Permanent Options to Fix Bumps 2yrs Post Rhinoplasty?

I had rhinoplasty about 2 years ago. I have had a small ridge where the incision was made under my nose. I have had a few steroid injections without much of a difference, so it still bothers me a little. And more recently, I started to notice a small bump on the bridge of my nose where there was not one before. After reading online, I am not too interested in getting fillers in the indent on my bridge because you have to keep spending the money on them every few months. Options?

Doctor Answers 4

Rhinoplasty bump

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A small bump on the dorsum can be easily rasped (shaved).  It is difficult to see the columella issue from the photos.

New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Solution to bumps

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The bump on the bridge can be smoothed. It's hard to tell from your photo but if you have some uneven area on the columella from your incision then a scar revision can be performed. Be careful about seeking perfection though. Any nasal procedure even perfectly executed can still heal with irregularities or bumps.

Michael L. Schwartz, MD
West Palm Beach Facial Plastic Surgeon
4.8 out of 5 stars 12 reviews

The answer is simple...

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The way to correct this is to smooth out the bridge meticulously and then add a thin layer of temoralis fascia or alloderm to help soften up the area by adding a bit more thickness to the skin.  The procedure shouldn't take more than 20 minutes and can easily be done through a closed or endonasal rhinoplasty.  But there are no guarantees that your body will not form a small bump or a small indentation again down the line.  However the fascia or alloderm should help minimize the risks. 

Shervin Naderi, MD, FACS
Washington DC Facial Plastic Surgeon
4.9 out of 5 stars 119 reviews

Permanent Options to Fix Bumps 2yrs Post Rhinoplasty?

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The bump on your bridge can be filed down with a surgical rasp. The bump on the columella is hard to see with the pictures, but it appears to be related to how the skin healed. This can be adressed by revision the scar, so the edges are flat.

Michel Siegel, MD
Houston Facial Plastic Surgeon
4.6 out of 5 stars 113 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.