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Bump on the Nose After Rhinoplasty: Insights from Dr. Jonathon Sky and Answers to Patients' Questions

2023-07-25 21:36:48

Dr. Fariba Azadikhah
Reviewed by:
Dr. Fariba Azadikhah

One of the popular cosmetic surgery is rhinoplasty which improves both appearance and function of the nose. While the procedure can be highly effective, you should expect some post-operative symptoms, including bruising, swelling, and the development of a bump on the nose after rhinoplasty.
In this guide, we publish the statement of Dr. Jonathon Sky, a board-certified plastic surgeon in Beverly Hills, to gain insight into the bump on the bridge of the nose after rhinoplasty.
Additionally, we address some commonly asked questions to help patients make informed decisions about the procedure and their care.

Is it normal to have a bump on the bridge of the nose after rhinoplasty?

 Is it normal to have a bump on the bridge of the nose after rhinoplasty?
For this question, let us tell you the response of Dr. Jonathan Sky from Beverly Hills:
Well assuming the patient and the doctor don’t want a bump on the nose, it’s not the greatest thing to have a bump on the nose after rhinoplasty. So how does it happen that we get a bump after rhinoplasty?
Often, the surgeon is taking down the bump to make a relatively straight profile. They take down the bone that involves some bony instruments to almost file the bump down because the bump is hard. For cartilage, if there is a cartilaginous bump or hump, the surgeon cut it away, they actually careful knife to cut it away. So, the bump in the upper half is bony, and in the middle is cartilaginous, so they take it off in a couple of ways.
Now, after we do that, the skin re-drapes and forms on the nose, and it takes a while for the skin is do that.
The skin in the upper half of the nose is thinner than the lower half, so it re-drapes quicker than the lower half. The lower half may take a year or a year and a half to see all of the fine changes and make the nose as small as it going to. The upper half may take only six, or seven months to resolve.

Can a bump on the bridge of the nose after rhinoplasty go away?

Can a bump on the bridge of the nose after rhinoplasty go away?
Dr. Jonathan Sky answers this question:
The bump on the nose after rhinoplasty likely won’t get better. In fact, I tell my patients if the bridge is too big after the surgery, it likely won’t get better.
On the other hand, in the lower half, if the tip looks big after the surgery, that’s likely to get much smaller because the skin is thicker here and it takes time to suck down on the infrastructure on the cartilage.
So, why do we still have a residual bump after rhinoplasty? The surgeon leaves there and just neglects it?
Not usually. Think of it this way. We break an arm, we brake in it, and the bone heals. Well, if you look at the x-ray, the bone actually has sometimes a little callus on it, where bony healing is different from the way we set it.
So our goal during the surgery is to take the bump off and try to anticipate what’s going to happen during the healing sense. But different healing, people heal differently.
So, some of it is related to how the surgeon did it, and some of it is related to your healing. And we can’t exactly control that.
So what happens if you have a bump on the nose after rhinoplasty and all the rest of your nose is doing well and you want to get rid of it?

When should I consider revision rhinoplasty?

When should I consider revision rhinoplasty?
Dr. Sky tells:
I don’t like a revision rhinoplasty for 8 to 12 months after the surgery.
If there is a subtle thing in the nasal tip, I’d like to wait a year; if there is in bridge only, I’ll do that sometime in 8 or 9 months. This is because the inflammation, the skin thickness, and the skin re-draping get better faster on the upper half of the nose than it does in the lower half.
And the subtlety to the lower half of the nose that we may not see all of it early on, and we are likely to have to wait to do a revision rhinoplasty.
Let us respond to patients’ questions regarding the bump on the nose after rhinoplasty.

Responses to Questions: Bump on Bridge of the nose after Rhinoplasty

In the following, let us respond to patients’ questions regarding the bump on the nose after rhinoplasty

Riccardo asks about emerging a cartilage bump on the nose after rhinoplasty

I had nose surgery 30 years ago, but I recently noticed a slight bump below the bridge, above the tip of my nose. It has emerged within the last five years. Do you have any suggestions for removing or improving it?
Our response:
A bump on the bridge of the nose after rhinoplasty is a very common issue, even with the best surgeons. An examination would be necessary to determine the best course of treatment option for your case.

