What is this bump on my nose & what should my next step be? (Photo)

And cartilaginous irregularities are not amenable to rasping, in general. Please consider re-asking your question in several months when more swelling has resolved. Depending on your examination, you may be amenable to a permanent non-surgical nose job to camouflage the edge of cartilage, and to provide a straighter and less operated nasal appearance. I hope this helps. Sincerely, Dr Joseph

I would recommend a revision rhinoplasty. There is some serious irregular contour of the cartilage and bone that compose the "middle vault" of the nose.

First of all, the bump is almost certainly an irregularity of bone and cartilage, probably mostly cartilage, that wasn't addressed in your first operation. Then, if you ask me, there is just about nothing that can be accomplished with a "rasping", just to address a bump like that. The bump has to be seen, in a revision operation, so it can be determined what it is and how to correct it.

Then, what's with the scabs on your nose? Was this second operation done through the skin on the outside of your nose? If so, my opinion, you need to lose your second surgeon as well.

The best thing to do right now is to do nothing. Let it all heal, let all the swelling go down, let the nose recover, see what irregularity is still there, and then find an expert in revision rhinoplasty to address anything left that bugs you.

Hello and thank you for your question. I am sorry that you are having difficulties. It is somewhat difficult to discern what is causing this area to be raised and firm. While it may represent residual dorsal cartilaginous asymmetry, it could also be postoperative swelling. Typical healing course can take up to 9 months following a primary rhinoplasty, with longer recovery periods for revision surgeries. I would recommend a discussion with your most recent surgeon to discuss the possibilities as to what this may. They will be able to provide you with the best guidance.

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. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Hello and thank you for your question. Based on your photos I suspect you had a misplaced piece of nasal bone after your original rhinoplasty operation. In addition to the rasping you recently had performed it appears they also placed a graft and held it in position with sutures that went across the bridge of your nose.
The residual bump could still be a piece of displaced bone or a displaced graft your second surgeon used. It could also be a combination of swelling and scar tissue. It is best to give it some time. Your surgeon may offer a steroid injection if he or she feels it is scar tissue related.
If the bump is still present 3-6 months after your revision procedure I would recommend consulting with another Plastic Surgeon with experience in revision rhinoplasty operations.
Best wishes and good luck.
Lucas M Boehm, MDASAPS Fellowship Trained Plastic Surgeon

You are only three weeks post-surgery, and given that this is your second rhinoplasty, it’s completely normal to experience significant swelling at this stage. I recommend waiting longer to allow the swelling to settle before making any decisions. If the issue persists once the swelling has resolved, it could be due to residual bone that wasn’t fully smoothed or an edge of the bone. If that’s the case and it’s the only concern, it would be a straightforward adjustment to address.
Best, Dr. Chouake