Nasal Bone or Swelling After Rhinoplasty Revision? (photo)

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. 

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.

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.

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

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.