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Bone-like Bumps in Bridge After Rhinoplasty

asked 3 years ago by Kay In Montana in Huntington Beach, Ca
Latest answer by Robert M. Freund, MD
Question viewed 7,374 times

I had Rhinoplasty 3 weeks ago today to reduce a small hump in the bridge of my nose. However, since the cast came off a week after surgery, I noticed 2 bumps on both sides of my nose below my eyes on the bridge right where the bump was removed. Feels as if they are getting bigger. It feels as hard as bone! What is this, will it go away? Do I need filler injections? I need answers. Please help.

7 answers to Bone-like Bumps in Bridge After Rhinoplasty

Rhinoplasty: Outcomes After Hump Removal

The dorsal hump is created by both the contour of the nasal bones (upper half) and the septum (lower half). During hump removal the bone is frequently rasped, or filed, down and the cartilage is trimmed to the appropriate level. Often, when a hump is removed the nasal bones must be narrowed by in-fracturing (osteotomies) because hump removal can leave a gap in between the nasal bones along the bridge. It's possible that you are feeling uneven edges of the nasal bones where the hump was... more

C. Spencer Cochran, MD
Dallas Facial Plastic Surgeon

www.rhinoplasty-usa.com

Give it time after rhioplasty: 3 weeks is too early

Do not do anything. This is normal for now. Any cut bones will develop callus around the fracture site and this can be quite prominent and increase in size for 3-6 weeks after surgery. Discuss your concerns with your surgeon but give it time for healing to occur. This is too soon to draw any conclusions about the final appearance.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Give it time

It is not uncommon to have lumps and bumps after rhinoplasty. Sometimes this is blood collected under the lining of the bone. Usually these go away, even if they feel hard. Try some warm compresses on your nose and wait. Noses change a lot during the first six months after surgery. Talk to your doctor about it, but likely he or she will advise you to just give it time. Do NOT use fillers on your nose at this point.

Theda C. Kontis, MD
Baltimore Facial Plastic Surgeon

facialplasticsurgerymd.com

Edge of the nasal bone

After the bones are reduced and the hump resolves the cut edges of the bone are present. Most doctors will fracture the bones to conceal these cut edges. If they remain, you may feel them or see them as you describe. At first, the swelling hides these bumps, but as the swelling resolves, the bumps become apparent. See your doctor and let them help you out.

Robert M. Freund, MD
New York Plastic Surgeon

Possibly bony fragments from surgery

During the procedure, the bones are usually broken. Bone fragments or edges of the fractured bones may be the reason. You may have swelling, but the fact that they feel like bone is telling. Talk to your doctor. sek

Scott E. Kasden, MD
Dallas Plastic Surgeon

It could be some irregularity where the hump was removed

Hello Kay As sweling goes down, you are more likely to feel the true contours of your new nose. I you feel two bumps that are hard as bone, they probably are bone. As long as they are not visible, you need not worry too much. However, if they are visible and detract from your appearance, it may be necessary to go back and rasp them in a second operation. I would not advice fillers as they are temporary and you would need them for the rest of your life. Return to your surgeon and point... more

Francisco Canales, MD
Santa Rosa Plastic Surgeon

Bumps on nose bridge after Rhinoplasty could be bone

It is very early and the bumps may well go away. Ask your doctor if it is ok to massage the areas. You won't know until 3 months if the bumps are going to resolve. One possibility is if you only had the nasal hump rasped and a full Rhinoplasty was not done is that the left and right nasal bones are protruding. This is called an open roof deformity. Typically during a full Rhinoplasty, after the nasal hump is rasped down, the right and left nasal bones are osteotomized or broken so that... more

Brooke R. Seckel, MD
Boston Plastic Surgeon

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