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 3.4mm, 2. average decrease in nasal width was 2.2mm, 3. average increase in nasal tip projection was 4.3mm, 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.