Rasping a Residual Bump, What to Expect?

AS the bones heal, there sometimes are irregularities that develop as a result of healing or were cmaouflaged during the swelling period. This sometimes can be treated in an office setting under local or mild sedation. It is individualized for each patient.

It's very frustrating not only for the patient but also for the surgeon when, after making the bridge of the nose incredibly smooth by the end of the operation,one sees a small residual bump occur that does not go away with time. Unfortunately, we all have to heal after a rhinoplasty. We are not like a a piece of wood, which, when carved, stays exactly as we left it! We are biologic beings and our tissues must heal. Sometimes a bony callus forms in the healing phase creating a bump; sometimes, soft tissue does not shrink down; sometime a well-placed graft migrates. But, when the bump is minimal, it can usually easily be rasped under local anesthesia

The "tiny hump" you are notcing now could be bone, cartilage or even soft tissue. Have your surgeon examine you and decide what it is, then discuss a plan of action. If it is bone it can be rasped under local anesthesia, provided this does not create an open roof.