On the aesthetic surgical point of view, the hump nose characterized by nasal hump, straight or
convex dorsal profile, drooping nasal tip and acute nasolabial angle results in strong and older facial
image. To improve these hump nose in Asians, classical Joseph\'s nasal hump reduction or conservative
humpectomy followed by nasal tip-plasty and augmentation rhinoplasty were applied according
to hump size. However, these methods of hump nose correction are insufficient for satisfactory
results due to unfavorable dorsal profile and hump recurrence. Therefore, the author presents
systemic and important surgical considerations obtained by surgical experiences from more than 200
cases to produce consistent and complete correction of hump nose without recurrence. From April of
2004 to May of 2008, total 228 patients underwent hump nose correction recognizing surgical
considerations presented in this research. Of these patients, 38 patients were secondary cases of
hump nose due to unfavorable dorsal profile and hump recurrence. The author obtained aesthetically
satisfactory results without recurrence for mean 17 months follow up periods in all patients without
any significant surgical complications. Measurement results are as follows: 1.average decrease in
nasal length was 3.4 mm, 2. average decrease in nasal width was 2.2 mm, 3. average increase in
nasal tip projection was 4.3 mm, 4. average increase of nasolabial angles was 12.2 degree. In
conclusion, hump nose correction by recognizing surgical considerations presented in this research
is an effective, reliable and valuable method in correcting hump nose without recurrence and
improving lateral nasal profile aesthetically. (J Korean Soc Aesthetic Plast Surg 16: 85, 2010)