A photographic record of rhinoplasty surgery by Dr Nick McIvor

Removal of dorsal hump
Removal of dorsal hump
Restore dorsal profile
Restore dorsal profile

Common Nasal deformities and Solutions

Nick wishes to express his gratitude to those clients who have consented to the display of their " before and after" images on this website.


A bump on the nasal dorsum usually composed of bone and/ or cartilage.

Solution: Removal of bony hump and fracturin the bony side walls inwards to close the nasal roof. Sequential lowering of cartilagionous hump. Modification of alar cartiages to achieve the desired profile.


Crooked Nose

Usually a result of bony and/ or carilagionous deformities. If longstanding, then there are resultant skin and soft tissue asymmetries.

Solution: Bony deformity requires precision fracturing of the bone in specific places and repositioning. Cartilaginous deformity may be corrected by straightening of the septum ( Septoplasty)but frequently requires reshaping and repositioning of alar cartilages- particularly in long standing deformities.


Long Nose

Frequently associated with a hump deformity.

Solution:  This can be corrected by rotating the tip upwards thereby decreasing the distance between the nasion and tip. The dorsum is usually modified also.


Poor support/ Nasal collapse

Sepal loss following trauma results in a characteristic saddling of the lower dorsum, columella retraction and poor tip support.

Solution: Nasal and septal supports are reconstituted with either cartilage or bone.


What is a Rhinoplasty?

Rhinoplasty is an operation that changes the appearance and/ or function of the nose by altering the underlying cartilage and bone.


What is a Septoplasty?

Septoplasty is a straightening or reconstruction of the midline nasal partition. It is done to relieve nasal obstruction or to help straighten the nose and may also be needed to improve support of the nasal tip.


What is a Septorhinoplasty?

Septorhinoplasty is an operation on both the external nose and the nasal septum