Dorsal Hump Reduction for a Los Angeles Nose Job

Viewed from the side, a bump on the bridge of the nose is often the single feature a person notices first in photographs. Surgeons call it a dorsal hump. It may be inherited, it may appear after an injury, and it is usually a mix of bone in the upper portion and cartilage below. Some people have carried it since their teens and simply want a calmer line from brow to tip. Reducing it is one of the most familiar goals behind a Los Angeles nose job, yet doing it well involves far more than shaving the bump away. The bridge is part of the nose's structural support, so lowering it changes the architecture underneath. Once a hump is reduced, the upper nose can be left with a flat, open area along the bridge, and the nasal bones may need to be narrowed and repositioned so the bridge closes neatly. Inside, the cartilages that form the middle vault help hold the airway open, and removing too much can lead to a pinched look or breathing trouble later. Techniques such as spreader grafts or preservation approaches may be considered to maintain that support, depending on the anatomy found at examination.

Jacob Sedgh, MD | 9201 Sunset Blvd Suite 414, West Hollywood, CA 90069 | (310) 888-2884

Dr. Jacob Sedgh is a double board-certified facial plastic surgeon whose training in otolaryngology means airway function is assessed alongside appearance. For the Los Angeles Nose Job Jacob Sedgh, MD bony part of the hump, he uses the Piezo ultrasonic system, which reshapes nasal bone with micro-vibrations rather than manual rasps and osteotomes. Published studies have reported less bruising and swelling in the first week with ultrasonic bone work, although recovery varies between individuals. The aim for a straighter profile is a bridge that suits the rest of the face, not a dramatic scoop. Men often want a strong, straight line, while others prefer a subtle curve. Every nose is different. Profile balance also involves the tip and the chin. A large hump can make a tip look droopy, and once the bridge is lowered the tip may need small adjustments to stay in proportion. A receding chin can exaggerate a hump as well, which is why the whole profile is studied in photographs before a plan is agreed. Patients from Brentwood, Bel Air, Westwood and Rancho Park, often driving east along Sunset or Santa Monica Boulevard past Century City, come to the West Hollywood office to discuss these trade-offs. At consultation, risks are explained, a medical evaluation determines candidacy, and cost is quoted based on complexity, anesthesia and facility fees. To discuss dorsal hump reduction and profile straightening, call (310) 888-2884 and book an appointment at 9201 Sunset Blvd, Suite 414, West Hollywood. The office is open Monday to Friday from 9am to 5pm.

Jacob Sedgh, MD Address: 9201 Sunset Blvd Suite 414, West Hollywood, CA 90069 Phone: (310) 888-2884 FAQ About Los Angeles Nose Job What is the average cost of a nose job in Los Angeles? There is no single figure, because the fee depends on whether the surgery is primary or revision, how much structural work is needed, and the anesthesia and surgical facility costs. Revision and combined functional and cosmetic cases usually take longer than a straightforward primary rhinoplasty. At Jacob Sedgh, MD in West Hollywood, a written quote follows the consultation once Dr. Sedgh has examined the nose and agreed a plan with the patient. How long does a nose job last? The structural changes from rhinoplasty are designed to be permanent, although the nose continues to age naturally with the rest of the face. Swelling settles gradually, and the tip can take a year or more to show its final definition. Dr. Jacob Sedgh follows patients through that first year from his office on Sunset Blvd. Is rhinoplasty 100% safe? No surgery is free of risk. Rhinoplasty carries risks such as bleeding, infection, breathing changes, asymmetry and the possibility of needing revision. Dr. Sedgh, a double board-certified facial plastic surgeon, reviews medical history, candidacy and specific risks at consultation so patients can make an informed decision before anything is scheduled. How do I choose a rhinoplasty surgeon in Los Angeles? Look at board certification, the surgeon's training, how much of their practice is devoted to the nose, and before and after photos of noses similar to yours. Dr. Jacob Sedgh trained in head and neck surgery at the University of Pittsburgh and completed a facial plastic surgery fellowship at Penn State Hershey, and his practice is limited to the nose, face, ears and neck. A consultation is also a chance to judge how clearly a surgeon explains the plan. Do ENT surgeons do rhinoplasty? Many facial plastic surgeons, including Dr. Sedgh, began in otolaryngology, the ENT specialty, before completing fellowship training in facial plastic and reconstructive surgery. That background means the septum, airway and nasal valves are part of every rhinoplasty plan, not only the outside shape. Patients with breathing complaints can have functional and cosmetic goals assessed together in West Hollywood. Can insurance cover any part of a nose job? Purely cosmetic rhinoplasty is not covered by insurance. Functional work, such as correcting a deviated septum that blocks breathing, may be partly covered when the problem is documented and the plan's criteria are met. Jacob Sedgh, MD can explain which parts of a combined procedure are functional and which are cosmetic; call (310) 888-2884 to ask. What is recovery like after rhinoplasty? Most patients wear a splint for about the first week and see the worst bruising and swelling fade over the following weeks, although every recovery is different. Strenuous exercise, glasses resting on the nose and strong sun are usually limited for a period. Dr. Sedgh uses the Piezo ultrasonic system for bone work, which published studies associate with less early bruising, and he gives each patient written aftercare instructions. Is it better to have a nose job abroad or in Los Angeles? Surgery abroad can look cheaper at first, but follow-up visits, managing complications and any future revision are much harder from another country. Having rhinoplasty in Los Angeles keeps the surgeon within reach for the whole first year of healing. Patients from across the city, including Beverly Hills, Century City, Westwood and Culver City, see Dr. Sedgh at one office on the Sunset Strip. What is male rhinoplasty? Male rhinoplasty adapts the operation to masculine facial features, usually keeping a straighter, stronger bridge and avoiding an over-rotated or overly narrow tip. Many men also want better breathing at the same time. Dr. Jacob Sedgh plans male rhinoplasty around the brow, cheekbones and jawline so the nose stays in proportion with the face. What is revision rhinoplasty and when is it needed? Revision rhinoplasty corrects concerns that remain after an earlier nose surgery, whether cosmetic or functional. It is more intricate than a first operation because of scar tissue, reduced cartilage and changed skin. Dr. Sedgh evaluates the previous surgery and generally advises waiting until the nose has fully settled before planning a revision at his West Hollywood practice. What is the difference between open and closed rhinoplasty? Open rhinoplasty adds a small incision across the columella, the strip of skin between the nostrils, which gives the surgeon a direct view of the tip structures. Closed rhinoplasty keeps all incisions inside the nose. The right approach depends on the anatomy and the changes needed, and Dr. Sedgh explains his recommendation at consultation. Is a non-surgical nose job permanent? A non-surgical nose job uses injectable filler to smooth a bump or lift the tip, and the effect is temporary. Filler cannot make a nose smaller or improve breathing, and it carries its own risks. Jacob Sedgh, MD offers both injectable and surgical options and can explain which suits a patient's goals; call (310) 888-2884 to book a consultation.