Is this a bony spur that has grown right after rhinoplasty. What can I do? Also will my nose remain crooked? (Photo)

Question

I underwent rhinoplasty a month and a half ago. My cast was removed 8 days post op and I noticed a small hard lump on the left side of my bridge where the hump had been removed. Since the swelling has subsided it has become extremely noticeable and perhaps larger. My side profile even no longer shows a smooth slope since the swelling went down. The lump feels as hard as bone. I am visiting my surgeon in a week. He claims it'll go away on its own. My nose also goes very crooked when I smile.

Gerald Minniti, MD, FACS · Answer

Hello,Unfortunately, this won't fix itself, as you probably suspected. If your surgeon is trying to convince you of this, it's time to move on. Your septum is curved, you have a bony protuberance, and your septum has dropped from it's junction with the nasal bones causing that step off. Please visit a few revision rhinoplasty surgeons in your area.  You'll need bony revision, perhaps minor, a septoplasty, and spreader grafts. Best of luck!

Toby Mayer, MD · Answer

Revision rhinoplasty for Bump and deviation. Discuss this with your surgeon as it appears the bump is due to a small piece of nasal bone and repeat osteotomy's. This surgery is minor.

Mohsen Tavoussi, MD, DO · Answer

I recommend a follow up with your surgeon to discuss the the plan for corrective measure which may be a small revision. Good luck

Arian Mowlavi, MD, FACS (license on probation) · Answer

You should consider a revision of your osteotomies; both to shave down the small bony spicule but also to pull your nasal bones to the right; they have healed crooked; This can be done in 10 minutes and should not be too costly;

Michael Elam, MD (retired) · Answer

Dear lisam93, I do not believe your current problems will correct themselves. I would suggest speaking with your surgeon and discussing your concerns and he/she will be able to discuss a plan of correction. This will most likely be repeat osteotomies and rasping the dorsal bump. Best regards, Michael V. Elam, M.D.

Is this a bony spur that has grown right after rhinoplasty. What can I do? Also will my nose remain crooked? (Photo)

Answers (5)