Bump from 4 months post-rhinoplasty, now 10 months - thoughts? (Photos)

A small bony callous can form after rhinoplasty. It is very easy to shave it down with a small procedure in the office under a local anesthesia. Steroids or needles won't help. It's not an uncommon thing, but you definitely do not want to make an incision over the bridge of the nose. Find a highly experienced rhinoplasty surgeon to help.

Hello! Thank you for your question.
As far as I can see from your photos After 6 months, the remaining bumps is permanently monitored, we never recommend nose filling, I recommend revision rhinoplasty as the permanent and most reliable method.
It would be better face to face consultation.
Best Regards!

Hello and thank you for your question. Based on your photograph, at 10 months postop, this will likely not resolve and can actually get worse with time. If you undergo a Revision, Definitely do not do this through an incision on the dorsum. That is never going to heal well nor is it going to fix the problem and will make it much worse. You may want to consider seeking secondary consultations. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

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

Depending on your examination, microdroplet Silikon-1000 nasal injections may be considered to permanently camouflage the small bump on the bridge of your nose. This is easy to camouflage and, depending on your examination, revision surgery may not be necessary. I hope this helps. Sincerely, Dr Joseph

The small bump that is present is usually a combination of both bone and cartilage which can be shaved down under local or general anesthesia. Just depends on the patient's tolerance for the process. We would recommend placement of the incision on the inside of the nostrils, not externally

Hi and thank you for your question. It is a really good question as this is one of the more common complications that is seen after rhinoplasty. In your case you have two options: 1. filler would work well for you - a small amount in the middle third of the nose would work, is less invasive than revision surgery and with fewer risks, however it would come with a very slight increase in projection of the middle third; 2. revision surgery. I have never undertaken an incision directly over the bridge for the reason that it is often more visible; also if the hump is the only thing you need addressing during the revision it should be very possible to achieve a reduction via an endonasal approach, without needing any external scar at all. You may even get away without needing the nasal bones breaking, although this decision would only be possible after an examination as the frontal views and palpation (touching the nose) are critical in the assessment. However bear in mind that revision surgery comes with its own set of possible risks, including (but not limited to) recurrent hump formation or bony irregularity. This is why the filler option should not be totally forgotten and is worth another think. Wishing you well with your decision.