Bump Under Rhinoplasty Skin Graft. Do I Need a Revision?

Grafts are common in revision rhinoplasty and occasionally used to elevate a low bridge when there is a congenitally low dorsum. The risks associated with grafts is that they can resorb, warp or migrate. Most of these are palpable (can be felt) through the skin.  It is unclear as to what type of graft that you have, but the most reliable type is your own cartilage. Bone or irradiated cartilage from a donor tend to have less consistent takes. Discuss this with your surgeon to determine the need.  If the graft can only be felt and not seen, sometimes it is better to not risk another operation and leave well enough alone. Most revisions are only done until 1 year from the original surgery.

Best of luck

Vincent Marin, MD

San Diego Plastic Surgeon

I'm sorry,  it is not clear exactly what was done at the time of your original rhinoplasty, but it sounds like a temporalis fascia graft was placed.  I frequently use fascia because survival of this graft is excellent. You have been patient, waiting for 11 months  -  a revision to trim this excess will probably be necessary. It is a relatively simple procedure which can be done under local anesthesia.