Bossae Below Tip of Nose - Correction Options? (Photo)

Depending on what the exam shows, a small local procedure to lift the skin of the tip and shave down that bump may be all that is needed. Be sure to see a rhinoplasty expert for consultation.

The bump may be scar, cartilage graft, granuloma, native cartilage, suture spitting (if a permanent suture was used), or a skin cyst. The options are quite endless. I would go see a board-certified plastic surgeon (American Board of Plastic Surgery).

Based on your photos, you appear to have thin nasal skin, and this is the reason why you are seeing visible cartilage in your nasal tip after previous rhinoplasty surgery. In our experience, over 25 years, this may be best treated with microdroplet Silikon-1000, not revision rhinoplasty surgery, depending on your examination. Since you have thin skin, there is no way to prevent a similar situation should you undergo another nasal surgery. The area where you see the edge of cartilage is just in front of the soft tissue triangle. We have had excellent success filling in these indentations for a less operated nasal appearance. Additionally, since the size of a Silikon-1000 molecule is smaller than that of a red blood cell, so necrosis, embolism, stroke, blindness, or infection has not been reported using this product. Temporary gel fillers may cause vascular occlusion unlike Silikon-1000. In that regard, we do not recommend a temporary filler in your particular situation where there has been previous surgery. Hope this is helpful! Sincerely, Dr Joseph