Are these bumps scar tissue, or was my nose over-corrected and scooped out too much? Will I need a revision rhinoplasty? (Photo)

I had a closed rhinoplasty in July 2016, and I'm completely devastated with the results right now. Last week my surgeon injected a steroid in the lower bump (which he thinks is scar tissue) and said I should notice a difference in a couple of weeks. It's only made the indentation more obvious. He told me if it doesn't look better in a month or two, he would want to file it down with a needle. I'm terrified. Any advice? Do you think I will need a revision?

Doctor Answers 3

Revision

There is likely residual cartilage (lower bump) and bone (higher bump) remaining after the original surgery.  I would recommend a revision wherein the excess cartilage is excised directly and the bone rasped down.  A needle will likely not accomplish this.  

Profile irregularities after rhinoplasty

Thank you for your question and the photos. Without examining you in person and palpating the nose, it is essentially impossible to determine what the nature of the irregularities are. However, it is likely that the "bumps" are not related to scar tissue only but rather to irregularities of the underlying cartilage, which were likely present from the get-go and camouflaged by the post-operative swelling. Now that the swelling subsided, they became more visible. However, only your surgeon knows what exactly he did and what the likely cause is. I recommend that you follow-up with your surgeon and adhere to his recommendations. "Needle shaves" are sometimes done to smoothen areas of excess cartilage, typically when a cartilage graft was placed. Best wishes!

Thomas J. Walker, MD
Atlanta Facial Plastic Surgeon
5.0 out of 5 stars 17 reviews

Be patient!

Your surgeon is on the right track. And if there is scar tissue, steroid will help but give it at least 2-6 weeks. The needle technique saves you further surgery or incisions by gently shaving the bone a bit. Numbing solution is used first so it wont be painful. Not to worry, its very minor compared to what you've been through already :)

Jeffrey Watson, MD
San Diego Facial Plastic Surgeon
5.0 out of 5 stars 1 review

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