What is the Meaning of Filing Down the Bump After One Year?

i'm 7 months after open rhinoplasty and still have a bump , i asked here before and they told me to wait one year it may need to be filed down or it may need a revision what the meaning of both ?

Doctor Answers 5


'Filed down' refers to the way a revision would be done.  This means that the hump would be removed by revising your previous rhinoplasty.  In this case, 'filing the hump down' is how your nose will be revised.

Toronto Plastic Surgeon
5.0 out of 5 stars 35 reviews

Filing Down Residual Nasal Bump

Rhinoplasty surgeons typically wait about 1 year before doing a second operation to correct a less than desirable result because the nose may improve during that time as healing progresses. In your case, the bump can be removed during a second procedure if necessary.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

Residual Bump and Revision Rhinoplasty

Most rhinoplasty experts will wait a full 12 months before performing any revision work. This allows all of the swelling to resolve from the primary surgery, and gives a better sense of how things have healed. Removing a residual bump would require revision, though this is likely minor and can often be performed via a closed (endonasal) approach. Best of luck!

Evan Ransom, MD
Bay Area Facial Plastic Surgeon
4.9 out of 5 stars 110 reviews

What is the Meaning of Filing Down the Bump After One Year?

    One year will allow the swelling to be gone.  The hump can be filed down at that time if necessary, which would be a revision.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

Rhinoplasty recovery and possible revision rhinoplasty


Dear Eng.Mai, Thank you for your recent inquiry regarding possible revision rhinoplasty. The rule of thumb for most patients is to wait a year from the date of your original surgery to discuss revision rhinoplasty. The one year period allows the swelling to be fully dissipated so your surgeon may determine exactly what needs to be done to achieve the best aesthetic result. If you just need some filing or rasping of the dorsum to remove the hump then this is a fairly simple procedure. This would still be considered a revision rhinoplasty as you are revising your original rhinoplasty. The extent of the revision is determined by your post surgical results and if your expectations were not met on your primary procedure and determining what needs to be done to have the result you desire. Best regards, Michael V. Elam, M.D.

Michael Elam, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 208 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.