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Nose Bump After Spreader Graft Was Inserted

asked 3 years ago by RoccoI in None
Latest answer by William Portuese, MD
Question viewed 1,729 times

My doctor gives me no answers, Like I said my doctor spends about one minute with me and leaves the room quick. He wants me back in 3 months. He stated, "You have a bit of a knot here. Hopefully, it will go down, but if it doesn't, we'll file it down." Is that normal, and do you think the bump will go down on its own? What causes it?

5 answers to Nose Bump After Spreader Graft Was Inserted

+2

Bump after spreader grafts

It is not terribly uncommon to have a small bump or irregularity on the dorsum of the nose after a rhinoplasty. These may disappear on their own and if they don't they can easily be rasped down. With the use of spreader grafts, sometimes a small piece of cartilage can protrude a bit and cause this. i wouldn't worry too much about this and would wait for at least six months to see if ti disappears. Good luck!
Andres Gantous, MD

Toronto Facial Plastic Surgeon
+1

Spreader grafts can shift, move, or migrate from their original position

Occasionally, spreader grafts can shift, move, or migrate from their original position and can be seen and palpated along the bridge of the nose if they ride upward towards the skin. This will give the appearance of a small bump on the nose. If this is occurring, the graft should be removed and reinserted into its normal anatomical pocket through a revision rhinoplasty.
William Portuese, MD

Seattle Facial Plastic Surgeon

www.seattlefacial.com

+1

Don't worry about your Rhinoplasty result

Your doctor is saying all the right things; only he should spend more time to alleviate your fears. The spreader graft can cause a bump if slightly displaced - which can be the result of scarring. Treatment should be to rasp it down when the swelling has resolved.  Good Luck!
Robert M. Freund, MD

New York Plastic Surgeon
+1

Bump after spreader graft placement

Slight bumps and lumps occur about 5% of the time in rhinoplasty even in the best of hands.  It isn't a big deal to have to file something down after the procedure.  Be patient though.  It is wise to wait at least 6 months and maybe longer if it is improving. 
Edward Buckingham, MD

Austin Facial Plastic Surgeon

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