Nasal rasping. Do you think this is a good idea in this situation? (Photo)

Generally speaking, yes, rasping can be done for a small hump such as your picture demonstrates. If part of the hump is cartilage rather than bone, it can be a bit more difficult to rasp, but good sharp rasps are usually able to accomplish this. Depending on the patient and the surgeon's preference, such a procedure can often be done in the office under just local anesthesia (injection of numbing medication) through an endonasal approach (incisions inside the nostrils). I agree with waiting until a patient is a year post-op.All the best,--DCPPearson Facial Plastic Surgery®

Hello,Thank you for your question and information, more photos with different perspectives would help more.Now, you are still in your healing phase which will last at least year and so you have edema and swelling as a part of healing, after completing the process and physical examination. A revision rhinoplast can be performed to improve over all shape of your nose an dyou can have balanced natural looking symmetrical and straight.Regards,

Rasping  A SMALL HUMP AFTER RHINOPLASTY. Yes, this sounds like a good plan for this issue. All surgeons can have this problem and it is not an error by your surgeon.

For a small hump rasping alone will probably be a reasonable option to reduce a small hump on the dorm of the nose.

Revision rhinoplasty is more difficult than a primary rhinoplasty, therefore a full set of facial photographs and an in-person examination going to be required to make a determination about how best to proceed. The dorsal hump that is present in the photographs is composed of both bone and cartilage. Rasping will only work on bone. Once the hump is been removed, osteotomies most likely be required to be placed in the nasal bones to close the open roof created from the hump removal. For more information  and many before-and-after rhinoplasty examples, please see the video below

The answer is yes.  Rasping can be done in an office setting, and is consider minor revision surgery.  

Based on your description and the one picture rasping of your bridge fullness does seem reasonable. A small excess like this can usually be removed without having to do osteotomies.

Dear Kkct4, If the bump bothers you and you prefer the dorsum completely straight then rasping the nasal dorsum can be performed by your surgeon. I would see your surgeon for a follow up appointment and discuss scheduling your procedure in July. Best regards, Michael V. Elam, M.D.