Revision - bump in bridge. Can it be rasped down? (Photo)

Question

I am over a year PO, 32 year old female, healthy. Had a relatively extensive septorhinoplasty for crookedness, droop when smiling, alarplasty, deprojection. I’m largely happy with the reshaping, but there is a quite visible bony bump on the bridge still. It needs to be addressed at this stage but, how? Can this be rasped down, or is another method preferable? Thanks!

Man Koon Suh, MD · Answer

Thank you for your question. The bump visible on your nose are not simply composed of nasal bone, but rather composed of bone and cartilage. Therefore, it is difficult to expect good results by only rasping the bone, and it is necessary to perform bony bump rasping and cartilage bump resection together, and good results can be expected.

Jonathan Kulbersh, MD · Answer

Hello, and thank you for your question. Based on your photos, you do appear to have a bump. The bony portions of the bump can be rasped to achieve a straighter bridge, but if the bump is caused by cartilaginous elements, it will need to be trimmed. Therefore, it is best to get a personal evaluation to first determine the cause of the bump. Revision rhinoplasty, however, is an even more complex procedure than primary rhinoplasty. I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon, particularly one with a strong rhinoplasty portfolio. Such experts will know the most advanced surgical techniques, as well as have an understanding of the aesthetic and functional elements of the nose while having an eye for symmetry and balance. Your surgeon will evaluate your nose, recommend the best approach to address your concerns and goals, and help ensure the best possible results.

Barry M. Weintraub, MD, FACS · Answer

The nose is composed of half bone and half cartilage. The delineation point is approximately the middle of the nose. Superior cosmetic nasal surgery is, in essence, reconfiguring the understructure of bone and cartilage so that the skin drapes over the nose in a more aesthetically pleasing way. You do appear to have a residual bump in the center of your nose. Any bony elements that comprise this bump can be rasped in an effort to create a neat straight line. Similarly, if there are any cartilaginous components to the hump/bump, they can be trimmed with cartilage-contouring instruments to produce a clean dorsal line.  I see this in my practice from other offices where residual bone and/or cartilage are sometimes left behind, producing a visible contour deformity. Revisionary nasal surgery is detailed and complex and one must always employ a keen eye towards natural aesthetics.

Oakley Smith, MD, FRCSC · Answer

Yes, you can have revision surgery where the bump on the bridge can be removed. Other alternatives to this, depending on your specific case, can be doing liquid rhinoplasty with filler injections to camouflage this bump and give you a smooth profile. It is best to see a doctor in person who can examine you and let you know what treatment options are available.

Revision - bump in bridge. Can it be rasped down? (Photo)

Answers (4)

Answer: Bump on Bridge

Answer: Bump on Bridge

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Everything you need to know about Revision Rhinoplasty

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Revision - bump in bridge. Can it be rasped down? (Photo)

Answers (4)

Answer: Bump on Bridge

Answer: Bump on Bridge

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Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.