I have had a bony protrusin on the upper left side of mynose after my doctor removed my dorsal hump in rhinoplastysurgery. It has been over a year and he now wants to correct the small bont protrusion shaving it down in his office usinf a local anesthetic. Is this a common way to fix a small visable bumpy bone on the upoer left part of my nose? I have never heard of this before?
Without seeing a photograph, I cannot be sure of what you are describing. However, when a bump is removed, the cartilage in the middle third of the nose loses its support and falls toward the center. This often leaves a bony ridge or "bump" where the bone ends. However, the problem is not in the bone, but in the mid-third that has narrowed – – the so-called "internal valve.". In that case, smoothing the bone down does not help. What the surgeon must do is brace the middle third to realign it with the bone. Almost always, when the middle third narrows, the airway gets worse, so you may have noticed that your breathing is not as good as it was. That is the cause. You need to find a surgeon skillful in repairing the collapsed internal valves. By far the most reliable, proven method is spreader grafts, which my research has shown should at least double your airflow. Good luck to you. Mark B Constantian, MD
Small revisions such as you describe can be performed under local anesthesia in the office. If you are nervous about the procedure and would rather have general anesthesia, express your concerns with your surgeon.