Nose was broken in the late 90s. Can it be reset by a ENT doctor now?
Can a Broken Nose Be Reset Years After Being Broken?
Doctor Answers (24)
Nose can be reset years after injury
Yes, a nose reset years after an injury and can be done through rhinoplasty, specifically an open reduction of the nasal fracture. If it has caused breathing issues with the nose, surgery may be covered under the patient’s medical insurance if determined a medical necessity. A qualified ENT facial plastic surgeon that has performed many of these would be your best option.
Timing of rhinoplasty for the broken nose
Typically, we try to reset the bones before they've healed. After that, the surgery essentially becomes a rhinoplasty. The specific maneuvers needed will depend on the individual nose. This may include a combination of breaking/resetting the bones and camouflage techniques (using grafts, etc).
Best of luck to you.
Resetting broken nose after many years
A nose cannot be "reset", but it can be realigned with an osteotomy. Every alteration in the nose affects other elements. For example, an osteotomy alone might cause worsening of the breathing if it is not specifically addressed.
For the best result, the nose as a whole should be evaluate, the breathing maximized, and the appearance made the best possible.
This is not just a reconstructive procedure like removing a mole. It is an aesthetic procedure and a functional one that requires very careful assessment before the surgery and a plan that maximizes all the elements above.
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It’s not unusual for patients with post traumatic nasal deformities to present for consultation years after their original nasal fracture. Under these circumstances, nasal fractures are managed very differently than they are immediately following nasal injuries. Immediately after nasal injuries, nasal fractures are treated with a procedure known as a closed nasal reduction. At this point, the bones are still freely moveable. This procedure relocates or resets the nasal bones in proper position. They are then held in this position with a nasal splint.
When patients present years after an injury the bones have usually healed in an abnormal position. Under these circumstances closed reduction won’t work and rhinoplasty surgery is usually necessary.
At this point, a careful analysis needs to be undertaken to evaluate both aesthetic and functional issues. It’s important to make sure that breathing isn’t compromised by a deviated nasal septum. It’s also important to understand the patient’s aesthetic goals.
Rhinoplasty surgery can dramatically impact appearance. The procedure is designed to address the patient’s aesthetic goals and unique anatomic findings following nasal trauma. In most cases the procedure corrects post traumatic dorsal humps and increased nasal width. In many cases it also straightens the nasal septum and nose.
In patients with post traumatic nasal deformities with associated functional impairment, consultation with a board certified plastic surgeon is appropriate. It’s never too late to correct these types of deformities, especially if they’re associated with functional impairment.
Resetting a Broken Nose Years after Trauma
The results of your rhinoplasty surgery will not be influenced by the duration of the deformity. An experienced surgeon will help you establish reasonable expectations depending on the problem, not how long it has been present.
Repair of broken nose years after being broken
Yes, a broken nose can be reset years after being broken. Typically this requires precisely cutting the nasal bones and also sometimes refining fractured areas that have been repaired by the body. Typically this “repair” is a thickened callus formation and bony overgrowth of the fractured areas.
Sometimes this procedure can be challenging. When the nose has been fractured in early adulthood, or in the teenage years, and the patient is looking to repair it in midlife or later, one must consider the other changes that have occurred to the nose since the fracture. These changes come from the aging process, and fit the overall aging of the face.
Repositioning the fractures will help the appearance of the nose, but will not restore the appearance of the nose completely to its original state. Other maneuvers, designed to reverse the signs of aging may also be necessary. In this case, it’s important to maintain harmony with the rest of the face.
Re-resetting a Broken Nose YEARS later
A broken nose is not a single entity but rather a variable mix of injuries which depends on the force of the blow, its direction and where on the nose it lands. In addition to breaking the small nasal bones it can be associated with fractures of the maxillary bones, the bony and cartilaginous septum, among others. Given enough time, all these injuries heal - properly or in a misaligned and or deviated position.
Once they heal, the bones cannot be simply moved over but would require a controlled series of fractures (OSTEOTOMIES) to reshape and reposition the nose. This is best done by a Rhinoplasty surgeon.