Bone callous formation on bridge - Can desired result be achieved from in office rasping alone? (Photos)

Question

Hello! I am 16 months post op from my primary rhinoplasty. As I have healed i noticed a bump forming back where my dorsal hump was shaved down. It’s hard and definitely bone. Either my surgeon didn’t shave it down enough or the bone matrix was over stimulated I guess. Here is what it looks like now and a photo I edited to match my desired result. Can I achieve this from in office rasping alone? I like the tip and dont want to undergo a whole revision. Please let me know!

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. I don’t recommend having rasping performed under local anesthesia. This will usually make the nose look better for 1-2 months and then it will actually get much worse long-term afterwards, with contour irregularities developing. This is because the skin of the dorsum is extremely thin. A much better approach is to do a formal revision with rasping and placement of a dorsal onlay fascial graft to help smooth the dorsum. Make sure you are going to a surgeon with hundreds of long-term before and after pictures on their website with standardized lighting and standardized backgrounds. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Bone callous formation on bridge - Can desired result be achieved from in office rasping alone? (Photos)

Answers (1)

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