Bump side of nose - do you think it will settle down or has too much time passed? (Photo)

Question

It's been 9 months since my rhinoplasty and I have had a bump on the side of my nose which I noticed 2 months post op and was advised to wait and see how it goes. I had my surgery overseas so based on photos my surgeon said he thinks it could be the lateral end of her tip cartilage buckling. Do you think it will settle down or has too much time passed? Is it also normal that my nose seems to thin (with the defined lines) and then stops- is this still swelling between my eyes? Thank you

Tanveer Janjua, MD · Answer

The bump you have seems to be likely cartilage protruding. Also, your dorsum  in upper half is think and it is ok but does not match the tip and supratip that are wide. You will likely need a revision to reduce the cartilage in the right side of the nose and tip-plasty to narrow the tip.
Regards
Dr. J

Steven M. Denenberg, MD · Answer

I see what you're talking about, that the upper part of the bridge looks narrow compared to the lower part of the bridge. Can't tell for sure just from photos, but it seems it might be the size and position of the two cartilages that form the tip. They extend up to where it's wide on your frontal view just below the thin part, and modifying those cartilages could narrow the wide area and possibly remove the bump as well.

Lowering the little bump on the bridge could also make the upper part of the bridge look less narrow on the frontal view, making the upper and lower parts of the bridge more uniform in width.

How *much* to lower the bridge, or modify the tip, or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. It's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.

And for those who have had previous surgery, it also discusses how to tell whether your first surgeon should be performing your revision.

Zoran Potparic, MD · Answer

It takes long time for rhinoplasty result to settle, an average of 12 plus months. Only when this happen your result should be evaluated and, if necessary, revision considered. Taping overnight may still  be of some help. Consultation with a board certified plastic surgeon (with expertise in rhinoplasty) in your area would help. Good luck.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.
 As far as I can see from your photos your nose look like had never operation before. The image is definitely not normal. For get rid of this image I recommend you revision Rhinoplasty.It would be better face to face consultation!
Best regards!

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