Bump on the Bridge of my Nose After Being Head Butted

Hi r,

The periostium of the nasal bones (the thin, tight fibrous tissue lining on bones) can be inflammed after trauma and form a temporary bump.  Most of the time, the bump will go down with time.  Most likely you will not need corrective surgery as long as you stay away from unscrupulous surgeons looking to make their mortgage payment off of your nose.  If it is still present in 6 to 12 months, and it bothers you, then consult with a few rhinoplasty surgeons. Good luck and be well.

Dr. P

It is conceivable that the lining of your nasal bone and cartilage is swollen and causing the appearance of a bump. An examination would be necessary to determine what might be best for you moving forward.Thank you.Dr Joseph

Its impossible to know initially whether the bump will be permanent or not.  If there is a laceration, this will cause significant swelling of the soft tissues.  A blunt injury hard enough to cause a laceration is certainly hard enough to fracture the nasal bones as well.  See a nasal specialist who can evaluate your nose and help determine if there is a mobile fracture or not.  Soft tissue swelling can persist for several weeks to several months depending on the amount of injury.

It’s not unusual for patients to suffer nasal trauma while
participating in sports. The nose is the leading edge of the face and therefore
subject to trauma of all types. This trauma can affect the bone, cartilage and
soft tissue.

                  Although,
the bump on your nasal bride might be related to a nasal fracture, it’s
probably more likely related to the soft tissue injury associated with your
nasal laceration. When this type of injury occurs it’s not unusual for patients
to develop soft tissue swelling beneath the laceration. This is a normal part of soft tissue healing which tends to resolve with
time.



                  A
physical examination would help determine if an underlying nasal fracture is
present, but in some cases this can’t be determined until swelling has
resolved. In your cases, the presence of a straight nose doesn’t necessarily
mean that a fracture isn’t present. In some cases the only manifestation of a
nasal fracture is the presence of a dorsal hump.

                  In
most cases, clinically significant nasal fractures will become obvious with the
passage of time as swelling resolves. Under these circumstances, reconstructive
rhinoplasty may become necessary.

Without examining you or with imaging studies, it is impossible to know if your nose is broken.  However, if the bump appeared several days after the trauma, it is more likely that you are experiencing tissue response to healing / scar tissue.  You should be examined by a doctor, but there is no hurry.  Good luck.

IT is most likely that you are experiencing swelling and possibly some bruising at the site of the fracture, It is not uncommon for this to persist for 6-12 months before resolving.

In my experience, when you break your nose, your nose bleeds a good amount, it hurts, and there is often a deformity from the outset. A nasal bone doesn't break and then move a few days later if there is no additional trauma. If it is going to move or deform at all, it happens at the time of the injury. However, the tissues may swell in the days after and lead to a bump. I would leave it alone and monitor. It will likely go away in the weeks ahead. If not then you may seek advice from a plastic surgeon in a few months to see what it may be.
-David Mattos, Harvard-trained plastic surgeon

Blunt trauma to the nose can result in a displaced fracture of the nasal bones, or a non displaced fracture of the nasal bones. In any event, a callus can form over the area of injury because bone and cartilage are still living tissue. Best to get an x-ray of your nasal bones immediately after the trauma and seek a consultation examination with an ENT/ facial plastic surgeon to determine whether or not it needs to be reset.

The tissues react to trauma by becoming firm. What you are experiencing is not unusual. After the cut is healed begin massaging the area with vit E or lotion. It is unlikely the bump is due to calcium deposition in the bone this soon after the injury. Give it 8-12 months and it should resolve.

Yes as my previous colleagues have in general posted, it most likely is swelling under the laceration. Allow healing time. I also recommend to see in person a boarded surgeon who will examine the area of the nose and even maybe order an X ray. This could show a nasal fracture. Than you can determine if reconstructive nasal surgery is an option. From MIAMI Dr. Darryl J. Blinski 305 598 0091