Why Are So Many People Getting a Bump on Dorsal After Rhinoplasty?

Hi,

Usually there are 4 main reasons behind the formation of a nasal bump after rhinoplasty at different times during the recovery process:

1. The already existing nasal bump was not reduced enough

2. After osteotomies, formation of a callus is possible but not very common.

3. Scar tissue formation

4. Nasal grafts/implants may be misplaced or positioned in a wrong manner.

Also, one should not neglect the poor post-op precautions that often lead to nasal trauma hence causing the formation or the accentuation of nasal irregularities.

That being said, please remember that commendable results require an exceptionally skilled surgeon to perform the surgery and settling for anything less than that increases the chances of additional corrective surgeries dramatically.


I hope this helps and please feel free to check the website below.

Thank you for your inquiry.
The best of luck to you.

Dr. Sajjadian

Excess tissue on the nasal bridge following rhinoplasty can have one of 3 causes:

1.     Inadequate bone and cartilage removal when reducing a pre-existing dorsal hump.

2.     Malpositioned bone or cartilage fragments following remodeling of the bone-cartilage elements over the nasal bridge.

3.     Progressive scar tissue formation.  Usually soft tissue but can occasionally be of bone origin.

Overall, the problem likely does not occur to a clinically significant degree in more than 10 to 15 % of cases as evidenced by the fact that that is the revision rate following primary rhinoplasty.

Mario J. Imola, MD, DDS, FRCSC.

 

I must admit that I see this in an occassional patient but not immediately after splint removal, usually about 3-4 weeks later.  The good news is that almost all resolve within 8-12 weeks.  I feel it is partly related to the bone healing and callous formation at the osteotomy (break) sites.  If it stays it is a very simple correction at 6 months with some minimal rasping under local anesthesia.