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How Was This Nose Job Deformity Caused and What Will Fix It?

asked 1 year ago by JersWood in Wild Wood, NJ
Latest answer by Ramtin Kassir, MD
Question viewed 988 times
Tags: nose, bump, columella, retraction, revision

I am planning for a revision rhinoplasty since there are many thing I do not like about my new nose. It has been 6 months since my first surgery. It seems like I have an an "open roof," as I've seen it called here and a "retracted columella." Additionally, on top of the open roof plateau there is a very noticeable bump that developed over time. What caused this bump and what can make my nose more attractive, since I am just completely distraught over the look of my new nose.

8 answers to How Was This Nose Job Deformity Caused and What Will Fix It?

+1

How to address a "bump" or other deformity on the nose after rhinoplasty surgery

The deformity after your nose surgery, whether open roof, scar tissue, or cartilage remnant needs to be addressed with revision rhinoplasty. The timing depends on you and your surgeon. The revision should address your bony cartilaginous complex and also the retracted columella, and cartilage grafting will be necessary to correct both deformities. If your surgeon is experienced with injectable fillers (radiesse, restylane) in the nose, then that could... more
Ramtin Kassir, MD

New York Facial Plastic Surgeon
+1

The bump on the bridge of your nose appears to be a small remanent of bone after your prior Rhinoplasty Surgery.

The bump is in the same location as your pre-operative hump. When it was removed during your Rhinoplasty Surgery, it appears that a remanent of cartilage or bone was inadvertently left behind. Sometimes irregularities like this can be effectively camouflaged with an Injectable Filler treatment. If you have a open-roof, as you describe, then a revision rhinoplasty may be necessary.
Eric M. Joseph, MD

West Orange Facial Plastic Surgeon

www.ericmjoseph.com

+1

Handling Nose Surgery Complications

Regarding: " I am planning for a revision rhinoplasty since there are many thing I do not like about my new nose. It has been 6 months since my first surgery. It seems like I have an an "open roof," as I've seen it called here and a "retracted columella." Additionally, on top of the open roof plateau there is a very noticeable bump that developed over time. What caused this bump and what can make my nose more attractive, since I am just completely distraught... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

Rhinoplasty Open Roof Deformity and Revision Rhinoplasty

Hi Jers, Sorry about your rhinoplasty results, but it is correctable.  Discuss your concerns with your rhinoplasty surgeon.  If you still trust his/her work, plan on having a revision rhinoplasty.  If you are not going to have your revision for at least 6 to 12 more months, you can have a small volume of hyaluronic acid injected to help camouflage your deformity.  Surgical correction can best be performed through an open approach revision rhinoplasty. ... more
Michael A. Persky, MD

Los Angeles Facial Plastic Surgeon
+1

If you are planning a revision rhinoplasty please wait one year

It can take a year for the nose to fully heal. Changes you see at 6 months rarely go away but they may change and/or you may see more things to address at a year. Bumps come from either scar tissue, regrowth of bone or cartilage or residual cartilage that might have not been seen at the time of the original surgery. The first place I suggest you go is to discuss your concerns with your surgeon. If you are not satisfied with the answers then seek a revision rhinoplasty specialist, but... more
Steven J. Pearlman, MD

New York Facial Plastic Surgeon
+1

Revision Rhinoplasty and Surgical Options

Rhinoplasty is the most challenging cosmetic surgery, and as a result has one of the highest revision rates. It appears that you have either a bump or a depression causing an irregularity along the bridge.  The "retracted columella" cannot be fully assessed in the photo.  If this is a simple depression, you might be able to fill it with a soft tissue filler such as Radiesse, however if there is additional areas that need to be addressed - or bone that needs to be... more
Vincent P. Marin, MD

San Diego Plastic Surgeon
+1

Open Roof Deformity

Hi, If you truly have a open roof deformity and it bothers you, you should get it fixed. Open roof deformities are usually caused by poor osteotomies (infracture of the nasal bones). The columella can be fixed with cartilage grafts taken from the ear or septum. Best, Dr.S.
Oleh Slupchynskyj, MD

New York Facial Plastic Surgeon

www.facechange.org

+1

After rhinoplasty complications.

Besides what you mention the bump may be a small piece of bone or cartilage the needs to be removed. This can happen rarely to all surgeons. Return to your surgeon for an evaluation and/or get a second opinion.
Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon

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