8 months post op, bump from my straight rib rhinoplasty. What is this bump from? (photo)

Hi and thanks for the question. The bump is almost certainly from warping of the rib cartilage graft, causing the end the graft to rise up higher than the rest of the bridge. Replacing this graft with diced cartilage would likely be your best option. The diced cartilage can be wrapped in fascia or bonded together with fibrin glue. The existing graft should be adequate to make this diced cartilage, though there’s a small chance that additional ear/rib cartilage would be needed. An in-person examination would be needed to fully assess your nose. Computer imaging can help you communicate your aesthetic desires. Be sure to visit with a few revision rhinoplasty specialists to determine with whom you should seek revision surgery. Kind regards,Dr  Mehta 

Hi dolson11, thank you for your question. If a solid piece of rib cartilage was used to fill the dorsum, there is a high likelihood that this is showing itself as the swelling goes down. This may be due to warping or inadequate sculpting and camouflage. Diced cartilage with fascia has significantly less chance of having this type of complication. You should wait at least 1 year to see the full extent of the issue. If your surgeon is not adequately addressing your concerns, seek advice from a board certified facial plastic or plastic surgeon with revision rhinoplasty experience. Best of luck.