Concern about bump at 6 months mark - do I need revision surgery? (Photo)

In general, if there is a persistent dorsal hump, rasping it alone would only lead to a wider nasal appearance. Additionally, your bridge appears to be over projected and both the bony aspect and the cartilaginous aspect of your nose. Without examining you, I suspect you would need bridge lowering and osteotomies to narrow the entirety of your nasal bridge. Please consider getting an in-person second opinion and bring a copy of your operative report and pre-operative photos. Wishing you well! Sincerely, Dr Joseph

I would have a very honest conversation with your surgeon about what you are noticing about your nose. He or she should be able to describe to you what the anatomy is underlying the bump that you see. If this is not possible, I sometimes recommend finding another American Board of Plastic Surgery Certified Plastic Surgeon. I would recommend finding one with experience in rhinoplasty. Sometimes a small rasping/shaving of cartilage is a reasonable solution depending on what the reason for the bump is and the patient's expected outcome.

It's important to wait at least one year before undergoing a revision rhinoplasty procedure. From the limited photographs, it appears you have thin skin, which can result in visible irregularities along the bridge line, residual dorsal hump, and crooked nasal bones. You may require a full revision rhinoplasty with homework performed under general anesthesia for patient, safety, and comfort.