Can I get this small, sharp, pointy. bony bump on the left side of my nose rasped down under local anesthesia? (Photo)

Question

It is a small sharp pointy bony bump left side of my nose that is pressing hard against the skin creating redness right side is fine and feels smooth.

Semih Yildiz, MD, FEBOPRAS · Answer

The single close side photo shows a localized prominence along the left upper nasal sidewall with overlying redness, although the angle and lighting do not establish whether it is bone, cartilage, scar tissue, or a skin lesion. Palpation and standardized views are necessary before choosing treatment.

If this is truly a small, isolated bony irregularity, an experienced rhinoplasty surgeon may be able to rasp it conservatively under local anesthesia, sometimes with light sedation. The decision depends on its exact location, your surgical or trauma history, skin thickness, and whether correcting it would destabilize or expose a wider contour problem. Risks include residual prominence, over-resection, asymmetry, skin injury, and the need for a more complete revision. Because the area is painful or pressing enough to cause persistent redness, arrange an in-person examination rather than having it treated solely from a photograph.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.
As far as I can understand from your question that sharp, pointy bump pressing against your skin on the left side is likely a bony spicule or a residual sharp edge from your previous fracture or a previous healing process. Since it is threatening the skin and causing localized redness, it needs to be evaluated by a facial plastic surgeon or ENT. Correcting this typically requires a surgical revision to file down or smooth out the bone, and this procedure must be performed under general anesthesia.
It would be better face to face consultation.
Best Regards!

Eric M. Joseph, MD · Answer

We have not performed any bony work on somebody's nose with local anesthetic. Your nose is part of your Airway, so they would naturally be some bleeding from your nose into your throat, and for your personal protection, and comfort, I believe rhinoplasty should be performed with general anesthetic in the operating room. Please consider meeting with several reputable rhinoplasty specialists so you could see what might be best for you moving forward. Thank you.

Richard G. Reish, MD, FACS · Answer

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. With good surgical technique, you could have an outstanding result. 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

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Can I get this small, sharp, pointy. bony bump on the left side of my nose rasped down under local anesthesia? (Photo)

Answers (4)

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