Tiny bump on nose after rhinoplasty? (Photo)

Question

Had a rhinoplasty done in 2016 & after the procedure, I developed a small bump on the tip of my nose. It's no bigger than a small pimple, not painful, and general just feels like a tiny hard-ish bump on the surface of the skin. It has not grown whatsoever since it initially developed. It's really not noticeable to others, but really bugs me and I'm curious if anyone has any idea on what it is and how it can be fixed.

Eric M. Joseph, MD · Answer

Based on your photos, you appear to have thin nasal skin, a bossa, and a retracted nostril. A bossa is a visible piece of tip cartilage that may appear through thin nasal skin after rhinoplasty swelling has dissipated.These issues may be improved upon with microdroplet Silikon-1000 injections, depending on your examination. I hope this is helpful. Sincerely, Dr Joseph

Lucian Ion, FRCS · Answer

Thank you for your question and for sharing your photographs. The images suggest a slight prominence of the cartilages of the nasal tip that have become more noticeable as the swelling has decreased. Depending on the technique previously used, it may be possible to address your concerns either through a closed intervention or an open-tip procedure.

It is also possible to camouflage the appearance of the contour irregularity of the nasal tip using a small amount of injectable filler. This would be particularly useful if you would like to achieve some other changes around the shape of the nasal tip as well.

In the first instance, I would suggest discussing your concerns with your surgeon. If this does not yield the results you are hoping for, then it would be worthwhile expanding the conversation to other surgeons.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, this is due to asymmetry in the lower lateral cartilage.  This can be fixed with a revision to improve the symmetry and a fascial tip graft for camouflage. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Mats Hagstrom, MD (license on probation) · Answer

To assess the outcome of any plastic surgery procedure we generally need to see a complete set of proper before and after pictures.
In your case, we would also need to know exactly what was done during the rhinoplasty.
Rhinoplasty is not an operation.
It is a general term for any procedure Used to change the shape or function of the nose.
If you had a tip rhinoplasty done with changing the cartilage of your tip then the outcome is most likely related to how the procedure was performed.
Most likely what you are feeling is the edge of the alar Cartlidge. 
Either follow up with your provider or schedule a few in person second opinion consultations with other plastic surgeons in your area.
For a second opinion consultation, come prepared bringing with you a complete set of proper before and after pictures and a copy of your upper report.
These should hopefully be available from your providers office. I suppose if the condition doesn’t bother you enough that you’re willing to have revision surgery then you can probably skip getting all the medical records.
I don’t think there’s any treatment other than to open up your nose and do a revision.
Best,
Mats Hagstrom MD

Tiny bump on nose after rhinoplasty? (Photo)

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Answer: Rhinoplasty outcome

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Tiny bump on nose after rhinoplasty? (Photo)

Answers (4)

Answer: Rhinoplasty outcome

Answer: Rhinoplasty outcome

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Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.