What is the hard bump has appeared on the left side of my nasal bridge toward my eye area? (Photo)
Doctor Answers (6)
Steroid injection may be beneficial
It is understandable that you are concerned. Changes after rhinoplasties vary with every patient and what you are experiencing is not uncommon. Since you can depress this bump, the probability that it is boney may be low hence the possibility of beneficial steroid injections.
However, without a physical examination it is not possible to provide you with a definitive answer or a solution.
It is important to keep in mind that a year is usually required before formulating how your nose will be, but longer with a thick skin. Even then, your nose will keep shaping itself to complement your face for better results in the years to come.
My best recommendation at the moment is to 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
What is the hard bump has appeared on the left side of my nasal bridge toward my eye area?
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The hard bump is the corner of your nasal bone, which is now 'sticking out'. A very common problem after hump removal, regardless of technique. Prior to surgery, there is a complex relationship between the edge of the nasal bone and the cartilage side walls of the nose. The nasal bone normally overlaps this 'upper lateral cartilage', but it is very flush and seamless. During hump removal this seam is put under stress and can be injured. Simultaneously, the normal relationship between the upper lateral cartilage and midline septum has been removed, and the upper lateral cartilage can drift toward the midline, exposing the bony edge. This can be accentuated if the nasal bone has not been completely repositioned straight and is still angled outward.
Depending on your situation, which cannot be determined by your photographs, you could be a candidate for something as simple as injection with a filler like Juvederm or Restylane, which can either camouflage the bony edge or reposition the cartilage, depending on your need. Alternatively, a revision surgery could be considered, and a 'spreader graft' can be fashioned and interpositioned between the septum and the upper lateral cartilage, pushing it flush with the nasal bone. If needed, the bone can be further mobilized as well.
My one concern is your statement that it looks worse than before surgery and you are depressed. Based on your photographs, it seems very subtle, even natural. You said you loved your results, indicating that your surgeon made positive changes to your nose. I think that you are over-reacting to a minor issue, or at least you made an overstatement of your feelings. There is certainly no reason to be depressed; your nose appears to be quite nice. You should sit down with your surgeon and discuss this minor issue. I'm sure this can be sorted out quickly.
Best of luck!