Humped noses are common among some races, such as Aryans and Semites, and in some populations such as Native Americans. It must be noted that the upper third of the nasal dorsum is bony and the lower part is cartilaginous. A hump can be present in any of these parts or even on the junction between the two.
An important aspect of nasal hump surgery is that after the procedure, the nose must not look like a “surgical nose”. In other words, it must not be clear that surgery has been performed on the nose. The natural appearance of the nose after surgery is of utmost importance, and the surgeon must do the best to sculpt a beautiful, natural-looking nose. Preservation of the respiratory function of the nose is extremely important when surgically removing the hump. In a joint research project with colleagues from University of Marburg, Germany, Dr. Sazgar addressed this issue:
Teymoortash A, Fasunla JA, Sazgar AA.
The value of spreader grafts in rhinoplasty: a critical review.
Eur Arch Otorhinolaryngol. 2012 May; 269 (8):6-1411