1 month post op of Rhinoplasty, the hump in my nose got even bigger then before. Is this normal? (photos)

Hello,Although it is true that 'swelling takes a year' to subside, not everything takes a year to assess.  As you noted, the 'bump' has gotten worse as time has gone on and swelling has decreased, therefore swelling was actually camouflaging the problem.The perspective you are looking at is not really your profile, and therefore this is not really a bump.  It is an oblique or 3/4 view, and it gives us very different information about the contour of the nose than a true lateral or profile view.When a bump is reduced during a rhinoplasty, the cartilage part of the bridge can sometime collapse toward the midline, leaving a 'step off' or depression that looks like a bump in this view. The swelling partially camouflaged this, and as time goes on this discrepancy will not likely improve. This is the most common area where irregularities can occur after rhinoplasty.If after a year this is still an issue, you may benefit from a revision surgery. However, much earlier, perhaps in another month or so, your surgeon may elect to inject a filling agent like hyaluronic acid (Juvederm, Restylane, etc.) to improve this contour irregularity immediately.  This is a temporary fix, but may make you pleased in the meantime while your nose has a chance to fully heal. Best of luck! 

Thank you for your question!It is understandable that you are concerned especially with the bulbous tip and the slight bump on your bridge. Changes after rhinoplasties vary with every patient and what you are experiencing is normal especially that swelling takes time to subside as it masks the results of your surgery.Unfortunately, with the pictures posted, the lack of surgical details and the inability to perform a physical exam it is not possible to provide you with a definitive medical answer.It is important to keep in mind that it is early to pass a judgment. Usually, a year is required before formulating how your nose will be. Even then, your nose will keep shaping itself and to complement your face for better results in the years to come.My best recommendations at the moment is to be patient, allow nature to take its course and edema subsides for better results. There is no doubt that once the swelling resolves, more definition and shape will be achieved and you should be happier with the results.Also, it is important that you keep communicating with your surgeon and work as a team together to achieve the best results possible.Congratulations on your surgery and please remain positive!Ali Sajjadian, MD FACS

Sorry to hear your concern. You are correct that the initial swelling camoflauged the bump which is now more noticeable. If it feels  hard, it is likely to be residual bony/cartilagenous bump which will not resolve with time. Talk to your surgeon about the timing of a revision.