How is a broken nose with deviated septum fixed?

I am 19 and had an altercation. I was punched on the side of my face and he broke my nose. My nose is deformed. It looks like I have a deviated septum. My question is whether this would be fixed in the doctor's office or it would be fixed surgically. The reason why I am asking is if I need surgery if at the same time the surgeon would be willing to make some slight changes to my nose by removing small bump and narrowing my nose a little.

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7 answers to “How is a broken nose with deviated...”

A: Correcting a broken nose and deviated septum requires surgery

By William Portuese, MD - Seattle Facial Plastic Surgeon

With regards to the broken nose, it is most likely that the nose is twisted on the outside as well as the inside. Both have to be reset back to the normal anatomical straight position so that the nose looks straight from the outside and breathes well from the inside. This type of surgery is not done in the... more

A: Fixing a Broken Nose

By Richard W. Fleming, MD - Beverly Hills Facial Plastic Surgeon

Fixing the broken nose and making any other changes can and should be done at the same time. Why have two separate operations? Many surgeons have an accredited outpatient surgical facility in their offices; therefore the procedure frequently done in the office, avoiding hospitalization.

A: Timing of broken nose repair is variable

By Randolph Capone, MD - Baltimore Facial Plastic Surgeon

The textbook answer here is that you have roughly 10 days to "set" the nasal bone fracture, but any remaining septal deflection would be corrected by a septoplasty procedure about 3 months later. The reason for the septoplasty delay is 3-fold: First, the septum might correct when the nasal... more

A: Can cosmetic changes be done to a nose when fixing a deviated septum?

By Sirish Maddali, MD - Bay Area Plastic Surgeon

It is important to know how long ago your altercation was. If it has only been a few days since the injury, you can have your bones set with some sedation. Then, after that has healed, you will need a surgical procedure to correct your cosmetic needs. On the other hand, if this is an older injury and the... more

A: Nasal Fracture with Deviated Nasal Septum

By Michael A. Persky, MD - Los Angeles Facial Plastic Surgeon

Hi Brandon, You can have someone hit you from the other side, or if you prefer, the bones can be reset in a rhinoplasty surgeon's office. With an acute nasal fracture, it is best to get the bones reset (closed reduction of nasal fracture) within the first 10 days, up to 18 days, but the longer... more

A: Both can be done at the same time.

By Toby G. Mayer, MD - Beverly Hills Facial Plastic Surgeon

After a few weeks the surgeon can do both since he has to rebreak the bones to center them. If there are other things you want done such as narrowing the tip, etc. they can also be done.

A: How Long ago was the latercation?

By S. Randolph Waldman, MD - Lexington Facial Plastic Surgeon

How long ago was the altercation? That is the key to this answer. If your nose was broken within the last few days then a closed reduction should be done in the office under sedation in order to straighten the bones. The septum should be allowed to heal and then secondary surgery can be... more