Hi all, I injured my nose on Feb 11 of this year. It was very swollen with a large bump upon injury, the bump has gone down a LOT but it’s still there now. I consulted a great plastic surgeon, but he said I’m not a candidate for rhinoplasty because there’s “not really a deformity to note” and “the risks outweigh any possible benefit”. The bump is only really visible in certain lighting, but I miss my old nose (pic included) :( any suggestions guys?
Answer: Developing a dorsal hump after nasal trauma 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.
Helpful
Answer: Developing a dorsal hump after nasal trauma 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.
Helpful
May 13, 2025
Answer: Post-Injury Nasal Bump With No Surgical Indication—Are Fillers an Option? 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
Helpful
May 13, 2025
Answer: Post-Injury Nasal Bump With No Surgical Indication—Are Fillers an Option? 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
Helpful
October 28, 2024
Answer: Have you considered Non-Surgical Liquid Rhinoplasty? 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.
Helpful
October 28, 2024
Answer: Have you considered Non-Surgical Liquid Rhinoplasty? 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.
Helpful
September 30, 2024
Answer: Treating Asymmetry After Trauma 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!
Helpful
September 30, 2024
Answer: Treating Asymmetry After Trauma 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!
Helpful
June 28, 2024
Answer: Rhinoplasty 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
Helpful
June 28, 2024
Answer: Rhinoplasty 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
Helpful