What is the Procedure for Shaving Down a Bone Bump Left from Rhinoplasty Healing?

Hello, and thank you for your question regarding persistent dorsal fullness at 8 months.Without photos it is difficult to fully address your concern for a touch up procedure.  With that said, it is not uncommon to regain some dorsal fullness as one heals from a dorsal reduction.  This can be often attributed to:1. Residual swelling (this should improve over time) from the trauma of surgery.2. Development of scar tissue (if in the bony region of the dorsum this is referred to as 'callous') as you are healing in the area operated on (this may be improved by massage and softening, but may require a touch up).3. Formation of callous at the bony portion of the dorsum (this will require a touch up most likely)In the event that a touch up procedure is necessary, I recommend patience to allow sufficient time (from 7 to 12 months from procedure), and that the tissue is once again supple and softened.I hope this helped, and good luck with your healingSergio Pasquale Maggi, M.D., FACSAustin Plastic Surgery Centerdrmaggi.com

This is not an uncommon problem after a rhinoplasty. Even if the bony hump was adequately taken down during surgery, scar tissue can form during the healing process and can resemble a hump. Waiting a year is appropriate.
This revision can be performed under a local but I (and my patients) prefer some IV sedation. Sometimes the surgery is more involved after you get in there and having sedation is helpful. 

A minor bump revision can be performed internally (closed) under light IV sedation - local anesthesia may be OK for some but not my choice

6 weeks after rhinoplasty your swelling has only subsided about 50%-60% .  The skin over the dorsum or over the hump is the thinnest skin on the nose and should come down even more.  In addition, this skin probably swelled more than other surrounding skin as taking down a hump can cause some trauma to this area of the skin.  Your best bet is to wait at least 9-12 months depending on your skin type - thicker skin takes longer to contract and shrink. 

Nevertheless, the nasal bone can regrow due to something called an osteoblastic response.  This is typically seen in younger patients.  Sometimes a revision needs to be done at 9-12 months to shave the hump down once more.  This can typically be done closed under twighlight or general anesthesia. 

Revision rhinoplasty is the right procedure and depending on the case this could be done in office with local anesthesia. Every patient is different so only through proper evaluation we can come up with a more solid decision and recommendations.