Lump on top of nose post septorhinoplasty (Photo)

Question

I had a septorhinoplasty done last October Within the month after my surgery I noticed a lump on the tip of my nose. I am over 6 months post op Now and the lump is more there and prominent as ever and affecting the shape of my nose. I saw my surgeon he said cartilage he used in the graft had dislodged. He can fix it with revision but we still have to wait until at least 6 months. What is the likely outcome of this revision and should I find a surgeon specialised inthis particular revision?

Zoran Potparic, MD · Answer

It appears that you have slight supratip bulk. You may try application of tapes, overnight for 2-3 months. It this is not improved, you should discuss this issue with your surgeon (further reduction of dorsum and supratip area). Hope this helps. Good luck.

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. The lump does appear to be from cartilage, which can be shaved down with nasal rasps during revision. It is best to wait a full year after your initial septorhinoplasty before undergoing another surgery. In the meantime, you may want to speak to an experienced injector about how dermal fillers can be used to reduce the appearance of the lump temporarily.

When considering revision rhinoplasty, please keep in mind that each subsequent nose surgery becomes more complex due to the loss of structural support, scar tissue, and other factors. 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 rhinoplasty techniques. They will be able to review your surgical history and assess your concerns to help you decide on the best course of action.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.I have evaluated your case from the photos you provided. The cartilage used during your first surgery has mooved. It may affect your nose shape even more in the future. I recommend you a revision surgery to correct it.Best regards!

Jeffrey H. Spiegel, MD · Answer

Yes - that is probably a bit of irregular cartilage and be addressed only with revision rhinoplasty.  Personally I may do it in the office under local anesthesia as the rest of your nose is good to you.  6 months is not a bad idea for a time frame.

Eric M. Joseph, MD · Answer

Before reading your narrative about a cartilage graft being displaced, I thought that this would be a relatively simple situation of having an overly projected persistent nasal bone. When there is a bony protuberance at the top of the nose, since there is minimal swelling there at 6 months post-operative, sometimes and endonasal revision to lower the bump can be considered. If you're otherwise happy with the appearance of your nose, and don't wish to wait another 6 months, consider getting a second opinion from another reputable rhinoplasty specialist. Hope this helps! Dr Joseph

Lump on top of nose post septorhinoplasty (Photo)

Answers (5)