Dorsal Hump Reduction and Midvault Reconstruction

Clin Plast Surg. 2022 Jan;49(1):81-95. doi: 10.1016/j.cps.2021.07.011. Epub 2021 Oct 9.

Abstract

Dorsal hump reduction is one of the most common techniques used in modern rhinoplasty, yet it carries a high propensity for untoward aesthetic and functional sequelae, as evidenced by a nontrivial revision rate. Component dorsal hump reduction with stepwise deconstruction and manipulation of component parts allows for an adaptable and precise approach to variances in anatomy and in desired aesthetic result. Secondary changes must be anticipated and addressed at the index operation to avoid negative results and prevent the need for revision. Adequate reconstruction of the midvault is paramount to achieving optimal aesthetic and functional outcomes.

Keywords: Component reduction; Dorsal reduction; Hump reduction; Midvault reconstruction; Rhinoplasty; Spreader flaps; Spreader grafts.

Publication types

  • Review

MeSH terms

  • Esthetics
  • Humans
  • Nasal Septum / surgery
  • Nose / surgery
  • Plastic Surgery Procedures*
  • Rhinoplasty*