Bump on Bridge of Nose After 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 period scar tissue softens, swelling resolves and underlying structures remodel.  This 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.

I read your concern and reviewed your photo. It's not clear how long ago you had your nose job. If the bump feels soft and compresses, sit tight and wait for the swelling to resolve.

If the bump is obvious due to an indentation below it, this may be improved by a well-performed Injectable Filler procedure. My personal preference is to use Silikon-1000, an off-label filler for permanent results.

I hope this is helpful for you.

Regards from NJ:

You need to wait 6-12 months to let the swelling go down. So be patient and I'm sure your surgeon will follow things along.

Are both photos after the surgery?  I see the bump you are talking about; this may be bone, but if it is bone, it wouldnt temporarily go away when you press on it.  Best to give it time to know for sure if it is just swelling, or if it is bone/callus or scar.  You may end up needing a revision, but should wait at least 6 months.

I agree with your surgeon: unfortunately we have to let things settle for a few months before we can judge more closely. Swelling lasts for a long time and sometimes occurs asymmetrically. A lot of these things will settle with time and not be visible or bothersome long term. This high in the nose, it is likely it was an area of bone. We normally rasp this down during surgery, and it's possible it looked good at the time of surgery. If it doesn't go back down in 6 months, then it's time to consider whether it was an area of bone that was not rasped down all the way or if there is anything else that can be done.
-Dr. David Mattos, New York Plastic Surgical Group