Would rasping down a bump on dorsum be enough to remove it? should I be concerned about open roof deformity? (photos)

Hi @qingjames888! I recommend seeing a revision rhinoplasty specialist for an in person examination. There are several options for you that can be determined after examination. During surgery the area can be smoothed over with the help of piezo surgery and other techniques. Best of luck, Dr. Nima!

Thank you for your question and photos. Removal of the bump you’re referring to would first require identifying the cause. A bump caused by bone or cartilage is removed in different ways, though possible in either case through a rhinoplasty revision surgery. An open roof deformity is unlikely to be a cause for concern as any required rasping would be minor.
Since each subsequent nose surgery becomes more complex due to the loss of structural support and scar tissue, the importance of experience, expertise, and artistry cannot be overstated. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon with expertise in revision rhinoplasty techniques. They will be able to review your concern, assess the cause, and suggest the best course of action.

In your situation, a permanent non-surgical nose job may be considered for raising your bridge several millimeters above your bump to camouflage it. Hope this helps you. Dr Joseph

It Woukd be impossible to be definitive without an in person examination , but your bunk is small and rasping small bumps is generally safe and effective

The bump that you're referring to is mostly cartilage which must be shaved down with a knife or scissors. Rasping is only done for the upper bridge nasal bones. Much more information is needed such as a full set of facial photographs, since the nose is a three-dimensional structure. If the upper lateral cartilages become destabilized from the hump removal, then you'll need spreader graft placement as well as shaving down the hump itself.

Hello! Thanks for the question. A small, bony hump can be removed relatively easily with a rasping procedure. The important thing is to differentiate if it is truly bone, cartilage, or swelling. Swelling should be treated with careful steroid injections, compressions, and taping. The other, solid structures need more intervention. An open roof would need quite a bit of rasping for that to occur. Hope this helps!