I had a revision last summer to deproject the tip of my nose but a couple of days later I noticed a small and bony bump on the bridge. My surgeon said he could shave it in the office under local anesthesia. Is it safe to do so? I read that usually after a bump is removed osteotomies are performed. Does shaving the bump will widen the bridge if osteotomies are not done. Thanks.
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Answers (5)
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Repositioning the LLCs must be defined more precisely to understand the purpose behind it. In most instances, people are referring to changing the orientation of the LLC to remove some of the bulbosity of the tip. However, repositioning can also mean adding or decreasing length of the tip by...
What you describe is exactly what needs to be done. You have two of the most common issues seen in revision rhinoplasty. A hump that was not lowered enough and a hanging columella. Both can be corrected without the use of cartilage grafts
You can certainly build up the bridge if necessary. It's hard to say for sure without photos or an exam. The thing to do is to see an experienced rhinoplasty surgeon for a consultation. Then computer imaging can be done to give you an idea of what can be done.