Rhinoplasty: Q&A
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I Am 2 1/2 Months Post Op Open Rhinoplasty/Septoplasty. Bump Removed but Still There.
I am 2 1/2 months post op open rhinoplasty/septoplasty. My hump was shaved down but i can still see it and when I touch it is kind of hard. Should I get injections at my next appointment or is this still swelling. It is still tender to touch.
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10 Doctor Answers |
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Kate in Michigan
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Hump after rhinoplasty - nose job
A residual bony hump after rhinoplasty or nose surgery can be frustrating for both patient and surgeon. Some young patients may have an osteoblastic response to removing a hump and the body may try to regrow bone in the region. If this area feels hard at 3 months after surgery, chances are you may require a repeat surgery to shave it down. I would avoid Kenalog injections in this area due to skin thinning in an already thin skinned region. Wait until the 6 month...
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21/2 months post-op
Careful, dilute cortisone injections may help, although it certainly appears that it would require
revision surgery to completely get rid of the bump.
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Residual hump
It looks like you have a bit of a residual hump. You should wait at least 6 months or longer to have it revised if it bothers you.
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Hump
You need to talk to your surgeon. Some patients will get a significant periosteal thickening after surgery which will feel like a hard bump and take a long time to resolve. This does however make me worry that you still have bone to lower. I'd wait at least another 6 months before having anything done to be certain that the extent of the problem is fully appreciated.
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Persistent Dorsal Hump ve Swelling 3 Months Post-op
It does appear that there is a residual dosal hump. Cotisone injections will not help in this area. A revision will probably be necessary, but wait another 6 months so you can determine if the are any other minor irregularities that you want revised at the same time.
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I Am 2 1/2 Months Post Op Open Rhinoplasty/Septoplasty. Bump Removed but Still There.
Great posted photos! My guess is even at this early date you have a residual "hump" though minor I believe waiting for additional 6 months if still there than a revision or file the hump is in order. But you might be satisfied waiting for full healing than deciding if you are happy. Another thought might be to use a HA filler inferiorly to the hump to elevate the depression and I would do it now to see if this satisfies you at least temporarily.
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The nasal hump that came back!
I agree with my colleagues: this looks as if further surgery may be necessary to remove more bone and cartilage.
But, let's take the view that your surgeon knew what he or she was doing and really did remove the bony and cartilaginous hump correctly and adequately. Then this bump represents a collection of scar tissue, probably from a collection of blood under the skin or perhaps periosteal bleeding, and steroid injection into the scar (NOT the skin or thinning is indeed possible)...
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The reappearing nasal hump
The nasal hump in your photo is the nasal bone and will not respond to steroid injections. Makes me wonder too if the bump really was taken down with your surgery. What is there will not go away without revision.
Best of luck,
peterejohnsonmd
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I Am 2 1/2 Months Post Op Open Rhinoplasty/Septoplasty. Bump Removed but Still There.
From your description and your photos, and without examining your nose I cannot tell for sure, that you still have a bony hump. If this is the case injections will not accomplish anything ,except the risk of thinning your skin and making the problem worse. If this is a bony hump you will require surgery.
Michel Siegel, MD
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Dorsal hump still there
I hate to be the bearer of bad news, but that bump is not going away. Injections, time, massages, cream, etc.... will not help. This looks like bone and that is there to stay. Swelling that improves with time or injections is usually in the tip or supratip (area just above the tip). Having said that, I would not recommend a revision right away. For now, just give it some time and see how much it improves. But, I just want your expectations to be realistic...
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