Residual Bump Following Rhinoplasty (2 Months Post Op)? (photo)

     A residual hump can usually be palpated and distinguished from swelling.  If your plastic surgeon thinks that it is swelling, it probably is.  Most plastic surgeons who perform many rhinoplasties have the hump completely gone on every case.  However, sometimes during healing due to infracture, the bony callus can develop and obscure this look.  The callus as it matures usually remodels as well.  I greenstick as many infractures as I can instead of medial osteotomy to reduce the incidence.  Kenneth Hughes, MD HughesPlasticSurgery, Los Angeles

Your nose has some swelling for the first twelve months after a rhinoplasty. It is best to allow all swelling to heal before determining whether any further surgery is needed. Allow the surgeon to understand your concerns and then answer your questions.