This young woman suffered a nasal fracture. This resulted in the formation of a large hump on the nasal bridge near the top. There was also collapse of the bridge near the bottom where the bridge meets the tip ( the supratip area). A reconstructive rhinoplasty was performed to help restore the nasal contour. The dorsal hump was reduced and at the same time a cartilage graft taken from the nasal septum was used to rebuild her bridge. The tip was set back as well a small amount. While most nasal humps are genetic it does seem that some form as a result of trauma. When a nasal fracture occurs there is alot of bleeding and swelling. Sometimes this inflammation intiates calcification or new bone formation at the fracture site. This may occur after cosmetic rhinoplasty as well where a small bump forms after surgery. This is perhaps the most common reason for revision in rhinoplasty.