What is the process to remove bumps on nose tip? (photo)

Thank you for the question and the photo. Bossa (plural, bossae) is a term that means a palpable and/or visible bump in the nasal contour (generally the tip) which occurs after rhinoplasty. This can happen right away or years down the line. Generally, these occur when sharp angle or edges of cartilage are present in an area with relatively thin skin. Treatment can be as simple as making a tiny poke-hole and shaving the cartilage with a needle, or as complex as completely re-opening the nose and reducing or reorienting the cartilages. Determination of the best approach for you would require in-person examination.

This is difficult to answer without an exam, because there appears to be both a skin component and a cartilage component involved here.Kenneth Hughes, MDLos Angeles, CA

I read your concerns and reviewed your up-close photos which are limited for evaluation.You appear to have rosacea with tip redness and dilated visible capillaries. You may wish to consult a reputable dermatologist regarding your skin which could be treated with IPL, laser, or light electrosurgery.Insofar as your tip irregularities are concerned, these may be irregular cartilaginous bossae which may not be improved with further surgery. You may have this skin overlying your nasal tip and firm underlying cartilage, and both of these pre-operative conditions may have contributed to your current appearance.In our practice, many of our patients have seen improvement in the appearance of bossae after Silikon-1000 injections. This is an off-label filler for permanent results. Silicone nasal injections may add volume to your tip and add a layer of cushioning between your skin and irregular tip cartilages. Slight widening of your tip would be expected.Hope this is helpful for you.Dr. Joseph