Flat bridge after primary rhinoplasty with fascia graft? (Photos)

Thank you for your photos. Areas of soft tissue swelling willl still continue to improve such as over the bridge or at the tip for several months, however hard bony areas are the least likely to change after this amount of time. The sharp step offs you feel are possibly edges of nasal bone which need to be shaved down. You may need a touch-up or revision procedure eventually to blend and smooth the edges, but it is prudent to wait until everything is healed and more stable before attempting to adjust the area. Hope this helps!Johnson C. Lee, MD Plastic Surgery

The healing process is not complete, however the bony ridgelines at the top of the nose will probably remain throughout the healing process. These "bony corners" can be rasped and filed down. Osteotomies may not be necessary. This is considered a touch-up procedure by  Your original surgeon.