Are there non-surgical methods to remove bone callus and scar tissue from rhino/septo? (photos)

Depending on your examination, microdroplet Silikon1000 may be considered for camouflaging a small bump after your third nasal surgery. Dilute steroid injections may be useful for persistent swelling in the supratip area, if that may be present. Hope this helps. Dr Joseph

There are two things you might consider and both can be perform easily under local anesthesia.  The swelling in the go can be reduced with a series of steroid injections in the tip.  This will thin out the skin and scar tissue and give better definition.  If there is a bony irregularity on the bridge it can be filed smooth with a very tiny file specifically designed for your situation.  The file is 2 mm wide and used Incase’s like yours.  If you want the tip raised however this would require surgery.

Hello,Thanks for your question. It sounds like you've been on quite the journey. Unfortunately, there is no non-surgical way to achieve your goals. You could try to hide the residual hump with filler and you could try to create a "tip flip" effect with filler, but this is a temporary fix. Looking at your nose, it is clear that your surgeon left you under-rotated and long. Depending on the amount of scar in your nasal tissues, this could be fairly easy to fix with judicious tip skin release and caudal septal length reduction. The hump can be filed down with a micro rasp or a piezo device. Once this is done, the tissues can be treated with dilute steroid to reduce the incidence of scarring post-op. I can imagine that you are pretty fed up with having to have surgery after surgery. I would recommend that you consult with a surgeon who specializes in revision rhinoplasty to achieve your goals. I consult with patients via Skype/FaceTime outside of the Denver area about revision rhinoplasty on a routine basis. I'd be happy to speak with you more about your concerns if you are ever interested.Good luck,Dr. Shah

Is there non surgical way to remove bone callus etc.?  Unfortunately there is no nonsurgical way to do this. See a very experienced revision rhinoplasty surgeon who can give you the information you need to determine whether or not a surgical revision is warranted and the risks involved. 

 Unfortunately, it's impossible to remove a bone callous and scar tissue along the bridge line with nonsurgical methods. Since this will be your fourth rhinoplasty, it's very important to weigh the risks versus benefit ratio, since revision rhinoplasty is more difficult than a primary rhinoplasty. 

Dear Ocra100, You have several issues that will require a full surgical revision rhinoplasty and a non surgical nose job or liquid rhinoplasty will not address the nasal droop or other concerns. It is important during consultation that you speak with some experts in the field and discuss your concerns and expectations and those must be weighed with the risk versus reward of revision surgery especially after four attempts. Best regards, Michael V. Elam, M.D.