I had an open rhinoplasty 2 years ago. I'm beyond satisfied with the result. But get some sort of bump in hot weather. (photos)

But why do I get some sort of a tiny "bump/lump" (don't know how to explain the looks of it) around the lower end of my nose, which mainly appears during hot weather/sun exposure? It's very small and feels hard, and sticks out just a little bit and is slightly dark/grey in its color. Before my surgery, my nose was pointing downwards as shown on the attached pictures. -Any connection to that? What can it be? Why does it appear? And can it be removed?

Doctor Answers 4


It is conceivable that it is related to swelling. This can fluctuate with weather even  few years after surgery.  Best of luck.

New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

Nasal swelling in hot and humid weather

Hello and thank you for your question. I have definitely seen the problems you are having before. Your situation may be related to a permanent suture if one was used in the nasal tip. Otherwise a small area of scar tissue may be present or a graft of some sort. I have seen multiple patients who during the summer months swell in the nasal tip. This is most likely related to a combination of edema, thick skin/scar and disrupted lymphatic drainage from the previous procedure. If it is a graft/suture this could be removed otherwise I would try to lessen any inflammation with medicines and definitely use sunblock. I hope this answers your concerns. 

Giancarlo Zuliani, MD
Rochester Facial Plastic Surgeon
5.0 out of 5 stars 53 reviews

Revision, some advices:

Thank you very much for sharing your concerns about your Rhinoplasty with us.

After having analyzed all the info and photos provided to us, i recommend to perform a Secondary Rhinoplasty (not a tip revision) this means (basically) treat the nasal bones and the nasal cartilages.
Therefore i would perform a narrowing of the nasal base (nose osteotomy) and alar and triangular cartilage shaping.

Dr. Emmanuel Mallol Cotes.-

Emmanuel Mallol Cotes, MD
Dominican Republic Plastic Surgeon
4.7 out of 5 stars 204 reviews

Dark grey bump on nose

This may represent a suture (stitch) from your previous surgery. It is best to follow up with your surgeon for evaluat

John B. Lazor, MD, MBA, FACS
Boston Facial Plastic Surgeon

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