7 months post op - is rasping a bump on my bridge safe at this point? (photos)

Question

Hello, I had an open rhinoplasty about 7 months ago. I really like the tip but I have a bump on the top part of my nose, on the Bonny part of the bridge which highly bothers me. My surgeon told me that it was my bone and that he didn’t remove enough of it during the surgery. He offered me to rasp the bump in his office in a few months under local anesthesia. After reading posts online I am scared that rasping would lead to an open roof deformity. Any advice? I am mostly bothered by the 3/4 side.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, I would not recommend rasping under local anesthesia. This usually does not have a good long-term outcome. The skin of the dorsum is very thin. If rasping is done or local anesthesia, it will usually look good for 1 to 2 months and then will end up looking much worse in the long run. A formal revision with dorsal takedown and then placement of a fascial onaly graft to help smooth the area would be a much better long-term result. 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

Eric M. Joseph, MD · Answer

Timing of revision surgery for a bony bump after rhinoplasty surgery is largely determined by the amount of swelling that is left in somebody's nose. Whenever we have had this experience, we typically rasp the hump, lower the bridge, and perform osteotomies to ensure that somebody's nose stays as narrow as possible. I hope this helps! Sincerely, Dr Joseph

Mats Hagstrom, MD (license on probation) · Answer

No surgery comes without risk or side effects.
If you don’t want to take the risk then live with the bump.
If the bump bothers you enough that you’re willing to take the risk then have the procedure.
I suggest you follow up with your provider and have him or her guide you through this decision-making process.
Reducing a dorsal hump should not cause a deformity if your provider has sufficient skill and experience.
Plastic surgical outcomes are generally based on candidacy and provider skill.
Those are the two variables to determine quality outcomes versus disappointing outcomes. There are of course, also quality outcomes where patients are still dissatisfied.
If you need a second opinion then schedule, that as an in person second opinion consultation with other plastic surgeons in your community.
Posting on this website should not be considered a second opinion consultation.
For second opinion consultations come prepared bringing with you a complete set of proper before and after pictures and a copy of your operative report.These can be obtained from your current providers office by requesting them.
Best,
Mats Hagstrom MD

7 months post op - is rasping a bump on my bridge safe at this point? (photos)

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7 months post op - is rasping a bump on my bridge safe at this point? (photos)

Answers (3)

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Recommended reading

Everything you need to know about Rhinoplasty

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