Time will tell if it's swelling or bone
The original bump should have been filed down and addressed with both primary and secondary revision nasal surgery. If the bump is still there three to six months after the secondary revision rhinoplasty, it will probably stay. Massaging will not help this go away and it needs to be addressed by narrowing the nasal bones or filing the bump down. Any crookedness to the nasal bones will have to be addressed through osteotomies and resetting of the nasal bone.
There is swelling that happens after osteotomies especially if a small clot accumulates at the site. This will usually go away. Abnormal bone formation can also occur. You need to be examined
Residual bump after rhinoplasty
If you have a residual bump on the nose after a second rhinoplasty and its been over a year then its probably not going to change :(. There may be another reason why the bone isn't moving if it has been moved twice and filed down twice. Visiting with a revision rhinoplasty surgeon for a second opinion may be a good option.
Persistent Swelling Along Nose Bones
While the nose tip swelling may last a year and sometimes longer, this swelling along the nose bones usually goes away faster. After the hump is removed a nose that looked narrow, normal or only minimally wide on the bridge becomes significantly wider which requires osteotomy (mobilizing and moving the nose bones) and moving the nose bones in to make the width of the bridge of the nose more pleasing. Sometimes the bones would not move in so easily and requires removal of a block of bone between the septum and the nose bones to allow them to be repositioned inwards. Otherwise this excess piece of bone will either resist narrowing the nose or the nose may look narrower during the surgery and widen while it is healing. It appears to me that you will need another surgery to remove a segment to allow for narrowing the bones that are still sitting away from the center of the nose. I suggest that you discuss this with your surgeon.
Persistent Nasal Bone Issues
Thank you for the questions and the photo. It seems that the nasal bone on the right side stayed wide or flared after the surgery. In some cases, swelling makes this look more prominent than it will end up. Often, though, this requires repeating the osteotomy. Generally, it is good to wait 9-12 months to allow for appropriate healing before doing this.
Bump after revision rhinoplasty
Without examining you, it is impossible to tell for sure. However, if firm, it is likely that there is a residual bone or bony overgrowth (callous formation).
In some cases, this does go down, but not usually. After waiting one year or so, it may be possible to take care of this.
Hope this helps,
Dr. Sam Most
Revision rhinoplasty for swelling
You need to wait a minimum of six months before undergoing another revision. From your photograph, it appears that you have not had a very skillful rhinoplasty performed and would benefit from another operation. I suggest you find a different plastic surgeon to perform the procedure.
Time will answer your question. It will be quite clear in a couple months. There is nothing wrong with getting a second opinion; it may alleviate some of your anxiety. If necessary, this should not be a difficult problem to correct.
Too soon after Rhinoplasty to make any judgement
Be patient. It will take at least 6 months for this to resolve. If it doesn't you should seek a second opinion with an experienced revision rhinoplasty specialist.
Seems like multiple surgeries in a short period of time
Sounds like you have ahad a lot of surgery in a short period of time. Whether or not you have a twist and some residual bone, at the current time you should relax and allow for the swelling to go down!