Do I have to do open-rhinoplasty to fix a small bump left after rhinoplasty? What are my permanent solutions? (Photo)

Question

It was been 5 months since I had open-rhino. Overall I'm happy with my nose the nostrils are even the shape is nice and symmetrical the only thing is a small bone that sticks out and can be seen more on one side than the other. It's nothing horribly noticeable but I'd like it fixed. Would like to hear some options that are not open-rhino. Thanks!

David C. Pearson, MD · Answer

If the small bony bump remains after you're fully healed (1 year), there may be some simple and relatively safe options for correcting it. These include a so-called "needle shave" where an 18-gauge needle is used to scrape the little bump down, or even a closed rasping where a tiny incision is made inside one nostril and a rasp is inserted to file down the area. These can all be done in-office with just local anesthesia (injection of numbing medicine) and have little to no real downtime.All the best,--DCPPearson Facial Plastic Surgery®

John Layke, DO, FACS · Answer

Many times, minor revisions can be performed in the office under local anesthesia.  Occasionally, dilute steroid injections can alleviate minor contour irregularities as well.  Relay your concerns to your surgeon and he or she can dictate what needs to be done, but a full revision is not necessary.

Michael L. Schwartz, MD · Answer

You should wait at least a year from the time of your surgery before making any decisions about doing more. If all you need is a little dorsal rasping this does not require a complete redo or open approach.

Michael R. Menachof, MD · Answer

There are several good options available.  Most importantly, I would start by giving things a bit more time.  It's only been 5 months since your rhinoplasty and there may very well still be a little swelling present.  It's possible that there still is 1 or 2 mm of swelling still present in the area that you are concerned about.  This may resolve on its own over the next 5-6 months.  Please be patient.  If, after waiting, the bump is still there and bothers you enough, options include a small amount of filler used to smooth out the profile, or a very minor procedure done through an incision inside the nose (often this can be done using a local anesthetic in the office) to smooth out the small bump.  Most importantly, don't do anything too soon.  Be patient.  Good luck.

Paul N. Afrooz, MD · Answer

You have an excellent result.  I would suggest that you discuss your concerns with your rhinoplasty surgeon.  He or she may choose to revise this, which more than likely would only require an incision inside the nose to refine the area of concern.  Fillers may successfully camouflage this by adding volume around it, but this is a less permanent solution, and I would be less inclined to do so at only 5 months after your initial surgery.

Robert S. Schmidt, MD · Answer

Thanks for your question. I think your nose looks good! But I do see what you're talking about. If it really bothers you (and I mean REALLY, because you've had a nice result), two options come to mind. First, a small amount of filler can be used to camouflage small areas on the dorsum like this. Of course, it's not permanent and there are risks if you've already had surgery. Second option would be a closed rhinoplasty where an incision is made inside your nostril and the bone is shaved down a tiny bit. I think the second option might be over kill for you. Good luck!

Do I have to do open-rhinoplasty to fix a small bump left after rhinoplasty? What are my permanent solutions? (Photo)

Answers (6)

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