Dorsal hump involves the shaving down of the cartilage and bone that forms the bridge of the nose.
This is done by separating the upper lateral cartilages from the dorsal septum and then taking down the dorsal septum until the ideal height of the dorsum is achieved. The nasal bones will also be taken down to this height. Osteotomies are frequently required to close off the open roof caused by removing the dorsal parts of the nasal bones. Osteotomies are cuts in the bone that allow the bones to be repositioned.