Hello ! It's not uncommon to experience some swelling and irregularities after rhinoplasty, and it can take up to a year or more for the final results to fully settle. However, if you have noticed a sharp bump on your nose that is hard and cannot be pressed down, it's important to have it evaluated by a board-certified plastic surgeon. The bump may be due to excess bone or cartilage that was not properly smoothed or removed during the initial surgery. In some cases, revision rhinoplasty may be necessary to correct the issue. The specific treatment plan would depend on the cause and severity of the bump. Regarding your question about whether the procedure can be done chair side, it's unlikely that a revision rhinoplasty procedure could be done in an office setting. This type of procedure typically requires anesthesia and should be performed in a surgical facility or hospital. It's important to consult with a board-certified plastic surgeon who specializes in rhinoplasty to discuss your concerns and evaluate the best course of action. They can also provide you with information about the potential risks and benefits of any procedures and help you make an informed decision. I hope this helps, best of luck !