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

Question

I had straight rib septorhinoplasty 8 months ago. There was no dicing and fascia involved. There is a bump on my nose that is getting noticeably larger and larger since my swelling has gone down. It is directly in my midline near the tip. I’m not getting a straight answer from my PS. 1) What is this bump from? Warping? Calcification? The straight rib lifting upwards? 2) How long should I wait for a revision? 3) What technique can be used for revision?

Umang Mehta, MD · Answer

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

Ali Razfar, MD · Answer

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.

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

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

Answers (2)

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Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.