Cartilaginous Pushdown Nasal Hump Treatment.

The reduction of the nasal hump can be based on the partial resection of the cartilages and bones or on the preservation of these structures. The nasal dorsum preservation techniques, like the push down and let down, minimize problems like open roof and inverted V and lessens the necessity of grafts, the mainstays of the structured rhinoplasty. The cartilaginous pushdown preserves the middle third of the nose and let the bony portion to be treated independently. This approach expands greatly the indications of preservation techniques as in complex deviated noses, S shaped humps, and for patients with irregularities on the dorsum.