Bump on nose grows 2 years post rhinoplasty (Photo)

Based on your photos, I suspect that steroid injections could do more harm than good. I suspect that while you healed, after your rhinoplasty, your tip has dropped, and this may be contributing to the bump that you are seeing. This may also be associated with a hanging columella and nostril show. Please consider getting a second opinion from another reputable rhinoplasty specialist. I hope this is helpful. Sincerely, Dr. Joseph

Thank you for your question and sharing your photographs.

One of the possible explanations for the contour of your nose is loss of some of the support for the nasal tip and with it loss of some projection. This can lead to a perceived supratip excess.

If when pulling the upper lip down you notice increased visibility of the prominence above the nasal tip, it would favour the diagnosis of insufficient nasal tip support.

If when you are pulling the upper lip down you notice that the fullness stays the same, it is more likely related to the characteristics of the skin.

Both situations can potentially benefit from increasing the tip support and projection as long as you feel comfortable with this change in the nasal shape. If you are not sure about it, you can explore the possibility of changing the contours in a computer simulation.

If the fullness in the supra-tip does not respond to steroid injections, it is possible to use injectable fillers in the tip to create a straight contour on profile and three-quarter view.

Further reduction of the cartilage above the nasal tip is also a possibility but if the tip support is insufficient it can drop further and the problem is not solved. My impression is that if you decide in favour of surgery you should consider having increased support for the nasal tip to assist with control of the profile shape, and most likely also increase tip projection.

Hello! Thank you for your question.As far as I can see from your photo your nose definitely needs revision surgery for get rid of this image I recommend you revision rhinoplasty.It would be better face to face consultation.Best regards!

Hi
It is better for you to consult with a facial plastic surgeon who can examine you and discuss the surgical procedure and the post op recovery
process.

Your bridge just above the tip needs to be lowered a little. Your problem is not uncommon and easy to fix but does require surgery

At this point, I think you’re rhinoplasty results are final, and they are a direct representation of your candidacy for the procedure combined with how the procedure was performed.
It’s a little difficult to get a really good understanding of what your concern is. Perhaps your tip needed a little more support with a Cartlidge graft?
I don’t think steroid injections are going to change the outcome of your procedure at this point. I think you need to, except this is the outcome of your procedure, which as you stated previously is a direct reflection of your candidacy for the procedure combined with how the procedure was performed.
If you want further changes to the shape of your nose, you may need to consider having a secondary rhinoplasty. As mentioned previously, you could benefit from having a columellar strut graft if you want more tip projection.
Follow up with your provider or consider getting an in person second opinion consultations. For a second opinion consultation come prepared to bring with you a complete set of proper before and after pictures and a copy of your operative report. These should all be available from your current provider.
Best,
Mats Hagstrom, MD