4 years post- op- I have a bump on nose bridge, are there any options to make my nose look more normal? (photos)

Dear Reliable242303,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Dear Reliable242303,
Thanks for your question and sharing your photos. This is a challenging answer as I would request to see the operative report from your surgeon to understand what was done in your surgery. This could be scar tissue, cartilage resorption, migrated cartilage graft, among many other options. As far as making your nose "normal", options would range from non-surgical filler rhinoplasty, in which filler is placed in the depressed area to lift it up, to a revision rhinoplasty. Revision rhinoplasty is a challenging undertaking and we'd have to have a lengthy discussion of goals and realistic expectations.
I hope this helps answer your question!
All the best,
Dr. Sanan, MD
Double board certified facial plastic surgeonAkshay Sanan MD Facial Plastic SurgeryLos Angeles, CADrSanan.com

What is the bump on the bridge of your nose, and how can it be fixed? The bump on the bridge of the nose could be either residual bony hump, callus formation on the bone, or the edge of your upper lateral Cartlidge, or some residual debris left behind. If it bothers you enough revision might involve surgery. But if it is Cartlidge and not bone some surgeons have had success using a large bore needle inserted through the skin with some local anesthesia to scrape it down.

Many Thanks for your questions and for sharing your photographs. Such irregularities do occur sometimes after a rhinoplasty. Small irregularities are ironically more difficult to correct surgically.
I would advise you to see an expert in both nasal fillers and dermabrasion procedures and discuss what would be your best option. Consider revision surgery only as a last resort.
Best wishes

There might exist the option of filler to make the transition from the bony elements and the cartilaginous elements more confluent, but a physical exam would be necessary to determine if this were possible. If you required something more involved, a revision rhinoplasty would be the answer. Did you speak with your original surgeon about your concern? Was your surgeon helpful? If not, I recommend that you consult in person with a board certified plastic surgeon who has decades of experience with revision rhinoplasty.