Will another rasping procedure make this worse? Do I need a full revision? (Photo)

Thank you for your question. Additional rasping is likely the best way to reduce it, but post op care will be paramount. I'd suggest taping at night for 1-2 months after surgery, as well as checking in with your surgeon every few weeks afterward to assess for need of injection of steroid or 5-FU. Hope that helps!
-Dr. P

Hi @kamrynduplessis. I recommend seeing a revision rhinoplasty specialist for an in person examination. There are several options for you that can be determined after examination. During surgery the area can be shaved down with the help of piezo surgery and other techniques. Best of luck, Dr. Nima!

Hello, and thank you for your question. You only seem to have a minor bump, which may be addressed with additional rasping. However, a personal evaluation is still best to determine the best approach. I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon, particularly one with a strong rhinoplasty portfolio. Such experts will have the optimal skills, as well as artistry and knowledge of facial aesthetics, harmony, and proportion, helping you achieve the most natural-looking results. During your consultation, your surgeon will evaluate your nose, discuss your concerns and goals, recommend the best approach, and ensure the best possible outcome.

You actually have a nice results even though there’s a small bump on the bridge. It may be worth rasping again but I don’t think you should get a full revision.

What is shown on this photo is really minimal bump. You can decide to live with it or undergo additional conservative rasping and all that postoperative swelling and expectation. Your decision. No need for full revision. One should inject small amount of corticosteroid in the wound immediately after revision. Good luck.

Sorry you are having this problem. It is unfortunately not an uncommon problem. First a little background. Our bones are designed to heal after fracture. If you look at an X-ray of ANY bone on the body after a fracture is healed (whether it was left to heal on it's own, whether it was casted, or whether the fracture was plated and screwed), some "callus" forms. Think of it like this. Skin heals ONLY by forming a scar; bone is the same. The bone does not "understand" your Doc casted it. Over many years, we have developed a protocol to minimize such issues. It still does not prevent 100% of these from occurring. First off, I do most rhinos open. This provides better exposure to the bony dorsum as well as the area just below it where the skeleton transitions to cartilage, some of which is partly calcified in the transition zone. Then, after rasping, we let the bone recover from the force of rasping for a few minutes and go work on something else. Sometimes a small projection will hide itself for a few minutes and then re-appear. Before closing, we thoroughly irrigate the area to wash out ALL bone fragments. Then, my RN I each carefully palpate the nose skin with wet gloves to detect the slightest projection. Then I do a final inside inspection. Postoperatively, we wait about six weeks for the bone to partly heal. Then we do a careful exam for the slightest bump. If we find one, we have YOU do twice daily compression of the area. Kind of like wearing a retainer after braces. The bump is more pliable and compliant to massage early on before it is fully calcified. We do occasionally do steroid injections for soft tissue bumps, but it would be ineffective for bony bumps. And yes. One time I had a recurrence of a bump after rasping! My hope for you is the bump is much more palpable than visible. You profile is pretty. If you were to carefully palpate the bony dorsum of some friends and family you will probably realize they have a few bumps too, rhinoplasty or not.

Thanks for the question & 1 posted side view photo.Since you already had a minor rasping , I would recommend full re operation to be sure the "callus" as you think is there vs the residual cartiaginous hump as I think is there is improved. Fees $8,000+//-. Best to virtual consult with....

Hello I had 2 patients similar to you. 2 times the callus formation was seen even after the rasping. I recommend you opening the bony roof wth piezo device in closed approach. Bcos your nose is look so natural and nice

In cases like yours, the surgical procedure is a little more difficult. In such third revision cases, I recommend that your nose be opened and reshaped and reconstructed.