I am 5 months post op from primary rhinoplasty. I have thin skin and had significant hump removal. I had a fascia graft harvested. I have what feels like a bony bump on each side of my bony bridge. It is more prominent on the left side. After cast removal it was much worse and was more of a sharp step off. My bridge also appears flat and like the hump is still there. Is this swelling that will eventually settle or will I need revision to shave it down? Any input would be greatly appreciated!
Answer: Rhinoplasty revision? it is too soon in the healing process to make any determination. This would be a guess and not a proper answer. You need to wait an additional six months and return to your surgeon. If dissatisfied seek a secondary opinion with a revision rhinoplasty specialist
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Answer: Rhinoplasty revision? it is too soon in the healing process to make any determination. This would be a guess and not a proper answer. You need to wait an additional six months and return to your surgeon. If dissatisfied seek a secondary opinion with a revision rhinoplasty specialist
Helpful 1 person found this helpful
Answer: Rhinoplasty 5 months ago with bony nasal bumps Hello,Thank you for your pictures and questions. At 5 months, your nose will still undergo changes and healing. The changes to the nasal bridge are typically loss of edema and this may may your bony humps more apparent. The best course of action at this point is to be patient and to remain in close contact with your surgeon. If you need revision surgery of your nasal bridge, you could have the bony humps shaved down and the region camouflaged with more fascia or a filler. The reason you have these humps is likely an open roof deformity where the bones weren't completely fractured at the time of the original surgery. This does happen and again, I would continue to have close and open communication with your surgeon. He/she will be able to improve this. Best of luck!
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Answer: Rhinoplasty 5 months ago with bony nasal bumps Hello,Thank you for your pictures and questions. At 5 months, your nose will still undergo changes and healing. The changes to the nasal bridge are typically loss of edema and this may may your bony humps more apparent. The best course of action at this point is to be patient and to remain in close contact with your surgeon. If you need revision surgery of your nasal bridge, you could have the bony humps shaved down and the region camouflaged with more fascia or a filler. The reason you have these humps is likely an open roof deformity where the bones weren't completely fractured at the time of the original surgery. This does happen and again, I would continue to have close and open communication with your surgeon. He/she will be able to improve this. Best of luck!
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December 11, 2016
Answer: Bridge irregularities after rhinoplasty with fascia graft Usually, a final result to the bridge is seen at 5-6 months after primary rhinoplasty. However, when fascia graft is placed there is often lingering swelling that can take up to one year. If the area along the bridge lingers at 1 year then the graft should be revised by removing and refining with other optional grafts that can hide irregularities due to your thin skin.
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December 11, 2016
Answer: Bridge irregularities after rhinoplasty with fascia graft Usually, a final result to the bridge is seen at 5-6 months after primary rhinoplasty. However, when fascia graft is placed there is often lingering swelling that can take up to one year. If the area along the bridge lingers at 1 year then the graft should be revised by removing and refining with other optional grafts that can hide irregularities due to your thin skin.
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December 10, 2016
Answer: Bridge bumps 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
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December 10, 2016
Answer: Bridge bumps 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
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December 10, 2016
Answer: Flat Bridge after primary rhinoplasty with fascia graft? 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.
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December 10, 2016
Answer: Flat Bridge after primary rhinoplasty with fascia graft? 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.
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