Houtan asks about a small bump on the bridge of the nose after rhinoplasty

I underwent rhinoplasty 3 months ago; in fact, I asked my surgeon to get better shaping of the tip of my nose and a little above it. And since a few days ago, I noticed a small bump on my bridge. Although I didn’t have a bump on my nose before the surgery, I’ve recently noticed the small one.
Is this normal to experience this post-surgery, and do nose bridge bumps go away?
Response to Houtan:
There is a subtle point here:
Rhinoplasty recovery like other plastic surgery has different healing process, including:
•    Early
•    Middle
•    Late
The first few months following rhinoplasty are considered part of the early healing process. While it may too early to determine the “final result”, openly communicating with your surgeon and discussing any concerns and questions you have during the recovery period can stay you well-informed about your progress and ensure that you receive the best possible care.

M.M asks us about septorhinoplasty to remove their dorsal bump

I underwent septorhinoplasty to remove my dorsal bump and slightly raise the tip five months ago. Two or three months ago, my nose appeared relatively straight as I always wanted. However, recently, a bone-like bump has developed on my bridge that looks similar to the previous dorsal bump. I now have two such bumps and occasionally feel pressure on my nose. Is this normal, and what could be the reason for it?
Response to M.M:
Experiencing an Irregular bump on the bridge of the nose after rhinoplasty is not uncommon. However, speaking out with your surgeon can be very helpful and provide you a piece of mind.

Laine asks us about emerging a bump on the nose after rhinoplasty:

I underwent a rhinoplasty around a year ago; but since then, I’ve noticed a bump on my nose has developed. Honestly, I’m worried about fixing it and paying for another surgery with the same surgeon. What’s your suggestion? Is it common for corrective procedures to cost more than the original surgery?
Reply to Laine:
Patients who undergo rhinoplasty, like those who have other plastic surgeries, may desire additional procedures. We always recommend that patients speak with their surgeons about their concerns and individual cases.
In some cases, only a minor adjustment may be necessary to address the issue. Therefore, if you want to address your problem, it's best to speak with your surgeon first. Regarding cost, it can vary among different plastic surgeons

Minaz asks us about the bump on the nose after rhinoplasty

I had a rhinoplasty 10 days ago and 4 days ago I got my cast off. I think I’m afraid of the new shape of my nose. Actually, my side profile is ok, but my front is extremely swollen, big, and wide. The right side of my nose is bigger and more swollen than the left side.
Sometimes, I can feel a bump right between my eyes. Also, my left nostril is wider and harder than the right one.
All this together makes my nose look deformed which makes me scared, especially when I take a photo using flash.
I'm super worried, but I don't wanna come off as pushy by calling my surgeon. Can anyone tell me if the bump will go away?
Reply to Mina:
Swelling right after rhinoplasty is very common and is most significant in the first several days following rhinoplasty. They usually resolve in the first weeks after the procedure. However, you may need to wait a year for the “final” result.
To alleviate your concern, keeping in communication with your surgeon can be very helpful.

Layla asks us about developing a hard bump on the bridge of the nose after rhinoplasty:

After 14 months since my rhinoplasty, I’ve noticed a one-inch bump below my bridge. Should I be worried about it?
Reply to Layla:
Plastic surgeons usually like to check up on their rhinoplasty patients to make sure everything's healing up right. If you haven't already, it's a good idea to get in touch with your surgeon and schedule a follow-up visit to see how things are going.

Mahra asks us about the emerging bump on the nose after rhinoplasty

So, I got my nose done two and a half weeks ago to get rid of my hump and lift up the tip. I've always wanted a cute, low bridge with a perky tip. But now, a week after they took off the cast, I noticed a bump on my nose. When I touch it, it feels like bone, but I dunno if it's just swelling or actual bone/cartilage.
Is this gonna go away on its own? It's visible from both sides and the front, and I'm freaking out a bit that it might not just be swelling.
Reply to Mahra
For your own case, the best recommendation is to communicate with your original surgeon, as circumstances will vary for different patients. But please note that even the best rhinoplasty surgeons in the world can’t give you a guarantee you won’t get a bump on the nose after rhinoplasty.

