Hard Bumps on Nose After Rhinoplasty
- Asked by Nancy67 in VA
- 5 years ago
I am five weeks post open rhinoplasty. I had a tension nose with a pronounced hump and droopy tip. Everything has gone very well, and I was extremely pleased upon removal of the cast, splints, etc... At that time, my hump was gone, the front and sides of my nose were very smooth, and my tip no longer drooped.
However, over the last couple of weeks I have developed bumps on both sides of my nose - on the right side just next to my eye, and on the left side a little lower than my eye. The bump on the left is fairly significant and hard. It makes my nose look crooked - similar to Owen Wilson's nose. I realize that it can take up to a year to achieve final results.
My surgeon has been great, but his response to my bumps is 'we will just wait and see'. However, I need to know if this is common and how likely these bumps are to go away. People are even starting to comment that my nose looks crooked.
Please share your experiences with me, so that I have some idea of what I am dealing with. Is this likely part of the healing process, or should I be concerned?
Massage May Help Bumps On Side of Nose After Rhinoplasty
Thank you for your question. It is very common to feel irregularities on the side of the nose near the eyes after Rhinoplasty. As others have explained this is where the bones were cut.
Usually this swelling is a combination of tissue swelling and blood and will resolve. I find that massage often helps speed their resolution. Keep in touch with your surgeon and follow his/her advice.
Rhinoplasty results can test your patience
The bumps you describe sound like swelling in the area where the bones are broken to achieve the desired result. The swelling in a rhinoplasty can be slow in resolving.
My advice is to ignore your friends and relax.
Recovery after Rhinoplasty: Swelling, Edema, Bruising, Assymetry
Rhinoplasty requires aesthetic and technical prowess to acheive perfect results. In the early postoperative period, edema sets in the nasal skin and subcutaneous tissue and can obscure the actual results of the soft tissue. It is customary to wait one year after rhinoplasty, when the swelling has reached a nadir, to contemplate additional corrective surgery.
In some cases, the assymetry is caused by the nasal bones. If this is the case, the assymetry may persist after one year. On your next consultation with your surgeon, discuss whether the pattern of assymetry is due to a bony prominence, cartilage, or merely soft tissue edema.
Your surgeon appears to have given you correct advice and he/she is the only person who really understands the specifics of your rhinoplasty as he/she performed it.
Recent Rhinoplasty Reviews
Bumps on side of nose
Many times a rhinoplasty will look best when there is still a little operative swelling to hide any imperfections.It now appears you are seeing slight remnants and imperfections of the osteotomy sites. I tell patients it only matters if the problem is visible and not what you can feel. However if you can see a problem it may be necessary to go back in and clean up the osteotomy sites so that they are smooth and straight. This problem arises more often if the osteotomies were not done low down and close to the face bones as sometimes happens. The problem may actually get worse as more swelling abates, any bony imperfections are unlikely to change or dissappear and may eventually need to be dealt with but not before 9 months
Post-Rhinoplasty is a waiting game. Once the splint is removed, swelling ensues and may change the appearance of the nose. Be patient and you have to give it some time. I would wait 6-12 months before making a decision about doing anything else.
Bumps on the Nose Five Weeks After Rhinoplasty
Only your surgeon knows for sure.
It sounds as if there is a "step-off" in the area of the upper osteotomies, higher on your right than left. When the nasal bones are incised to narrow the upper third of the nose, there is sometimes a palpable and noticeable area of swelling. This usually resolves with time as the bones heal.
If grafts were placed in the areas of concern, then address the issue with your surgeon at your next post-operative visit. There is nothing to do at this point, and for the next few months. Don't worry about your friends "Owen Wilson's nose" comments; they're probably just jealous of your new nose.
Be patient and most likely all will be well. Happy and healthy New Year.
Hard Bumps After Rhinoplasty
Hard bumps after rhinoplasty can be from a variety of causes:
-Swelling- Early swelling can sometimes feel hard. This can be hard to distinguish from a remnant bump. Waiting for an appropriate amount of time to see if they resolve can be helpful.
-Residual bone- Bone may not have been filed completely and can create an edge
-Stepoff- Sometimes there is a stepoff between the nose which can be addressed
-Callous formation- The perisoteum of the nose can form a hard callous which may need to be filed down or could resolve on its own with time.
-Cartilage graft- If any cartilage grafting was performed it can translate into a bump
Speak with your surgeon about your concerns and possible remedies for the bumps.
Web reference: http://www.shahfacialplastics.com/revison-rhinoplasty.html
Bumps after Successful Rhinoplasty
Thank you for your question and excellent description. The bumps you feel are likely related to the osteotomies (surgical fracture of the nose bones). It is common to feel a little bump or slight edge in the early post-op period. This generally resolves over time. In some cases, massage to the area may help. However, make sure to review this with your surgeon before starting massage.
Web reference: http://www.sanfranciscofacialplasticsurgery.com/rhinoplasty/
Contour Irregularity Following Rhinoplasty
The type of contour irregularity that you describe is very common following rhinoplasty surgery. During this procedure the nasal bones are filed and the nasal cartilage is shaved to reshape the nose. It’s not unusual to have residual boney irregularity, cartilaginous irregularity, scarring and swelling following this procedure. When these bumps occur, they can usually be felt, but not seen. In some cases, they may be visible as well and this can be a major source of anxiety for patients.
In the vast majority of cases this problem resolves without secondary surgery as the soft tissue swelling disappears and the underlying structures undergo remodeling. In many cases this can be facilitated with gentle massage. In some cases these deformities persist and secondary rhinoplasty is necessary.
It’s important to wait at least six to twelve months before proceeding with revisional surgery. During this time period scar tissue softens, swelling resolves, and underlying structures remodel. The situation stabilizes and the surgeon is no longer trying to hit a moving target.
If you have concerns about contour irregularities following rhinoplasty surgery, good communication with your surgeon is essential. Your surgeon has probably seen this before and should be able to reassure you regarding your ultimate result.
Patience is a virtue
Your surgeon is correct. Wait and see. If there is a slight irregularity in the bone along were it was cut (the osteotomies) this can often be filled a bit. If there is a piece of a graft sticking up, this can also be filed. Injections of steroids are commonly used for soft tissue swelling and scar. I too would wait 12-18 month before doing anything. It is the nature of the operation that the nose does not always heal the way we want it to heal.
Web reference: http://www.bostonrhinoplastycenter.com/
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.