Bump on my nose 1.5 years after surgery. Does this required a revision? (Photo)

Thank you for your question. It is recommended to wait a minimum of one year after rhinoplasty before considering a revision since the nose is still adjusting during this period. If you are still unhappy with your results at that time, a revision rhinoplasty may address the bump you’re referring to and achieve your desired aesthetic. Dermal fillers can also be injected as a non-surgical option and may correct the appearance of the unwanted bump you describe. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your needs on a more individual basis.

Without a physical exam, it is impossible to definitively determine the source of the bump, but most likely it is a small piece of bone that would need to be rasped/filed down. However, due to its small size, you might want to ask yourself if a revision would be worth it. Also, if you return to your original surgeon, please ensure that he is comfortable with revision surgery. Revision rhinoplasty is one of the most difficult plastic-surgical procedures, and it is much more involved (and more expensive) than a primary rhinoplasty.

Although the bump is small at 1.5 years it will not go away. Small irregularities like this can easily be rasped as an office procedure with local anesthetic and possibly an oral sedative.