Cartilage graft shifted or is it periosteal overgrowth? Small asymmetric bump on bridge after droopy nose rhinoplasty. (photos)

Question

I had closed rhinoplasty 4mths ago to correct droopy but perfectly straight nose. Surgeon placed strut graft and graft on bridge to fill indentation after tip correction.Now I see small bump on the bridge of nose,about 7-10 mm above the place where graft was supposed to be.When I move skin bump stays in place. Surgeon told me that it is periosteal overgrowth.Is it possible for periosteum to react so strongly and only in one place when no bones were shaved?Can it be misplaced graft?How to fix it?

Bahman Guyuron, MD · Answer

Unfortunately this is not an uncommon residual flaw. You should wait a little longer but I am afraid, it is likely that you will need a revision. You may want to discuss this with your surgeon close to a year from the surgery if you can wait. Your nose bones seem a slightly large but this could be swelling also.

Steven Wallach, MD · Answer

It is hard to predict how scar tissue will develop.  If is bone, then it can be rasped. If it is cartilage it will need to be shaved or trimmed with a knife or scissor..

William Portuese, MD · Answer

Skin, bone, and cartilage are all living  and dynamic tissues in the nose. Bone responds to surgery sometimes with an overgrowth or callus formation and additional bone cells being laid down. A minor touchup revision with a rasp  can adjust and remove the very slight bump on the main bridge.

Fred J. Bressler, MD, FACS · Answer

Thanks for your post. If you have a fixed irregularity of the nasal dorsum after rhinoplasty, you may have callus formation, bone growth, displaced cartilage graft or scar tissue. If this does not resolve over time, correction is simple but may require rasping/shave or removal of cartilage grafts in this area. Continue to follow up with your surgeon and ask for correction if needed. Best wishes.

Cartilage graft shifted or is it periosteal overgrowth? Small asymmetric bump on bridge after droopy nose rhinoplasty. (photos)

Answers (4)

Answer: Post Rhinoplasty Concerns

Answer: Post Rhinoplasty Concerns

Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.

Cartilage graft shifted or is it periosteal overgrowth? Small asymmetric bump on bridge after droopy nose rhinoplasty. (photos)

Answers (4)

Answer: Post Rhinoplasty Concerns

Answer: Post Rhinoplasty Concerns

Browse related questions

Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.