Revision Rhinoplasty Q&A
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Boney Bump Just Under Bridge of Nose Followed with a Dip After Surgery
asked 1 year ago by clemmy in uk
Latest answer by Sam Naficy, MD
Question viewed 490 times
Tags: female, bump
I had rhinoplasty 8 months ago and a month after the cast came off i noticed a boney bump slighlty beneath the bridge which emphasised a dip in the nose just above the tip. My surgeon used juvederm to fill it, and it looked perfect. The juvederm seems to be wearing off and i am more aware of the bump. Its tiny but you can see it slightly as the filler wears off and it upsets me. Is it worth having a revision as i will just worry every year when the bump/dip show again?
11 answers to Boney Bump Just Under Bridge of Nose Followed with a Dip After Surgery
+1
Supratip depression
The bump is you notice is from the depression below it which your surgeon filled with the injection - as stated by others a small cartilage graft can fill this contour deformity
+1
Post Operative Rhinoplasty Irregularities: Surgery vs Filler
If you are satisfied with the results you achieve with the filler, which it sounds like you are then I would consider retreating the area with the Juvederm. I have had success using this filler as well as others in correcting small irregularities. I recognize that this is not a permanent filler but have found that it has lasted over two years without any intervening injections. Certainly surgical revision is an option. If you choose to proceed with...
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Christopher Tolan, M.D.
Saint Paul Facial Plastic Surgeon
Saint Paul Facial Plastic Surgeon
+1
Correcting bony bump after rhinoplasty
To correct this type of problem, either the bony bump has to be filed down or a small cartilage graft harvested from the internal portion of the nose has to be inserted into the depressed area to give a straight dorsal aesthetic profile. This will repair the problem on a more permanent basis.
+1
If it bothers you, treatment is reasonable. I would advise surgery.
In my opinion, it appears you have some contour irregularities on the bridge of the nose. Ideally, the surface of the bridge, on profile, should be relatively smooth - whether it’s a straight line, slightly turned inward (concave), or slightly turned outward (convex). Your results reveal a contour irregularity which could be viewed as either a low point at the dip or a high point just below and above it.
Whether or not you should make a decision to have a revision really depends on how...
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+1
Dip in Profile above Tip following Rhinoplasty
As you know, the improvement after Juvederm is temporary. You can achieve permanent correction with a cartilage or fascia graft. Remember, there is always a risk of complications with any invasive procedure. You have been informed re all alternatives, including doing nothing - the choice is yours.
+1
Bony bump after rhinoplasty
Yes to surgery.
The filler is not a permanent solution and every time it is injected you risk creating problems to the skin, which may make a revision rhinoplasty more difficult.
Dr Siegel
+1
Small revision rhinoplasty, surgery vs. dermafiller?
This is a great question, when you have a small imperfection of the nose, is it better to have surgery to repair it, use temporary dermafillers (like Juvederm), or use a permanent dermafiller like Artefill?
This is clearly something you'll have to decide with your surgeon, but I would strongly consider using fillers for a few reasons:
For small imperfections, you have a lot more control with fillers. You can control the exact amount of filler placed as opposed to...
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+1
Treatment of over-resected nasal dormsuf
A secondary rhinoplasty would require placement of a graft which is generally preferred over a synthetic material.
Otto Joseph Placik, MD
Chicago Plastic Surgeon
Chicago Plastic Surgeon
+1
Over resection of the dorsum of the nose can be permanently fixed with an implant or graft.
The dorsum of the nose was excessively filed and created a volume deficiency which was corrected by the temporary filler. A permanent graft of cartilage or a prosthetic graft (Medpore) can restablish the proper volume and make further injections unncessary.
+1
Is it worth having a revision rhinoplasty?
The decision to have a revision procedure is up to you. I would discuss your concern with your surgeon to see what options you have. An in person exam is needed to see what method(s) would best help your concern. You can then determine whether the risk/benefit ratio is such that it's worthwhile for you to proceed with surgery.
Best regards,
TAL
+1
Revision of nose
The choice to perform a revision is personal. If it really bothers you and you do not want to continue with fillers to camouflage it, then I suggest you have it filed down. It is a minor procedure.
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