Dorsal hump can be removed by performing osteotomy. A choice of cartilage or gore-tex implant can be used along with this procedure to soften the nasal contour.

Illustration:        Nasal Bone Structure showing two bones, and upper & lower cartilages (c/o Artist)

Nasal Bones


Flat and wide nasal dorsum which is common among Asians can be transformed into a smaller more pleasant appearance by narrowing the dorsum and augmenting the nose through the insertion of nasal implant on top of it.

Narrowing of the dorsum is done by breaking the nasal bones. This process is called Osteotomy. Osteotomy is also required when reducing the nasal hump, and is often used to enhance a twisted nose. Once done, the bones shall be repositioned correctly to create balance between the eyebrow and the nasal tip.


For a safe, worry-free and rejection-free rhinoplasty, Dr. Lansangan prefers to use either cartilage implant or gore-tex implant. He avoids the use of silicone implant due to the countless complications encountered worldwide after over 20 years of its usage.

For a more natural-looking and well-contoured nose, Reconstructive Rhinoplasty using an Open Technique that provides excellent exposure is recommended in this case. This is a tedious and more complicated procedure compared to the classical method using silicone implant, thus requires the dexterity of a well-experienced plastic surgeon.


Some patients undergo rhinoplasty to improve breathing caused by airway obstruction. This is a significant problem that can be relieved. This fall into two (2) categories: one is due to enlarged turbinates; and the other is due to nasal deviation.


Like, the tip, an alae has to go unnoticed to be considered as attractive. Negative attention is drawn if it is too large or too wide. Below are the three (3) most common complaints with the alae:

              o    too wide

              o    too bulbous

              o    nostrils are too big 


An ideal alae should not flare wider than

      An ideal alae should not flare wider than the inner corner of the eye.

A perfect alae and nasal tip form an

 A perfect alae and nasal tip form an elegant equilateral triangle if seen from below.


A large, wide, flat, droopy, short or deviated nasal tip draws unfavorable attention and obstructs the smooth continuity of the dorsum. Any of those mentioned disrupts nasal harmony with the rest of the face. Methods used in correcting these depend on the nature of the problem.