Why do I have a hard lump in my upper philtrum 9 months after revision rhinoplasty? Can it be removed? (photos)

Question

I had a revision rhinoplasty 9 months ago. I traveled overseas for the surgery. I immediately noticed a hard lump in my very upper philtrum area (like where my columella meets with my philtrum). The lump feels about the size of a marble and I can grab it & wiggle it around. My guess is that it is maybe a piece of rib cartilage he inserted? But since it is not fixed in place it feels very annoying. Can I have this removed? I’m afraid removing it would cause my nose tip to drop.

Eric M. Joseph, MD · Answer

As you suspect, the lump is likely a piece of cartilage, perhaps a "septal extension graft", that may have been used to elongate your nasal appearance. Depending on your examination, this may be addressed possibly with an incision inside your mouth, under your upper lip. Consider consulting with several reputable rhinoplasty specialists. Since your surgery was only 9 months ago, you can get your operative report from your surgeon. Hope this helps. Dr Joseph

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Why do I have a hard lump in my upper philtrum 9 months after revision rhinoplasty? Can it be removed? (photos)

Answers (1)

REVISION RHINOPLASTY PROVIDERS NEAR YOU