Could the bump on my bridge be diced cartilage or bone and what is the best approach to minimize it? 8 months post op (photos)

Question

I had an open rhinoplasty 8 months ago. I now have a bump on my bridge ( which I am not sure I had before? See photos). The doctor did not do a push down but shaved some of the bone and added diced cartilage on the bridge. Why to I have this bump on my nose? Could it be the diced cartilage or is it my bone? My surgeon says that the bump was here before ( that it is not a callus nor swelling). What would be the best approach to fix this ? My surgeon suggests rasping. Thanks a lot

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Rasping alone will usually not permanently fix this. It can make it look better for 1 to 2 months and then it will usually get worse with worsening contour regularities due to the thin dorsal skin. What is usually a much better technique is rasping, followed by a fascial dorsal onlay graft. 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

Could the bump on my bridge be diced cartilage or bone and what is the best approach to minimize it? 8 months post op (photos)

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