Nasal bone or swelling after Rhinoplasty revision?

I have a bump on the side of my nose that feels like bone after my second time of having Rhinoplasty. Could this be swelling, or did my doctor miss this? It is my second time having it done for the same spot.

First time I had it done was October 2008 and I just recently had it done again Feb 2009. My plastic surgeon said I just need to massage it, but it really feels like bone to me, and looks the same as the first time I had it done that he had to go in and re-do! How can I tell if this is swelling or bone? It's making my nose look crooked which I never had before. I am the person in the middle and you can see the bump on the left hand (would be my right in person).

Nasal bone or swelling after Rhinoplasty revision?
4 answers to “Nasal bone or swelling after...”

A: Nasal Bone Swelling

Richard W. Fleming, MD

Time will answer your question. It will be quite clear in a couple months. There is nothing wrong with getting a second opinion; it may alleviate some of your anxiety. If necessary, this should not be a difficult problem to correct. 

A: Time will tell if it's swelling or bone

William Portuese, MD

The original bump should have been filed down and addressed with both primary and secondary revision nasal surgery. If the bump is still there three to six months after the secondary revision rhinoplasty, it will probably stay. Massaging will not help this go away and it needs to be addressed by narrowing... more

A: Too soon after Rhinoplasty to make any judgement

Toby G. Mayer, MD

Be patient. It will take at least 6 months for this to resolve. If it doesn't you should seek a second opinion with an experienced revision rhinoplasty specialist.

A: Seems like multiple surgeries in a short period of time

Robert M. Freund, MD

Sounds like you have ahad a lot of surgery in a short period of time. Whether or not you have a twist and some residual bone, at the current time you should relax and allow for the swelling to go down!

Comments (6)

Walks
3 posts
17 Mar 2009

I thought it was too soon to have the second operation done, at only 4 months of healing but my doctor said it would be fine. I try and massage my nose where the bump is, but every time I do that it just gets bigger. I find the more I touch it the worse it gets, but if I leave it alone it feels like it hardens more? Could I be massaging it too much? If this were bone, what would it feel like?

Walks
3 posts
17 Mar 2009

Should I be massaging lightly or hard?

Lea R
1 post
20 Mar 2009

Dear Walks, I had residdual bone swelling on the top righthand side of my nose after secondary rhinoplasty. Everytime I massaged this spot it seemed to get worse. However if you think about it that can have a positive effect because then you confirm to yourself that it is just post swelling. I notice that if I didnt massage it for a few days it appeared to look better. When I talked to my surgeon about this he said to massage it LIGHTLY just enough to get the blood vessels and tissue moving around to promote healing. Be sure to put very little pressure while doing this and use lotion to prevent friction. Dont forget bone can have swelling too, due to the bone trying to form a splinter and your body tries to reabsorb the excess it doesnt need in the end which can take months. From experience, I was amazed to compare pictures to determine just how much swelling really does disipate even after a year. Day by day, I would see the skin contract and shrink nicely, making it smaller and less swollen, primarily in the tip. The most pleased results i found were seen at the eighth or ninth month after the procedure. By judging your picture I cannot see the bump but what I do see is an already attractive face. Good Luck I almost guarentee it will go down over patience and time

be-be
2 posts
9 May 2009

Hi I have recently had a bump removed and I am 2 weeks post opp and the bump is still there, could this be bone swelling in exactely the same place or do you think the bump has not been removed. My nose has been made smaller and bridge narrower. Please can anyone advise me

Rachel Greene
3 posts
12 Jul 2009

I have a bump on the side of my nose that feels like bone after my second time of having Rhinoplasty. Could this be swelling, or did my doctor miss this? It is my second time having it done for the same spot. First time I had it done was October 2008 and I just recently had it done again Feb 2009. My plastic surgeon said I just need to massage it, but it really feels like bone to me, and looks the same as the first time I had it done that he had to go in and re-do! How can I tell if this is swelling or bone? It's making my nose look crooked which I never had before. I am the person in the middle and you can see the bump on the left hand (would be my right in person).

Rhinoplasty: 439 reviews

67% said it was worth it

Rhinoplasty before & after photos

IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.