Hook nose, aquiline nose, dorsal hump · Closed rhinoplasty in Beverly HillsTake down the hump.
Keep the bridge strong.

A hook nose, also called an aquiline nose, curves in profile because of a hump on the bridge. Dr. Raj Kanodia lowers the hump through incisions inside the nose. The reduction is measured in millimeters, because one or two too many leave a scooped profile.

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What makes a hump

Bone, cartilage,
or both.

  1. Bone and cartilage.The upper part of the bridge is bone and the lower part is cartilage. Most humps are both, so both are lowered.
  2. A hump from an injury.A blow to the nose can push the nasal bones together and raise a bump. Patient 14's hump came from an injury.
  3. A tip that points down.In a hook nose the tip often droops as well. Lifting it a few degrees is part of the same operation when the nose needs it.
  4. A wide bridge.Once the hump comes down, a bridge that was wide from the front can look wider. The bones are narrowed in the same operation.
How the hump comes down

Lowered in millimeters,
closed from inside.

Lowering the profile.

Working through an incision inside the nose, Dr. Kanodia lowers the cartilage with a blade and the bone with a chisel. Taking the bone down opens the top of the bony bridge, so he then moves the nasal bones inward to close it. That step also narrows a wide bridge.

Protecting the middle of the nose.

Lowering the bridge can loosen the cartilages that sit below the nasal bones, which pinches the middle of the nose and narrows the airway. Dr. Kanodia prevents this with spreader grafts carved from septal cartilage removed during the same operation.

Keeping some of it.

Dr. Kanodia does not work toward a textbook profile. On his philosophy page he writes that some noses look better with a sliver of the hump left in place. Whether to take one, two or three millimeters is the decision that separates a strong, straight bridge from a scooped one.

Cases from the gallery

Four profiles,
lowered.

Drag any photograph to compare before and after. Each card opens the full case in the gallery.

After surgery

The first weeks
and months.

The first week.

The packing comes out the day after surgery and the splint between day 5 and 7. Dr. Kanodia generally clears flying eight days after surgery.

The bridge.

Keep glasses off the bridge for six weeks. The profile shows early, and the bridge keeps gaining definition as the swelling settles over the following months. The recovery timeline covers each stage.

Questions

Seven questions about
a hump on the nose.

A hook nose, also called an aquiline nose, curves in profile because of a hump on the bridge. The tip often points down as well, which makes the curve look stronger.

Yes. Dr. Kanodia lowers the cartilage and bone of the hump through incisions inside the nose. Nothing is cut on the outside.

The aim is a bridge that is straight and strong in profile. A scooped, ski-slope bridge comes from taking too much, so the reduction is measured in millimeters, and some noses keep a sliver of the hump.

Usually, when the hump is bone. Taking the bone down leaves the top of the bony bridge open, so the nasal bones are cut low on each side and moved inward to close it. The same step narrows a wide bridge.

Keep glasses off the bridge for six weeks. The packing comes out the day after surgery and the splint between day 5 and 7.

No. His Beverly Hills practice accepts first-time rhinoplasty patients only. If your nose has been operated on before, you need a surgeon who does revision work.

If you live outside Los Angeles, book a virtual consultation. It costs $300, is non-refundable, is credited toward surgery, and starts with seven photographs of your nose. Local patients can contact the office for an in-person visit.

NEXT STEP

See what your
profile needs.

A consultation starts with seven photographs of your nose and a conversation about what you want to change.

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Or call 310-276-3106
Not in Los Angeles? Book a virtual consultation