Closed procedure to shave bump?

Hello, hope you are well. A closed approach is the safest method based on your history and description of the issue at hand. Cartilage rasps can be used to reduce the bump, and placing a fascia graft under the skin is a good way to reduce visibility and palpability of contour irregularities. It sounds like a good plan.
Best,Dr. Tower

It is certainly possible that this can be done. We may be able to do this right in the office using some special instrumentation we have.

A rhinoplasty can be done closed even if prior ones were done open. In fact it’s better because it will bypass your tip entirely. Unfortunately not many surgeons know how to do closed rhinoplasty anymore