I had a rhinoplasty to remove the hump on my nose over a year ago and the bump remained slightly so my doctor went back in to rasp under general anesthesia and now I’m 3 months post-op and the bump looks bigger than it was before rasping. I thought by now, with my thin skin, the swelling would have gone down but is this permanent scarring? How can I get it to go away? I was recommended to not get steroid injections…anything else work? Appreciate your help!
Answer: Rhinoplasty I would just recommend a rhinoplasty. Most of the "bump" is actually cartilage. The nasal bones merely have a "bony cap" extension over the most prominent part of the cartilage. Usually rasping only removes the bony cap and other measures are needed to fully address the dorsal convexity.
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Answer: Rhinoplasty I would just recommend a rhinoplasty. Most of the "bump" is actually cartilage. The nasal bones merely have a "bony cap" extension over the most prominent part of the cartilage. Usually rasping only removes the bony cap and other measures are needed to fully address the dorsal convexity.
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November 25, 2024
Answer: Persistent Bump In my experience it is best to wait a full 6-9 months to allow for nearly all the swelling in the dorsum to subside before making decisions on next steps. That said, it does appear that the rasping may have been too aggressive superior to the residual bump, leaving the residual bump even more pronounced.
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November 25, 2024
Answer: Persistent Bump In my experience it is best to wait a full 6-9 months to allow for nearly all the swelling in the dorsum to subside before making decisions on next steps. That said, it does appear that the rasping may have been too aggressive superior to the residual bump, leaving the residual bump even more pronounced.
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October 9, 2024
Answer: Rhinoplasty - residual hump postop Hello and thank you for your question. Although an exam in person is ideal, from your photographs alone it appears that you do indeed have a residual hump after your second rhinoplasty.
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October 9, 2024
Answer: Rhinoplasty - residual hump postop Hello and thank you for your question. Although an exam in person is ideal, from your photographs alone it appears that you do indeed have a residual hump after your second rhinoplasty.
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October 8, 2024
Answer: Rasping under local Hello and thank you for your question. I don’t recommend having rasping performed under local anesthesia. This will usually make the nose look better for 1-2 months and then it will actually get much worse long-term afterwards, with contour irregularities developing. This is because the skin of the dorsum is extremely thin. A much better approach is to do a formal revision with rasping and placement of a dorsal onlay fascial graft to help smooth the dorsum. Here is some general advice when considering a surgeon for a revision.
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October 8, 2024
Answer: Rasping under local Hello and thank you for your question. I don’t recommend having rasping performed under local anesthesia. This will usually make the nose look better for 1-2 months and then it will actually get much worse long-term afterwards, with contour irregularities developing. This is because the skin of the dorsum is extremely thin. A much better approach is to do a formal revision with rasping and placement of a dorsal onlay fascial graft to help smooth the dorsum. Here is some general advice when considering a surgeon for a revision.
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October 8, 2024
Answer: Nasal Bump after rasping Hi. From these photos, it seems that the increased size of the bump is a relative increase rather than the bump itself increasing in size. So it looks bigger because the part above it looks lower. The radix (very top of the nose, btwn the eyes) appears deeper in the after 3mo PO photo. You might have still had some swelling or tissue tenting that disguised some of the bump in your 1 yr post op photo, but it decreased after the rasping, revealing more of the bump. When you compare the depth of the radix to your eye brows and eyelashes in these side photos, you can see that it is deeper on the 3mo post op pic. You can compare the bump itself to the lower part of the nose (which has not changed) and it is relatively the same. Although it is hard to tell from this photo, there may still be some minor swelling at the bump itself that is contributing to a small part of this, but this doesn't seem to be the main cause. A nasal bump is made from bone and cartilage. Bone can be rasped, but you cannot reduce the parts made from cartilage this way. Cartilage is reduced with either scalpels or scissors. If you run your finger down the nose from top to bottom, you get get a better sense of the actual structure below the skin (and swelling).I would avoid steroid injections in this area as the skin tends to be very thin there and can result in unwanted indentations. You can gently massage the area and give it some more time (6mo - 1yr) for any swelling to fully resolve and see your final result, before deciding if you want to make any changes.
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October 8, 2024
Answer: Nasal Bump after rasping Hi. From these photos, it seems that the increased size of the bump is a relative increase rather than the bump itself increasing in size. So it looks bigger because the part above it looks lower. The radix (very top of the nose, btwn the eyes) appears deeper in the after 3mo PO photo. You might have still had some swelling or tissue tenting that disguised some of the bump in your 1 yr post op photo, but it decreased after the rasping, revealing more of the bump. When you compare the depth of the radix to your eye brows and eyelashes in these side photos, you can see that it is deeper on the 3mo post op pic. You can compare the bump itself to the lower part of the nose (which has not changed) and it is relatively the same. Although it is hard to tell from this photo, there may still be some minor swelling at the bump itself that is contributing to a small part of this, but this doesn't seem to be the main cause. A nasal bump is made from bone and cartilage. Bone can be rasped, but you cannot reduce the parts made from cartilage this way. Cartilage is reduced with either scalpels or scissors. If you run your finger down the nose from top to bottom, you get get a better sense of the actual structure below the skin (and swelling).I would avoid steroid injections in this area as the skin tends to be very thin there and can result in unwanted indentations. You can gently massage the area and give it some more time (6mo - 1yr) for any swelling to fully resolve and see your final result, before deciding if you want to make any changes.
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