If I go back to my dr for local anesthesia and rasping- do you think I will require another osteotomy? How many mm of rasping do you think I would require for my wish nose? The real photos are on the left and my wish noses on right.
October 30, 2017
Answer: Residual bump on nose after #rhinoplasty It looks you do have some residual convexity of the dorsum. Based on your photos, this residual bump is mostly cartilage, not bone. Simple rasping will not improve it as cartilage needs to be cut with a sharp instrument. If additional cartilage is removed here then the upper lateral cartilages will need to be resuspended using sutures and possibly reinforced with additional cartilage grafts. Also, lowering the dorsum further will produce a wider appearance on the frontal view. You might consider adding volume above and below the bump to produce a straighter profile, higher dorsum and narrower appearance on frontal view.
Helpful
October 30, 2017
Answer: Residual bump on nose after #rhinoplasty It looks you do have some residual convexity of the dorsum. Based on your photos, this residual bump is mostly cartilage, not bone. Simple rasping will not improve it as cartilage needs to be cut with a sharp instrument. If additional cartilage is removed here then the upper lateral cartilages will need to be resuspended using sutures and possibly reinforced with additional cartilage grafts. Also, lowering the dorsum further will produce a wider appearance on the frontal view. You might consider adding volume above and below the bump to produce a straighter profile, higher dorsum and narrower appearance on frontal view.
Helpful