Hook nose after Septoplasty/Rhinoplasty 3 months post-op, doctor thinks it's calcium deposit. Advice? (photos)

Question

It's been 3 months since my septoplasty/rhinoplasty and have developed a hook nose. Surgeon did fracture nose, softened tip, lowered profile and removed dorsal hump. As swelling on my nose goes down, this hook is becoming more prominent. I am still taping it at night, massaging and it is growing larger each month. Dr thinks it may just be calcium deposits. Could the Dr not have remove the dorsal hump and lowering profile cause this hook nose? Surgeon is very experienced and has great reputation.

Thomas A. Lamperti, MD · Answer

It's hard to say what is causing your persistent bridge fullness following your rhinoplasty. It's still relatively early in the healing process so things may evolve further as the nose heals further. That is interesting that you're finding that it is getting progressively more full with time, though. It is possible (though rare) for bone calcium deposits to grow even after bump smoothing.

Eric M. Joseph, MD · Answer

If your profile does not improve over the next three months, you may consider revision rhinoplasty for hump removal, and osteotomies. Wishing you well moving forward. Dr Joseph

Michael Elam, MD (retired) · Answer

Dear sleepyone, If you are unhappy after the healing process has taken its course then this can be fixed with revision rhinoplasty surgery. The problem is not calcium deposits. The concern you see with the residual hump is from the manipulation of other aspects of the nose and once the swelling dissipates fully at the one year mark this can be easily addressed. Best regards, Michael V. Elam, M.D.

Richard W. Fleming, MD (retired) · Answer

It is too early to evaluate your result but if not satisfied after healing progresses for another 6-7 months a revision to lower your residual hump, regardless of cause, may be necessary.

David F. LaPatka, MD (retired) · Answer

From the lateral view, it looks as though your nose has less projection and this has lowered the tip which has resulted  in a small dorsal " hump". From your preop photos your nose was somewhat overprojecting  You  have an acute nasolabial angle . Most likely from resection of the anterior nasal spine .  It is  too early to consider a revisional surgery since your nose will undergo changes in the healing process.  Follow up with your surgeon .Best

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