Masataka Fujihashi
2025.12.24
What is Nasal Hump Reduction? | Smoothing the Prominent Nasal Bridge
As a board-certified plastic surgeon, I have handled numerous cases involving trauma, reconstruction, and congenital conditions, cultivating precise techniques and deep anatomical understanding. Driven by the desire to deliver the transformative power of beauty—where visible change uplifts the spirit—I pursued a career in cosmetic surgery. My areas of expertise include comprehensive eye treatments, injectable therapies, and anti-sagging procedures. Guided by a commitment to sincerely address each patient's aspirations, I provide meticulously crafted treatments focused on achieving beauty.
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Designing natural beauty with trust.
I am Masataka Fujihashi, a board-certified plastic surgeon.
When viewed from the side, the bridge of the nose appears to protrude in the middle.
The uneven surface creates a rough and rugged impression.
This type of nose shape is commonly called an "eagle nose," and the protrusion causing it is referred to as theHumpIt is called.
Because the nose is positioned at the center of the face, even slight irregularities can significantly alter one's overall impression.
Nasal hump reduction surgery is a procedure to smooth out the bump on the bridge of the nose and create a more seamless contour.
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■ What is a hump nose?
An aquiline nose is a general term for a nose that appears prominent and arched along the central bridge when viewed from the side.
In cases of pronounced protrusion, it may be described as a "hooked nose" or "witch's nose," unintentionally creating a strong impression.
In particular, a condition where the bridge of the nose has a step-like indentation is called a "hump."
The hump is formed at the boundary between the hard tissue of the nasal bone in the upper half of the nose and the soft tissues of the nasal septal cartilage and lateral nasal cartilage in the lower half.
Therefore, simply shaving it down will not create a natural line; adjustments must be made considering both bone and cartilage.
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■ What is a Hump Nose Correction (Hump Reduction)?
Hump reduction surgery involves removing bone and cartilage from the protruding area along the nasal bridge to create a smoother nasal profile.
Properly treating the hump will straighten the bridge of the nose, giving the entire nose a more refined appearance.
The characteristic feature is that the state where only the nose appeared emphasized is improved, resulting in a more balanced appearance of the entire face.
The goal is not simply to lower the height, but to eliminate the step.
Source: 'Aesthetic Surgery Techniques: Rhinoplasty, 1st Edition' (Koseido Publishing Co., Ltd., 2012) p.167 (Figure modified and reproduced)
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■ Surgical Technique for Hump Reduction
The nasal bone portion, which constitutes the upper half of the hump, is removed using tools such as chisels.
The lower cartilage portion is carefully adjusted with a scalpel to ensure a smooth transition between bone and cartilage.
Furthermore, by adjusting not only vertical but also horizontal irregularities, we create a natural nasal bridge line.
In cases where only hump reduction is performed, the closed approach—operating from inside the nostrils—is often sufficient.
Source: 'Aesthetic Surgery Techniques: Rhinoplasty, 1st Edition' (Kakuseido Publishing Co., Ltd., 2012) p.169 (Figure partially modified for publication)
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■ The Concept of the Closed Method and the Open Method
Rhinoplasty for a hooked nose employs either the closed or open technique depending on the specific case.
For hump shaving alone, when the amount to be shaved is small, the closed method is used.
On the other hand, when combining rhinoplasty with procedures to raise the nasal bridge, performing other nasal surgeries simultaneously, or when the hump is large and requires significant removal, the open technique is generally selected.
Prioritizing the accuracy and safety of the finished product, it is important to determine which method is appropriate.
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■ Hump Removal and Spreader Graft
In cases of a large hump, structural defects may occur in the central nasal bridge after excision.
This area is also related to the nasal air passage, and failure to provide adequate reinforcement may cause nasal congestion.
Therefore, a spreader graft using nasal septal cartilage is used as needed to stabilize both the nasal bridge line and function.
In such cases as well, the open approach, which allows for a clear field of view, is suitable.
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■ Summary
Nasal hump reduction is not a simple procedure that merely shaves down the protruding nasal bridge.
This surgery creates a natural nasal bridge line by understanding the structure of bone and cartilage and smoothly connecting any unevenness.
The choice between the closed method and the open method is determined on a case-by-case basis, with the highest priority given to the final result and safety.
When concerned about the appearance of the nasal bridge, it is important to consider treatment while keeping in mind the overall balance of the nose.
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【Profile】
Masataka Fujihashi, MD, Plastic Surgeon
Leveraging expertise as a board-certified plastic surgeon, I offer comprehensive facial cosmetic procedures including eyelid and nose surgery, facial liposuction, thread lifts, and hyaluronic acid injections. From incisional surgeries and revision procedures requiring delicate design to minimally invasive injections and lifts with minimal downtime, I strive to provide treatments tailored to each patient's ideal outcome.
We are dedicated to achieving natural results and minimizing downtime, pursuing medical care that leaves you feeling confident in your choice through sincere consultations.
Designing natural beauty with trust.
We cherish that sentiment and apply it to our daily practice.
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【Career】
March 2015: Graduated from the School of Medicine, Showa University
April 2015 Showa University Yokohama Northern Hospital Initial Clinical Training
April 2017 Showa University Hospital Department of Plastic Surgery
October 2017 Maebashi Red Cross Hospital Plastic Surgery / Cosmetic Surgery
April 2019 Nishio Municipal Hospital Plastic Surgery Department
April 2020 Showa University Fujigaoka Hospital Plastic Surgery Department
November 2020 Ota Nishinouchi Hospital Plastic Surgery / Cosmetic Surgery
July 2022 Tokyo Rosai Hospital Plastic Surgery / Cosmetic Surgery Department Head
July 2022: R.O.clinic (Part-time), Kusano Taro Clinic (Part-time)
April 2024 Deputy Director, Ginza TA Clinic
November 2025 BIANCA CLINIC
【Professional Affiliations and Qualifications】
Japanese Society of Plastic and Reconstructive Surgery Board-Certified Plastic Surgeon
Member of the Japanese Society of Aesthetic Plastic Surgery (JSAPS)
Member of the Japanese Society of Aesthetic Surgery (JSAS)
