Dorsal hump worse after rhinoplasty. Why is it like this? (photo)

Overall I think it looks improved but I see what you mean. It is possible that your sugeon added something (probably cartilage) above the hump in order to hide it. If so there was not enough added. There is more than one way to "skin a cat" or get rid of a hump. One way is to lower the hump, the other is to raise the area above it. Ask your surgeon to discuss with you exactly what was done and why you are dissappointed. 

Hi @nosechan! 3 weeks is very early on in the healing process. Swelling can last up to 1 year. A radix graft was probably placed to make the bump less noticeable. It will take time for this to smoothen out and settle. Best of luck to you!

After a rhinoplasty surgery, the bony parts of the nose may become swollen as well as the softer parts. It’s a bit early to say that this is a permanent occurance. If it’s swelling, it may subside and reslove on its own. Each part of the nose may react differently to the surgery. Waiting a few more months before making a clear decision would be better. You should also address this issue with your surgeon when you go to your next check up.

Hope this helps,Ali Rıza Öreroğlu, MD FEBOPRASEuropean and Turkish Board Certified Aesthetic, Plastic and Reconstructive SurgeonIstanbul, Turkey

Hello,
Thank
you for your excellent question. Three weeks are not enough time for
evaluation of the
rhinoplasty
surgery. During this time,The dorsal hump can be fixed with 2-3 mm.
A bit of rest excess can be removed 6-8 months after a surgery. Small
intervention may be required. Dorsal hump becomes more visible when
tip nose falls down with subsiding of
the
surgery edema .
Best
Regards,
Dr.Bora
Ok
Certified
Plastic Surgeon

So, your nose will look better than you started but probably not quite get to where you wanted.  You had somewhat of a "pseudobump" meaning that most of your "bump" was due to the upper part of your nose (between your eyes) being much too close to your face.  This also made your nose "start" too low; it starts where it begins moving away from your face on profile view. So, your surgeon probably put a radix graft on the upper part of your nose to make your nose start at a more appropriate height (it should start around the level of your upper eyelashes), and by filling above your bump, it makes the bump less obvious.  This was a good thing for your surgeon to do and I know it seems a little too full now, it will smooth out over time.  I do think he/she should have also taken more of your bump down though.  You might need a revision to further rasp down your bump.  Discuss this with your surgeon and try to be patient and wait at least a year from your surgery before any revision surgery.  

Thank you for sharing your question and photographs. As you likely know, healing from rhinoplasty takes a very long time. After only three weeks it's not possible to determine what visual changes are caused by swelling and what may be persistent dorsal hump, overprojection of the nasal bones or dorsal septum cartilage, or widening of the nasal bones. Continue to follow your surgeons postoperative activity restrictions and postoperative care strictly and be sure to maintain long term follow up with your surgeon. Try to be patient and remain optimistic. But, keep in mind that a small number of all patients undergoing rhinoplasty surgery will need a revision.

It is really too soon to evaluate your results as you still likely have a large amount of swelling only 3 weeks out from surgery.  It can take up to a year  for swelling to resolve so it is possible that your results will slowly improve with time.  If you still have concerns after more time has passed, I recommend you discuss with your surgeon. 

You need to have patience with your body as it begins to heal. The skin, bone and cartilage are all traumatized during surgery. Inflammation (swelling) is the normal response and will help your nose to heal and look beautiful in the end. Right now, concentrate on other things you like to do and let your nose and under eyes take the time to heal. It can take up a year for your final results. I hope this helps.

It's still too soon to tell what your final results will be. You have to give yourself some more healing time.  Your nose and surrounding areas are going to be swollen for a while and you should be consulting the surgeon that performed the procedure. However, give yourself some time before going back in so some of it can subside. It can take up to a year for final results.
Sincerely,
Philip J. Miller, MD, FACS Double Board Certified Facial Plastic Surgeon

Hi,It is too early to tell at his point. You need to remain patient and allow the swelling to subside before you make a final determination about the results of your rhinoplasty.Best,

You are very early in the healing stage to see final results give it about 1 year for swelling to go down and settle and continue to follow up with your PS.