7 months post-op rhinoplasty - is this bump swelling or something else? (Photo)

It is good that you’re overall pleased with your rhinoplasty results since the result looks beautiful and natural. Here are some points to consider regarding the bump on your nose:
• Swelling Assessment: It can be challenging to distinguish between residual swelling and scar tissue without an in-person evaluation. At 7 months post-op, some swelling may still be present, particularly in certain areas, though it should be largely resolved by 7 months. • Scar Tissue: If the bump is due to scar tissue, (the nasal bones heal with scar tissue called callous) there options for reducing it. Steroid injections are sometimes used to minimize scar tissue, depending on the assessment. • Residual Bump: If your initial bump was not entirely removed, this could be the cause. An evaluation would be necessary to confirm this. If this is the case, it looks natural. • Nasal Rasping: This is a procedure that can refine the contour of the nasal bridge. It may be an option depending on the underlying cause of the bump, but it’s important to assess suitability on a case-by-case basis.
It is recommended to follow up with your primary surgeon if you have any concerns and your surgeon will most likely be happy to assess you and offer you management options.

I had to zoom in on your photo in order to see the small bump in your mid bridge. In our experience, small irregularities like this may be permanently corrected by adding volume above the small bump. We prefer using microdroplets Silikon 1000 for permanent results. Thank you for this question. Sincerely, Dr. Joseph

Hi, It is better for you to consult with your facial plastic surgeon who can examine you and give you opinion based on examination. hard to tell from a picture

It could be scar tissue or residual cartilage but either way it is barely noticeable. It is best to leave it alone. Only if it becomes worst over time, should you consider any intervention. I always like to say about rhinoplasties, IMHO 'Quit while you are ahead'.
Regards
Dr. J

Hello and thank you for your question. At seven months it is very normal to be swollen in the tip. However dorsal irregularities usually get worse with time instead of better. If you end up getting a revision in the future, you should consider having a dorsal fascial onlay graft placed for smoother dorsal contour. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

It’s great to hear that you’re overall happy with your rhinoplasty! At 7 months post-op, some residual swelling can still be present, especially on the nose, which takes time to fully heal. That said, differentiating between swelling, scar tissue, or a remaining bump from the original structure can be tricky without a professional evaluation.

Based on your one post a photo appears you have residual cartilage or bony tissue in the central hump area that rasping could correct. But since your surgery was in revision here in the US USA fees would range from $8000-$15,000. Why not fly back to the country you had this done in for revision? Best of virtual council with for more discussion.

At seven months your results are more or less final.
Plastic surgeons usually say results are final at 12 months.
The amount of swelling or change people see in the last several months is very little.
The bump is not swelling, but a bump in your nose, is simply the outcome of your procedure. If you had swelling then you would have swelling above and below the bumb as well.
To make quality assessment we usually ask patients to present a complete set of proper before and after pictures.
If you don’t have before and after pictures, then ask your surgeon to forward the pictures they took.
I usually do not recommend people travel, long distance as for elective surgical procedures.
Best,
Mats Hagstrom MD.