flat or low bridge that you’d like to raise.
- A crooked or asymmetrical dorsum.
- Breathing issues linked to structural problems.
- A desire for better facial balance without overcorrection.
Candidates should also be in good overall health, have realistic expectations, and ideally wait until nasal growth is complete (usually age 16–18).
Benefits of Dorsum Rhinoplasty
Dorsum rhinoplasty isn’t just about looks—it can provide multiple benefits:
- Improved profile – Smoothing or augmenting the bridge improves harmony.
- Natural results – When done with modern techniques, results look subtle, not overdone.
- Boosted confidence – A balanced nose can enhance self-esteem.
- Functional improvement – In some cases, surgery also improves breathing.
Recovery After Dorsum Rhinoplasty
Recovery is similar to other types of rhinoplasty:
- First week – Patients often wear a splint to support the nose. Swelling and bruising are common but usually decrease within 7–10 days.
- 2–4 weeks – Most people return to normal activities, though swelling may still be present.
- 3–6 months – The nose continues to refine as swelling resolves.
- 12 months – Final results are visible.
To ensure proper healing, patients should avoid heavy exercise, wearing glasses directly on the nose, and anything that risks bumping the nose during the recovery period.
Risks and Considerations
Like any surgery, dorsum rhinoplasty carries risks, though complications are rare with experienced surgeons. Potential risks include:
- Persistent asymmetry
- Over- or under-correction
- Breathing difficulties
- Scar tissue formation
- Need for revision surgery
This is why choosing a board-certified and experienced rhinoplasty surgeon is critical.
Conclusion: Is Dorsum Rhinoplasty Right for You?
The nose bridge is one of the most defining features of the face. Even minor irregularities can affect balance and harmony. Dorsum rhinoplasty offers a way to refine the nasal bridge, whether by reducing a hump, raising a flat dorsum, or straightening a crooked one.
With modern surgical techniques, results look natural, long-lasting, and proportional to your unique facial features. If you’re unhappy with your nose bridge or want a more balanced profile, consulting with an experienced rhinoplasty specialist is the first step toward making an informed decision.
