Rasping the Sides of the Nose?

The best treatment of bumps encountered after rhinoplasty depends on what is causing the bumps. The bumps may be due to rough bone edges in which case rasping can help. They may also be from cartilage or scar tissue, though, so an examination will help determine the best treatment course.

As a rhinoplasty surgeon the need to rasp versus perform osteotomies (breaking of the bones) depends entirely on the cause and the exact location of the bumps.  Some areas are more amenable to rasping while other areas require for the bones to be reset.  My recommendation is to return to the surgeon who performed your procedure first as they would know exactly what was performed at the time of your original rhinoplasty and would thus have the best idea as to the cause of the bumps.  At times small bony bumps (callous) can form after a rhinoplasty.

First and foremost, the cause of the problem needs to be sorted out.  Sometimes vertical ridges on the sides of the bridge can be prominances caused by the upper aspects of the upper lateral carilages (the cartilage taht forms the roof of the mid part of the nose).  These cartilage "horns" can be trimmed, but then the area would need to be stabilized.

If the cause is indeed bone and degree of elevation is small, rasping can be performed.  Is the prominance is large, repositiong the bone with osteotomies (cuts in the bone) may be needed.  Dents or other irregularities can be avoided with a conservative meticulous approach.