What are my options to treat the bump on my nose? (Photo)

Thank you for sharing your story and photos with me and the RealSelf community.
You did the right thing by allowing adequate time after your injury in February for swelling and inflammation to settle. It is encouraging to hear that the swelling and bump have continued to improve over the past 9–10 months. At this stage, further healing is unlikely to significantly change the underlying structural concerns you are describing.
Based on your history and photos, it does appear that refinement of the nasal cartilages particularly to improve symmetry and tip support could address both your aesthetic concerns. Subtle changes to the nose require a high level of precision and experience, as even small adjustments can have a meaningful impact on overall balance and appearance.
As an ENT facial plastic surgeon who performs rhinoplasty regularly, I believe that in the right hands and with realistic expectations this type of surgery can provide aesthetic benefit. A consultation would be essential to assess your nasal structure, breathing, and goals in detail and to determine the most appropriate approach for you.
I hope this helps guide you as you consider your options.

Hello. The Plastic Surgeon who mentioned that there are risks to any small corrective procedure is right. Nevertheless, if the bump persists and you are unhappy with its presence, an MRI would be helpful in planning a successful reconstructive surgery in order to address your specific problem and give you back the normal nose.

It is perfectly fine to undergo rhinoplasty for a small bump. The whole procedure would be smaller, and if you don't want any tip work done, you can have a small closed approach to get the job done. Be sure to see a rhinoplasty expert for consultation.

Without seeing your original side profile it's hard to say based on the photos how much of a impact the trauma had on the shape of your nose, but if your profile was originally completely straight then it's probably worthwhile to try a kenalog/5-fluourouracil injection to reduce any inflammation and scar tissue that formed subsequent to the trauma prior to pursuing a surgical rhinoplasty. If a bump remains, then it would be fairly straightforward to smooth it during a closed rhinoplasty.

Thank you for sharing your experience. It’s completely understandable to feel unsettled after a change in your appearance—especially when it involves the nose, even if the issue is subtle or lighting-dependent.
From what you’ve described, it sounds like the overall nasal structure remains intact, but you’re noticing a minor contour irregularity that appeared after trauma. When the bump is small and surgery isn’t medically necessary—or recommended—non-surgical options like dermal fillers can sometimes offer an effective solution.
Because your nose is on the smaller side, careful and minimal filler placement might help restore smoother lines or improve light reflection, bringing it closer to your pre-injury appearance. That said, even though filler is often marketed as a simple procedure, non-surgical rhinoplasty requires a high level of expertise due to the nose’s vascular anatomy and limited soft tissue coverage.
If this is something you’re considering, it’s very important to consult with an experienced aesthetic surgeon who is thoroughly familiar with nasal anatomy—preferably someone who also performs surgical rhinoplasty. In expert hands, this approach may provide the subtle refinement you’re hoping for, without the risks of surgery.
Warm regards,Op. Dr. Güray YeşiladalıBoard-Certified Plastic Surgeon

It sounds like your surgeon gave thoughtful advice, especially since your bump is subtle and only visible in specific lighting. If you’re looking for a non-surgical approach to smooth out minor imperfections, you might consider liquid rhinoplasty. This technique uses dermal fillers to reshape the nose, offering a temporary way to address small bumps or asymmetry without surgery. While results last around a year, it can be an excellent way to restore the look of your nose with minimal downtime. Make sure to consult an experienced injector, as liquid rhinoplasty requires precision for the best, safest results.

Hi and thank you for your question. Unfortunately, nasal asymmetry or changes in the appearance of your nose can be common after trauma. From the photographs you provided, you may benefit from a a rhinoplasty to correct the asymmetry and dorsal hump that is present. I generally tell my patients to wait at least 6-12 months following trauma prior to undergoing operative correction. I recommend you seek out a board-certified plastic surgeon who specializes in rhinoplasty. After a thorough consultation, they will be able to help guide you to the right treatment option for you. Best of luck!

Hello and thank you for your question. Based on your photographs, you may benefit from a a Rhinoplasty with dorsal hump reduction and other maneuvers. 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,

Thank you for sharing your photographs and providing details about your injury. Based on the images and the information you’ve provided, here are my thoughts on your situation:

It appears that before the injury, there was a clearer demarcation between your nasal bridge and the nasal tip, likely due to the tip of your nose having more projection. This projection can naturally camouflage the visibility of the bridge.

After an injury to the nose, especially if there was a septal hematoma, it’s possible to lose some of the support to the nasal tip. This can result in what’s known as a “boxer nose” deformity, where the tip appears less projected, making the nasal bridge more prominent. This change can be subtle but noticeable, as you described.

Given the absence of profile images from before the injury, it is difficult to be absolutely certain about the changes. However, my impression is that restoring the projection of your nasal tip is more likely to give you a shape closer to your original nose, rather than reducing the height of the bridge.

It would help if you could retrieve some profile images of your nose from before the injury.

To address this, you may consider consulting with a specialist who can evaluate the structural integrity of your nasal tip and discuss options for restoring its projection. This approach should help achieve a more balanced and natural appearance that closely resembles your pre-injury nose.

Hi there, it is always best to get a second opinion with another doctor to see if you are a candidate for rhinoplasty. It depends on whether you had a nasal fracture at the time of the injury in February. Feel free to give our office a call if you have any further questions.