The top of the root of the bridge is uneven -and sticking out somewhat. What are the risks of shaving down the top of bridge?

Hello and thank you for your question. I don’t recommend having rasping performed under local anesthesia. This will usually make the nose look better for 1-2 months and then it will actually get much worse long-term afterwards, with contour irregularities developing. This is because the skin of the dorsum is extremely thin. A much better approach is to do a formal revision with rasping and placement of a dorsal onlay fascial graft to help smooth the dorsum. 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

It is difficult to give you an accurate answer, considering there are no photos. Having said that, I agree with your second specialist as the features you have suggested are common causes for revision in rhinoplasty cases. My only concern is that I am not optimistic about being able to get an ideal outcome with minor surgery under local anaesthesia, as post-rhinoplasty deformities are relatively more complex and will need a more thorough surgery that can be achieved with local anaesthesia.

Please consider re-asking your question with photographs, since it is difficult to understand your concern, and what you are looking to achieve. I hope this will be helpful. Sincerely, Dr Joseph

Stay away from short procedures, minimally invassive proposals, local anesthesia, etc

Seek the advice of a rhinoplasty revision specialist.