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

Question

I had a primary rhinoplasty 11.5 months ago and up until 6 months, my dorsum was straight. After that, a bump has revealed itself. I had a f/u appt with my surgeon and he informed me that he could rasp the bump down and this would correct the issue. My question is, based on my photos, does that seem likely to resolve the issue? I have read some things online about rasping potentially leading to an open roof deformity, does that seem likely with the size of my bump reduction?

Nima Shemirani, MD · Answer

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!

Jonathan Kulbersh, MD · Answer

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.

Eric M. Joseph, MD · Answer

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

Thomas A. Mustoe, MD, FACS · Answer

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

David M. Kowalczyk, MD, MBA, FACS · Answer

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!

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

Answers (6)

Answer: Woukd it be safe to rasp a small bump on nose

Answer: Woukd it be safe to rasp a small bump on nose

Answer: Rasping Dorsum

Answer: Rasping Dorsum

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

Answers (6)

Answer: Woukd it be safe to rasp a small bump on nose

Answer: Woukd it be safe to rasp a small bump on nose

Answer: Rasping Dorsum

Answer: Rasping Dorsum

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Recommended reading

Everything you need to know about Revision Rhinoplasty

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