Asymmetrical side view and bump on bridge - should I keep trying non-invasive options or do I need revision surgery? (photos)

You have what's known as a poly beak, which can be caused from residual cartilage on the bridge line, or thick skin. Each one of those treated differently. Thick skin is treated with steroid shots, while residual cartilage is treated with a revision rhinoplasty. In our practice, we do not perform this under local anesthesia in the office. Rhinoplasty is performed under general anesthesia. In addition, the cartilage on the bridge line must be cut, and bone gets rasped. Most of your issue is either cartilage or thick skin. Also important follow follow up with your operative surgeon for steroid shots to manage skin envelope over the framework of the nose in the first several months after the procedure. You should wait at least a year before undergoing a revision rhinoplasty. Choose your surgeon wisely based on extensive experience since revision rhinoplasty is more difficult than a primary rhinoplasty