Had rhinoplasty 3 weeks ago to reduce a dorsal hump and raise my nose tip. I know swelling can distort the results and last a long time, however, what I'm seeing doesn't seem like swelling. The bridge of my nose is higher than it was before, and the area above where the hump used to be is now raised, and looks like a bump from certain angles. This bump and the entire bridge of my nose, is rock hard like bone. Doesn't feel swollen at all. Why is it like this?
September 6, 2018
Answer: Dorsal hump after rhinoplasty Hello,
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September 6, 2018
Answer: Dorsal hump after rhinoplasty Hello,
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September 6, 2018
Answer: You had a radix graft 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.
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September 6, 2018
Answer: You had a radix graft 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.
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September 5, 2018
Answer: Residual dorsal hump after rhinoplasty 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.
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September 5, 2018
Answer: Residual dorsal hump after rhinoplasty 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.
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