If Hump is Still There After Dorsal Hump Removal, Does This Indicate Regrowth or Swelling?

If there is a hump after removing the cast, then it is either swelling or residual bony hump. In either case, I would discuss this with your rhinoplasty surgeon. Often aggressive taping and sometimes kenalog injections can help if the hump seems to persist or flattens with pressure. Also, scar tissue can develop over time so I would discuss your concerns with your surgeon.

The splint or cast keeps the swelling at bay I the upper two thirds of the nose until it is removed

so if a hump is present rit when the splint is removed it is unlikely to be swelling it is more likely residual hump due to inadequate reduction

 

Now once the splint is removed  the nose will swell again over the first 12-24 hrs  so a little increaesed fullness where the hump was might be expected

 

Scar tissue is not an issue in this question because it is two early and scar tissue in that area is not likely to "grow" in volume 

if anything it starts to shrink some but at about 3 mo

It’s very difficult to definitively answer your question without seeing you, or at the very least seeing a photo. However, that being said, you’re right about the swelling after the splint is removed, and I would strongly urge you to speak with your surgeon about this. 

 

Jonathan Ross Berman, M.D. , F.A.C.S.