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Prof. Dr. Suleyman Tas Clinic logo: Plastic, Reconstructive and Aesthetic Surgery, Istanbul

Case Study 16: Septorhinoplasty for a Dorsal Hump and Night-Time Breathing Problems

Nov 15, 2023
3 min read

Updated: Oct 3

Case summary

  • Patient: 20-year-old woman from Saudi Arabia (KSA)

  • Procedure: closed septorhinoplasty

  • Surgeon: Prof. Dr. Suleyman Tas, Prof. Dr. Suleyman Tas Clinic, Istanbul

  • Goal: a smooth, feminine profile and comfortable breathing, especially during sleep

Case Study 16: Septorhinoplasty for a Dorsal Hump and Night-Time Breathing Problems

The patient's concerns

This patient wanted to remove a dorsal hump that dominated her profile. She also had difficulty breathing through her nose at night, which disturbed her sleep and led to mouth breathing. Night-time obstruction is a common sign of septal deviation, turbinate enlargement or valve narrowing, all of which were assessed before surgery.

Why treat breathing and shape together?

Removing a hump without addressing the airway can leave, or even worsen, breathing problems, because hump reduction affects the internal nasal valve. Treating the septum and the valves in the same operation protects and improves function while the external shape is refined.

What was done

Prof. Dr. Tas performed a closed septorhinoplasty, with all incisions hidden inside the nostrils:

  • Septal correction: the deviated septum was straightened to open both nasal passages.

  • Airway support: the internal nasal valve area was preserved and supported so that breathing would not be compromised by hump removal.

  • Hump removal and dorsal refinement: the bony and cartilaginous hump was reduced to create a smooth, natural bridge line.

  • Harmonious proportions: the tip and bridge were balanced so the nose suits her face and remains natural.

Learn more on the rhinoplasty page and about nasal valve collapse.

Result

The patient achieved a smooth, elegant profile without a hump and could breathe comfortably through her nose at night. No scars are visible. See more results in the female rhinoplasty before and after gallery.

Recovery

The nasal splint is removed after about a week. Breathing through the nose improves progressively as internal swelling settles over the following weeks. Most patients return to university or work within 10–14 days.

Frequently asked questions

Can rhinoplasty improve sleep?

When blocked breathing is caused by structural problems such as a deviated septum, correcting them often improves sleep quality and reduces snoring.

Is 20 a good age for rhinoplasty?

Yes. Nasal growth is complete, and young skin heals well.

Will removing the hump change my ethnic features?

Only as much as you wish. The plan can preserve features you want to keep.

Next step

Browse the case studies page or contact Prof. Dr. Suleyman Tas Clinic to book a consultation with Prof. Dr. Suleyman Tas.

How soon can I go back to work after nose surgery?

Most patients return to desk work once the cast is removed at about a week, when the swelling and bruising around the eyes have largely faded.

Will my result look like this one?

Every nose starts from different anatomy — skin thickness, cartilage strength and any previous surgery change what is achievable. A case shows what was possible for that patient, not a promise for every nose.

When can I exercise after nose surgery?

Light walking in the first week, gentle cardio after three to four weeks, and contact sports or anything that risks a blow to the nose only after about three months.

Does the result change over the years?

The nose ages with the face: skin thins and the tip settles slightly over decades. A nose whose support has been preserved or rebuilt keeps both its shape and its airway.

About the author

Prof. Dr. Suleyman Tas is a European Board-certified plastic, reconstructive and aesthetic surgeon based in Istanbul with over 20 years of experience, author of Rhinoplasty in Practice (CRC Press) and founder of the Closed Atraumatic Rhinoplasty Course. Read verified patient reviews or book a consultation.

This article is for general information and does not replace an individual medical consultation.

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