Revision Rhinoplasty to Remove Bump with Rasping?

I may be wrong, but it would bet that your bump is really not a true bump, but instead is the palpable lower edge of the nasal bone. This is something I commonly see in my patients seeking revision rhinoplasty. What happens is that a hump is removed during rhinoplasty. Usually, this involved removal of bone and cartilage from the bridge of the nose. One effect of this is that it creates a separation of the upper lateral cartilages (the cartilage that forms the middle 1/3 of the bridge of... more

Without pictures or an examination it is impossible to answer your question. In some cases rasping alone is sufficient to eliminate the bump. Osteotomies would be necessary if rasping causes increased width of the nose or separation of the nasal bones. Send pictures if you want a more personal response.

Hello, I would need to see photos and/or perform an examination to give you the best advice. If the bump is on the side, it is unlikely you will need osteotomies. Please send any photos, and I would be happy to evaluate them for you. Thank you, and best of luck. Dr. Nassif

I have to disagree with the other comments posted above. While no studies, to my knowledge have supported a relationship between lasers and fillers we have definitely seen a relationship clinically in my office. We first noticed a diminishing of results from fillers with our own staff members several years ago when Fraxel laser treatments were performed after injecting Restylane and Juvederm. We eventually narrowed it down to a time period of 2 months following injection of the... more

The persistent bump is most likely at the juncture between the upper lateral cartilage and the bony dorsum. This can be easily treated with rasping if it is bone.

Secondary or revision rhinoplasty is, without question, the most challenging cosmetic surgery for both surgeons and patients. Even though there may be just a small bump that could easily be shaved, if you have to cross a lot of anatomy to get there - you could "damage" some of the "good" portions of the nose along the way. Frequently, an internal approach can be used to "rasp" or file down a prominent bone and easily solve your problem in 30 minutes. However,... more

What you are describing is a common occurrence after rhinoplasty especially when the initial rhinoplasty involved hump reduction or infratcturing of the nose. It certainly is possible and likely in most cases to remove small residual hump with simple rasping and this is the most common type of revision in my practice. Generally, osteotomies are not required unless the hump is large and even if it is more midline if it is small can be addressed with simple filing. I hope this information... more

If your bridge is at a good height (not too high), but you see an edge of bone on your oblique view, you might be a good candidate for an Injectable Filler treatment. A small amount of Injectable Filler can often act as a cushion between the thin skin of the upper nose and your visible nasal bone. Silikon-1000 would be my filler-of-choice for a permanent result. You should leave surgery as a last resort. I can't comment whether you'll need osteotomies without seeing your photos. Feel free... more

It is difficult to say without an examination but, to me, it sounds as if this is the distal most end of the right nasal bone. This could be treated with rasping or may reflect incomplete infracture which could necessitate osteotomies. In some instances, these can be complete percutaneously. Discuss your findings with your surgeon. Now that a year has passed, it is reasonable to re-assess your results at this time

If you have a small bump after rhinoplasty, rasping may help reduce it. However what looks like a bump can also be narrowing of the insertion of the cartilage in the middle of the nose called the upper lateral cartilage. In that case, rasping alone wont help, a more involved procedure may be necessary with small grafts to support that cartilage. I suggest you see your original surgeon or a revision rhinoplasty specialist for a personal exam and answer.