Small Bony deviation on my right side (Photo)

Massaging or applying pressure is unlikely to have a significant effect on the underlying bone structure. The bony part of the nose is not easily altered through external pressure or massage techniques.

If you are dissatisfied with your surgeon answer, it could be helpful to seek a second opinion from another qualified rhinoplasty specialist who can evaluate your specific case and provide their perspective on whether a revision might be appropriate.

I hope this helps,
Best of luck !

Hello,
thank you for your question.
At 8 months post-op, what you're noticing appears to be a minor bony irregularity or asymmetry, which can become more noticeable under certain lighting or angles — especially in patients with thinner skin. Since the bump is on the bony part of the nose, massage or applying pressure will not help, as bone cannot be reshaped without surgical intervention. Your surgeon may feel that the result falls within an acceptable range and that a revision isn’t medically necessary, especially considering the risks that even minor revisions can carry. It's completely understandable to be focused on small imperfections after surgery, but it's also important to recognize that what feels significant to you may not be noticeable to others. If it continues to bother you, a second opinion from a board-certified rhinoplasty specialist could give you more clarity.

Your result is very very bad, you have a severe open roof deformity with inverted V, that's why you palpate that lateral ridge on both sides, not only in the one you focus on; you also have overly rotated tip, nasal valve pinching, nostril retraction, poor tip definition and many other technical problems.

It is absolutely understandable your surgeon is telling you the result is brilliant and refuses to do a revision, he is doing you a favor by not doing the revision, hope you get my message.

Find a top level revision rhinoplasty specialist, please.

Hello and thank you for your question. In terms of outcomes following rhinoplasty, these can vary from patient to and patient and from surgeon to surgeon. It would be reasonable to contact your surgeon to discuss your outcome. A detailed in person examination would be of benefit to ensure your concerns are being addressed appropriately.

Thanks Celebrated761962 for your question! It's understandable to worry about a bony deviation after rhinoplasty. Although it may be alluring to think about using natural treatments like massage or pressure, it's crucial to realize that bone is a hard structure that doesn't react well to these kinds of techniques. Sometimes your surgeon may teach you some techniques early after surgery to partially mold the bones favorably.
Usually, surgical revision is used to correct bony abnormalities, particularly those that are visible under specific lighting conditions. This makes it possible for the surgeon to precisely remodel the bone and provide a more beautiful outcome.
Typically, it's recommended to wait at least a year before considering a revision rhinoplasty. This enables full recovery and the reduction of edema.
The precise timing, however, may differ based on your unique situation and the particular problems you're facing. To choose the optimum time for a revision, it is advisable to speak with your surgeon.
Hope this was helpful!
Best wishes,
Dr Ali Sajjadian
TRIPLE Board Certified Plastic Surgeon

Hi,It is better for you to consult with a facial plastic surgeon who can examine you and discuss the surgical procedure and the post op recovery process.

Thank you for your question and for sharing your photographs. To start with, 8 months following your surgery is still too early to be sure regarding the final shape of the nasal bridge. As the swelling decreases over the lateral walls, you may find that the bump that now appears stronger is still there but a lot less noticeable.

If that is the case, a revision is not likely to give you a significant improvement and will also trigger a period of swelling that is problematic because the rest of the nose is not that swollen anymore, making it more visible for several months. Massaging the lateral walls, usually with pressure rather than rubbing, can be an effective way to decrease the swelling.

In general, it is better to apply the pressure for 15 to 20 seconds to give more time for the water to be dislodged from the tissues and returned into the circulation. Most of the swelling is represented by water rather than scar tissue, and the circulation in an area that has been operated on recently is increased for a relatively long period of time as the body produces the repairs.

Ultimately, if around one and a half or even two years from your surgery, there is a contour irregularity that still bothers you, you can always discuss with your surgeon the option of a small revision. At that point, it will be clearer how much of an issue it remains and exactly where it is best to address it.

I see the protuberance where the red arrow points. This appears to be along the path of your osteotomy. You appear to have relatively thick nasal skin, and believe It or not, this could be a drop of swelling that will resolve over the next 6 months. If this doesn't get better over the next 3 to 6 months, a repeat osteotomy should not be a major inconvenience for anyone. Wishing you well. Sincerely, Dr Joseph

Hello,
Thank you for providing these photos. It looks like a revision would be necessary to correct this and that massage won't help much at this point as the bone has healed. In general, I recommend scarless/closed rhinoplasty for all rhinoplasty regardless of whether primary or revision rhinoplasty.
Mark G. Albert, M.D., F.A.C.S.New York, NY

Hello! Thank you for your question.From the photos you provided it looks like your nasal bridge is very wide and the tip still very bulbous. If that disturbs you, I recommend you a revision rhinoplasty surgery. You will most probably need a rib cartilage reconstruction.
Best regards!

Hello @Celebrated761962, thank you for your payment. It's common to have some changes in the shape of your nose during healing, and it does take up to a year for your body to settle into its fully healed state. In terms of massaging or applying pressure to the bump, this would be unwise as it may cause further irritation or even damage given that bone has not yet completely healed after surgery. You should hold off on any touchup procedures until at least 12 months have passed since your operation, in order for all tissues (including bone) to heal properly before seeking revision from your surgeon. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).