What determines whether or not the nose needs to be broken for a hump removal?
The size of the hump or deviation of the nasal bones determines whether or not the nose needs to be broken. If you remove a hump then you are separating the attachment of the nasal bones from each other. ie. The more you take down, the farther apart the separation of the nasal bones. This is referred to as an open roof deformity if not corrected with osteotomies, “breaking the nose”. In general, I have a very low tolerance for performing osteotomies as they are relatively easy to perform, do not cause any more recovery, and I prefer not to correct an open roof secondarily. The need for osteotomies should not deter ones decision for rhinoplasty.
Posted by Dr. Buckingham