Nose bridge looks rasped and operated on 7 months post-rhinoplasty. Will it look more natural as swelling settles at 1 year?
Doctor Answers 5
Irregular Nasal Dorsum
I assume that you are referring to visible irregularity (what you can see) and not palpable irregularity (what you can feel), which is less important. If the nasal bridge appears bumpy and irregular now, it is only likely to become more so as your swelling diminishes and the skin becomes thinner with time.
Fortunately, the problem can be corrected. Speak to your surgeon about surgical and non-surgical solutions to the problem. I would recommend rasping the bridge of the nose a second time while simultaneously placing a thin soft tissue graft (fascia) under the skin to provide extra padding - making it less likely that any irregularity will be visible in the future. If you are weary and opposed to a second surgical procedure, you can mask the problem with filler. The latter approach while effective does require maintenance. I wish you the best.
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Nose with "operated-on" look 7 months post-op.
Do you have a flat area where the bone and cartilage was reduced (rasped and cut)? Photos (or personal examination) would certainly help any of us online consultants to answer better. If the answer to the flat area and bony edge question is "Yes" then your nasal bones may not have been broken to narrow and restore the nasal pyramid. The resultant "open roof" deformity is but one potential cause of what you may be describing.
Unfortunately, if this is what you are asking about, it will not get better without the nasal bones being broken and the flat area restored to the normal (non-bump, non flat area) anatomy that is expected after rhinoplasty.
Nasal bone do not "need" to be broken in every rhinoplasty case, but if you had a bump removed to create a more pleasing nasal profile, the resultant flat open-roof deformity must be surgically accounted-for by breaking the nasal bones and re-creating the proper nasal dorsum.
Without photos or examination this is purely speculation, however. Best wishes! Dr. Tholen
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