Hard bumps on radix after rhinoplasty (photo)

Question

I had rhinoplasty one month ago and have had two hard bumps between my eyes since getting my cast removed. My doctor told me it was bone and to press down firmly on them. The area is now more swollen. Is this common and will these hard bumps go away??

Matthew Bridges, MD, FACS · Answer

This is likely swelling if you had this area reduced.  Or, if this is a radix graft, you may be feeling the edges.  Either way, you should let things settle for a few months.  It will likely get better.  Good luck!

John Michael Thomassen, MD · Answer

If these bumps represent bone, the area may need to be rasped down.  You do not necessarily have to wait too long to get it revised if this is indicated.  If it is soft tissue swelling, taping can sometimes help it resolve sooner.

Tanveer Janjua, MD · Answer

Bumps on the upper part of the nose are usually related to incomplete osteotomies.  They do not resolve with time on their own and typically need a revision osteotomy in the area.RegardsDr. J

James Murphy, FRCS(Plast) · Answer

It really is a bit too early to tell whether this is going to be a problem for you in the long term. I would suggest you wait for at least three months before judging this and your surgeon should then be able to tell you what has caused the bumps and what solutions are appropriate.

Adam Bryce Weinfeld, MD · Answer

hard to sayprobably is bone but a lot can change over the next yearI would wait at least 3 months before you consider it long lastinga lot of change can occur

Peter E. Johnson, MD · Answer

If you can press the bumps smooth with pressure your surgeon might be right. If the bone cut or osteotomy in incomplete there might also be a greenstick effect and the bump could keep coming back. Follow your surgeons advice, though a revision to complete the fracture could be needed.

Steven Wallach, MD · Answer

It could represent swelling or bony or even a cartilage graft if your radix was built up. Hard to say without more information.

Darryl J. Blinski, MD · Answer

Still need to allow healing fir the next 6 months. Than decide if revision would be necessary...........

Jules Walters, MD · Answer

It is very hard to say without knowing what was actually done during your surgery.  You can expect some swelling to still be around 1 month post-op.  Your surgeon is your best source so keep keep close follow up with him or her.

Sunny Park, MD, MPH · Answer

It looks like you may have had osteotomies done on your nasal bone which would result in swelling of those areas.  Since it's only been 4 weeks, I think there may still be some swelling.  Everyone swells to a different degree but generally, the nose can change and reduce in swelling for up to a year or so.  I recommend that you continue to follow up with your surgeon.  Hope this helps!

Hard bumps on radix after rhinoplasty (photo)

Answers (10)

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