4 years ago, I was in an car accident hitting my nose (bottom/tip area) very hard. I didn't think it was broken at the time; the bone felt straight and I had no bleeding at all (but a lot of swelling.)
A few years later, I can see that the tip of the nose definitely goes off to the right side a little in a face-on view. It seems I must have displaced/broken the cartilage of the lower nose (septum?) without breaking the upper part or bone. How difficult would this be to fix? Thank you!
Answer: Straightening a twisted nose
Your complaint is a common one after septal injury, fracture or hematome. This is a relatively common problem. In general several steps are required to reverse the twisting caused by post traumatic healing/scarring. Firstly a separation of components must be performed. This means separation of the four major shaping cartilages from eachother and from the septum. Once they are relieved from the scarring and pressures exerted on eachother they can be assessed for form and needed interventions. the next step is to relieve distorting pressures from the central septum. this is achieved with what is commonly referred to as a submucous resection. the central septum is removed leaving the structurally important parts intact. sometimes this intervention alone is enogh to straighten the nose and repositioning of the four major cartilages is all that is necessary. Other times, the removed piece of septum must be carved into batton grafts and sewed to the septum to straighten it. Additional grafts may be necessary to achieve adequate and centralized tip projection. A well trained plastic and reconstructive surgeon should be able to deliver you beautiful results. I hope this helps!
All the best,
Rian A. Maercks M.D.
Helpful
Book a consultation
CONTACT NOW Answer: Straightening a twisted nose
Your complaint is a common one after septal injury, fracture or hematome. This is a relatively common problem. In general several steps are required to reverse the twisting caused by post traumatic healing/scarring. Firstly a separation of components must be performed. This means separation of the four major shaping cartilages from eachother and from the septum. Once they are relieved from the scarring and pressures exerted on eachother they can be assessed for form and needed interventions. the next step is to relieve distorting pressures from the central septum. this is achieved with what is commonly referred to as a submucous resection. the central septum is removed leaving the structurally important parts intact. sometimes this intervention alone is enogh to straighten the nose and repositioning of the four major cartilages is all that is necessary. Other times, the removed piece of septum must be carved into batton grafts and sewed to the septum to straighten it. Additional grafts may be necessary to achieve adequate and centralized tip projection. A well trained plastic and reconstructive surgeon should be able to deliver you beautiful results. I hope this helps!
All the best,
Rian A. Maercks M.D.
Helpful
Book a consultation
CONTACT NOW January 20, 2010
Answer: Fixing a broken nasal tip It is certainly common to fracture cartilage independently of the nasal bones during an accident involving the nose. This can cause the nasal tip to be twisted and appear very asymmetric. The septum and tip cartilages can be broken, twisted, and warped over time from a nasal injury. Very frequently structural cartilage grafts are harvested from the inside of the nose and placed internally to augment the twisted portion of the nose to create more symmetry. This also usually allows for better breathing. Occasionally, the nasal bones will need to be broken as well if they are twisted and fractured.
Helpful
Book a virtual consultation
CONTACT NOW January 20, 2010
Answer: Fixing a broken nasal tip It is certainly common to fracture cartilage independently of the nasal bones during an accident involving the nose. This can cause the nasal tip to be twisted and appear very asymmetric. The septum and tip cartilages can be broken, twisted, and warped over time from a nasal injury. Very frequently structural cartilage grafts are harvested from the inside of the nose and placed internally to augment the twisted portion of the nose to create more symmetry. This also usually allows for better breathing. Occasionally, the nasal bones will need to be broken as well if they are twisted and fractured.
Helpful
Book a virtual consultation
CONTACT NOW
December 23, 2009
Answer: Where the septum goes...So goes the nose. If the tip of your nose is deviated after nasal trauma, it could be from a septal fracture. You should consult a board-certified, experienced Rhinoplasty specialist to diagnose your problem, and make specific recommendations. I hope this is helpful for you.
Helpful
Book a virtual consultation
CONTACT NOW December 23, 2009
Answer: Where the septum goes...So goes the nose. If the tip of your nose is deviated after nasal trauma, it could be from a septal fracture. You should consult a board-certified, experienced Rhinoplasty specialist to diagnose your problem, and make specific recommendations. I hope this is helpful for you.
Helpful
Book a virtual consultation
CONTACT NOW
FIND THE RIGHT
TREATMENT FOR YOU
December 22, 2009
Answer: Fixing broken nose tip should be done by boarded surgeon It is an operation that MUST be done by a boarded surgeon. Go see 3 in your area in person to get a variety of opinions. Internet opinions are ok but in person evaluations is the best alternative. Merry Merry.
Helpful
Book a virtual consultation
CONTACT NOW December 22, 2009
Answer: Fixing broken nose tip should be done by boarded surgeon It is an operation that MUST be done by a boarded surgeon. Go see 3 in your area in person to get a variety of opinions. Internet opinions are ok but in person evaluations is the best alternative. Merry Merry.
Helpful
Book a virtual consultation
CONTACT NOW
December 21, 2009
Answer: Fixing the lower part of the nose A crooked tip can result from either nasal trauma or can even be congenital in nature. It is a little bit more difficult to fix than the classic broken nose involving the nasal bones. Depending upon the extent of your injury, you may need the cartilages of the lower third of your nose reshaped or it may be just a manner of fixing the crooked septum which is pushing the lower third of your nose. In complicated situations, grafts may be required from the septum itself to camoflauge any irregularities. I hope this information helps.
Helpful
Book a virtual consultation
CONTACT NOW December 21, 2009
Answer: Fixing the lower part of the nose A crooked tip can result from either nasal trauma or can even be congenital in nature. It is a little bit more difficult to fix than the classic broken nose involving the nasal bones. Depending upon the extent of your injury, you may need the cartilages of the lower third of your nose reshaped or it may be just a manner of fixing the crooked septum which is pushing the lower third of your nose. In complicated situations, grafts may be required from the septum itself to camoflauge any irregularities. I hope this information helps.
Helpful
Book a virtual consultation
CONTACT NOW