Tina asks us about developing a callus on the nose after rhinoplasty:

Five months ago, I had a rhinoplasty, but about six weeks ago, I noticed a callus developing on the bridge of my nose. Now, my nose tip is swollen, almost red like it’s sunburned, bigger than before. I also feel a bad sore in the middle when I touch it. What could cause it?
Reply to Tina:
It’s normal for the nose to go through changes after rhinoplasty, and swelling is a common occurrence. However, the development of the callus on the bridge and the current state of your nose are concerning. We recommend you speak to your surgeon about these symptoms to determine the best course of treatment.

Kavi asks us about cartilage bump on the nose after rhinoplasty:

It has been three years since I had an augmentation rhinoplasty, but I am still experiencing skin wrinkles and hardness, and there are bumps on the top and bottom of the augmented cartilage. How can I cure this tightness in my skin, which has not recovered in three years?
Reply to Kavi:
Augmentation rhinoplasty can be performed using various techniques, such as cartilage grafts or implants, depending on the individual's needs and preferences.
In some cases, revision rhinoplasty may be necessary, although this will depend on several factors that can be assessed during a consultation with a qualified surgeon.
At  , we offer access to experienced surgeons in Iran who can provide personalized care and guidance throughout the rhinoplasty process. To learn more about our services or schedule a consultation, please contact us today.

James asks us about the post-operative symptoms and small bump on the nose after rhinoplasty:

I had nose surgery 3 weeks ago. I am aware that post-operative swelling is a common issue, but when my cast was removed, my nose appeared to be straight (I had a hump removed and my tip refined). I have been taping my nose at night, but it's painful when I remove the tape, no matter how slowly I do it.
Currently, there is a small bump where my hump used to be (on the bone, not the cartilage). I assume it's swelling as it's painful and red. I'm applying arnica cream and using ice to reduce the swelling, but I'm not sure if this is causing more damage or not. Is there anything else I can do to reduce the swelling?
Reply to James:
Experiencing these symptoms 3 weeks after rhinoplasty surgery is very common. It’s important to talk to your surgeon and follow their post-operative instructions to minimize the swelling and pain. Over-the-counter medication can be helpful in alleviating pain.

Hana asks us about her slight bump on the nose after rhinoplasty:

I’ve gotten my nose surgery 3 weeks ago, and now, I can feel a slight bump on my nose that I didn’t have before. Is this temporary or permanent?
Reply to Hana:
Experiencing such symptoms three weeks after rhinoplasty is very common. Please note that the healing process can take time, it may several months to up to a year or even more to see the ‘final result’.
We recommend you follow your surgeon’s post-operative instructions carefully to manage any symptoms or complications that may arise.

Kate asks us about her big cartilage bump on the nose after rhinoplasty:

Two weeks ago, I had a rhinoplasty, and after removing the cast, I saw a big bump stretched from the corner of my eye down to my nostril, making my nose appear twice as wide as it used to be.
The bump is hard to touch, and my doctor told me it’s a callus that may disappear on its own, but if it doesn’t, it can be removed by rasping. I'm worried and surprised that something this big could form in just a few days. I'm wondering if it is really a callus and what the chances are that it will disappear on its own, and how long it will take.
Reply to Kate:
As always, we advise patients to maintain communication with their surgeon and not cut off communication. It's common to experience these symptoms right after rhinoplasty, so you will need to wait to see the final results.
But about your question, if it would be callus, you may need a revision rhinoplasty to remove it. However, the decision to pursue surgery will depend on factors, such as the size and location of the callus, the extent of any associated symptoms or discomfort, as well as your preferences.
Please keep in mind that revision rhinoplasty like other plastic surgery has its own down-backs and risks, however, in many cases, it may be the most effective way to reach the desired result.

A bump on the nose after rhinoplasty is not an uncommon issue. We hope that the insight shared by Dr. Sky in this guide has been helpful to those who have undergone nose jobs and now are experiencing bumps or humps on their nose.
If you're considering rhinoplasty or other cosmetic surgeries abroad, we offer you qualified and experienced Iranian surgeons. They are highly skilled and reliable and can deliver excellent results, particularly in the area of rhinoplasty.
Ermateb is a medical tourism agency in Iran that can connect you with top-notch surgeons who specialize in addressing bump on the bridge of the nose or cartilage bump on the nose after rhinoplasty.
With Ermateb's assistance, you can receive the best care for your rhinoplasty procedure and enjoy a successful and safe recovery.

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