A dorsal hump is a bump or bony/cartilaginous prominence along the bridge, usually most visible from the side profile. It can be made up of bone, cartilage, or a combination of both, which is actually assessed carefully during consultation, since the composition affects exactly how it's corrected.
Correction typically involves carefully shaving or removing the excess bone and/or cartilage causing the bump, then reshaping the surrounding structure — including the middle vault — so the bridge line remains smooth and structurally supported rather than leaving a visible dip where the hump used to be. This structural support step is what separates a well-done hump reduction from one that leaves problems like an "inverted-V" deformity or breathing issues down the line.
Consultation Tip
Ask whether your hump is primarily bone, cartilage, or both — this affects the technique used and is a good sign that a surgeon is planning your case carefully rather than applying a generic approach.
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— Dr. Hyung-taek Kim, KOWON Plastic Surgery