New Bump 8 Years after Rhinoplasty - how can I treat this? (Photos)

Of course, I haven't had the chance to examine you in person, but that bump looks very very much like the "dome" of your left tip cartilage. It's got a couple of unusual and sharp bends in it, so we can see it's outline, and it stands out against the somewhat thin skin covering the tip of your nose.

Now what to do about it? It depends on whether there's anything else that you might want different about your nose. For example, if your profile shows that the tip is strong in its forward projection away from your face, or if you would prefer that the tip be elevated some to make the nose shorter, then the surgical techniques that allow those changes would involve work on those tip cartilages, and it could be dovetailed into some modification of the bump part to make it less conspicuous. If you love your nose exactly as it is but just want the bump not to show so obviously, it's still possible to design an operation, but it's just more difficult. The surgeon would have to see you in person to try to map out what's going on as accurately as possible so a good procedure can be planned. Sorry for being so vague-ish!

Your photographs show what appears to be cartilage that is very prominent and poking out. This will require an open incision to correct the cartilage displacement. This could be from the graft you had or it could be from your other cartilage that has broken and has sharp edges.

Best Wishes,

Gary Horndeski, M.D.