Bump after rhinoplasty. Is this normal or has something been overlooked by my surgeon? (Photo)

Hello! Thank you for your question.As far as I can see from the photo It looks like you have inverted V deformity. You should talk to your surgeon and you might need a revision surgery for get rid of this image. If you can provide photos with better lighting, from the side of your front and 1 meter away I would be able to make a proper evaluation. It would be more convenient to decide with face-to-face consultation. Best Regards!

Irregularities on the nasal bridge after rhinoplasty can occasionally occur. I agree with your surgeon. Wait a year then file it smooth

Best to follow-up with your surgeon or a revision rhinoplasty expert making sure you don't have an inverted-V deformity, which requires more than just rasping.

Best wishes,
Thomas Walker, MD, FACS
470-900-3223
@drthomaswalker

Bony bump dorsum of nose after rhinoplasty: there are many possible causes for a residual dorsal bony hump after rhinoplasty. The most common is probably due to a slight rise of the nasal bones after rasping when they are in fractured. this may not be visible at the time of surgery due to the swelling. Another cause of a bony dorsal bump or irregularity could be the formation of callus which is the bones scar tissue. This forms over the raw edges of the bones which were filed down. In some cases there may be a piece of Cartilage from the upper lateral Cartilage or some debris that was missed. if Cortizone was injected to the lower 1/3 of the nose after surgery the shrinkage of that portion of the nose may create the appearance of a “bump“ above it. Whatever the cause, if it is bony, rasping it can be done, and can usually be done in the office under local anesthesia. good luck.