Still a hump after closed rhinoplasty, revision easy? (Photo)

In general a small residual dorsal hump can easily be revised through a small procedure.  I usually do the procedure in my office with light oral sedation, and it only takes a few minutes.  Revising the tip is more involved, and is best done through an open approach.  The prominence of your hump, and its appearance after a few months is unusual, and raises the question as to whether some kind of grafting was done at the original procedure. It would be useful to review the operative report or discuss with your original surgeon, and an in person examination would be important to more fully understand what the bump is due to.

Often a residual dorsal hump can be addressed pretty easily. If you want further tip work, then it might require something more involved.

  The small dorsal hump  present on the bridge line can be shaved down which is a relatively minor procedure. A small amount of tip surgery can also be performed at same time, if necessary. Both procedures can be performed with closed rhinoplasty approach under a brief general anesthetic. For many examples a closed rhinoplasty, please see the link below.

The small hump could be related to bone healing, and not necessarily to a mistake of your doctor. A revision should be pretty easy, and I would say you have got a proportionate result already, so I would not recommend going smaller. For the best result you should wait at least a year after the first procedure before having a revision done.

Nothing is "easy". However an experienced rhinoplastic surgeon, would find correction of a small residual hump to be relatively easy. I would wait a full year before correction. Tip work and hump removal can be done together. However, reducing the tip may change the current relationship between dorsum and tip. If so, some dorsal work and/ or tip grafting may be needed. Now this requires great skill and is definitely not easy.