Is it worth risking getting my bossae removed by external incision? What is the likelihood it will return? (photos)

The external incision in  rhinoplasty is performed on the columella which is the thin tissue between the two nostrils. This is referred to the external approach in comparison with other  approaches. One of the advantages of the external approach is to give the surgeon the best exposure to perform maneuvers on the nasal tip. This could be particularly helpful in cases of revision rhinoplasty that require correction of tip asymmetries. Once this incision is closed meticulously by an experienced rhinoplasty surgeon the scar is almost always imperceptible in a few months.

For revisions to correct issues like a bossa, I would consider going to experienced rhinoplasty surgeon but not to just discuss surgical options, but to discuss non-surgical options like fillers to improve this.  If surgery is your only options I would recommend doing an open rhinoplasty with incision under the nose.  Internally the work is to soften the bossa or to add cartilage to it but not to remove more cartilage.  Best Wishes!!

Go here to see where the "columella" is, and where the incision should be:FacialSurgery.com/ClkoffTPgt3_2011_01_01bh.htmlAn incision should never ever be made right over the bump itself.Also, correcting a bossa or a bump like that is rarely a simple procedure. Make sure your surgeon is expert enough to correct the problem. Click on the "Web reference" link, just below my response, and read the section on how to tell whether your primary surgeon should be performing your revision.