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.

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 (2)

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