What can be done about bump getting bigger on nose bridge? (Photos)

Question

It’s been over a year since my rhinoplasty and a bump has started to get bigger on the bridge of my nose. It feels like there are dents on the sides of my nose where the bone meets the cartilage.

Catherine Winslow, MD · Answer

Hello! It is more likely you are seeing the swelling go down as opposed to seeing the bump grow. Your final shape and definition is becoming more apparent. If you are unhappy with it I would recommend following up with your rhinoplasty surgeon- options such as rasping the area down versus volumizing around it can be discussed. Good luck!

Kenneth Yu, MD · Answer

Hello.  The bump you're seeing is likely the exposure of underlying structure as swelling goes away, vs. something growing.  Make sure you see your surgeon for accurate exam and discussion of what can be done.  Sometimes a little filler can be a good solution vs. going back to the OR.  Take care.

James Shire, MD · Answer

Your surgeon should have (and most likely did) inform you that the nose can change as the healing progresses do to contracture, and decrease edema, this is part of the healing process . Please contact your surgeon to be evaluated and checked. There may be a fix for your concerns.

William Portuese, MD · Answer

The  hump is composed of both bone and cartilage which must be shaved/filed down in order to remove it. This usually requires general anesthesia. When the bump is large enough, this may create an open roof deformity, and therefore osteotomies going to be required to close the open roof created from the hump  removal

Michael Elam, MD (retired) · Answer

Dear Lea, With the swelling dissipating you are likely seeing a residual bump on your dorsum. Speak with your surgeon regarding your options. Best regards, Michael V. Elam, M.D.

Richard W. Fleming, MD (retired) · Answer

The hump you see may be secondary to the residual fullness becoming apparent as healing progresses or the depression below the bump is seen as swelling resolves. In your case it may be a little of both. Contact your surgeon for an evaluation and discussion regarding the appropriate trestment.

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