How to get rid of nasal tip bossae?

   A small revision can be performed to improve this appearance.  Kenneth Hughes, MDLos Angeles, California

Yes, you need full revision rhinoplasty and reconstruction of tip cartilages. Make sure you see a rhinoplasty expert who can address all of the issues you want to change during your revision surgery to achieve the best possible outcome.

Hi there. Hard to tell from the picture if your tip issue is bossae or just a visible shield graft. Depending on your specific area of concern, filler could be of some use to camouflage the area. Alternatively you could do a minor revision using temporalis fascia or alloderm to add a layer of tissue over the bumps, which will smooth the contours and make them less visible or not visible at all. So there are options other than a full blown rhinoplasty. Best of luck In your search. 

The nasal bossae can be removed through a small incision through the nostril. The prominent part of the bossa is usually and cartilage that can be shaved. It is simple enough that you could get it done under local anesthesia. RegardsDr. JDisclaimer:
This answer is not intended to give a medical opinion and does not substitute
for medical advice. The information presented in this posting is for patients’
education only. As always, I encourage you to see your personal physician for
further evaluation of your individual case.

If you had rhinoplasty done in 2009, a revision rhinoplasty will be likely.  It may just require tip work, but that is something that would need to be evaluated in person at a formal rhinoplasty consult.  Massage and applying pressure will not work at this point.  You would be best served by seeing someone who specializes in facial aesthetic surgery, specifically rhinoplasty.  Best of luck.

Nothappy411, most minor tip irregularities I fix under local anaesthesia. See an experienced facial plastic specialist and you should be satisfied. Good luck!

To repair a nasal boss exploration of the nasal tip must be performed through marginal incisions on the inside of the nostril. Shaving down the boss is usually all that required by  your rhinoplasty surgeon. Occasionally suture technique  techniques must be performed on the lower lateral cartilages of the tip  to reconstitute them.  A closed rhinoplasty approach to accomplish your goals. For many examples of rhinoplasty, please see the link below

It is difficult to answer your question in looking at that photo. You need to be seen and evaluated. Maybe just re do your tip -- no one really knows until they see you in person.

There are many changes that occur in a nose after rhinoplasty, often months to years later.  Some of those changes can be the development of scar tissue or alteration of the nasal contours and cartilages by the pull of scar tissue.  Only a consultation and examination by an expert in rhinoplasty can determine what is going on and how it might be fixed.Recommend you either return to your surgeon for a follow-up evaluation (if possible) or consider consulting with another plastic surgeon whose interests include rhinoplasty.  I would be pleased to meet with you to discuss possible treatment options.  Ca  212 570 6080 for an appointment.Elliot W. Jacobs, MD, FACSNew York City

Please consult and experienced or certified plastic surgeon who is expert at nasal revision after rhinoplasty. The small bump area should be able to be corrected under local anesthesia.