ENT Doctor or Plastic Surgeon to Repair Broken Nose? Doctor Answers, Tips
Rhinoplasty: Q&A
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ENT Doctor or Plastic Surgeon to Repair Broken Nose?

My daughter broke her nose today playing softball. She had nose surgery when she was 16 and now she is 40. She could use some modification on her previous surgery as well as fixing the several degree nose that is off course now. Is she better to see an Eye Nose and Throat Doctor or a plastic surgern? Can he fix others problems while repairing the broken nose and still be covered under insurance? She did have CT scan and have to go to the emergency room.

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17 Doctor Answers | Asked by 7448anon in Oklahoma
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ENT Doctor or Plastic Surgeon to fix broken nose

Facial plastic surgeons, general plastic surgeons, ear, nose and throat doctors are all trained and should be capable of performing rhinoplasty surgery. The question is not the specialty but the individual surgeon. It would serve you well to find a surgeon who is very experienced in performing rhinoplasty and maintains a reputation for achieving consistently good results. You have to discuss financial matters and insurance with the surgeons with whom you consult. Cost and coverage are very... more
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ENT or plastic surgeon for repairing nose

Any board certified ENT or plastic surgeon with an interest in rhinoplasty surgery will be a good choice. But you have to do your research and make sure the surgeon can show you before and after photos. Insurance will only cover the portion of the surgery which is medically necessary. Making the nose more refined is considered cosmetic and will not be covered.
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ENT or plastic surgeon

This is the type of advice that would require photos and or a full examination. With a complicated issue such as this one, and since it is a revision, it may be best to seek out a revision rhinoplasty specialist and/or a facial plastic surgeon. In particular, facial plastic surgeons are a great option since they have the functional aspect covered from ent training and the aesthetic vision due to training in facial plastic surgery. I am a facial plastic and reconstructive surgeon, and... more

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Rhinoplasty doctor

An ENT or plastic surgeon that performs rhinoplasty commonly is a good choice. Either one that is qualified should be able to correct the problems. AS for the insurance question it varies.
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ENT or Plastic Surgeon to fix Broken nose

Don't pick the specialty, pick the doctor. Find a board certified physician experienced in cosmetic and functional rhinoplasty surgery. Your surgeon's office can help you clarify insurance coverage pre-operatively.
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Who is better in treating a nose fracture, an ENT doctor or a Plastic surgeon?

I would recommend a n experienced rhinoplasty surgeon for this problem. Rhinoplasty surgeons can have training as a facial plastic surgeon or a general plastic surgeon. Facial plastic surgeons are ENT doctors who have additional training to treat cosmetic and reconstructive problems encountered in the face. General plastic surgeons spend at least two years training as general surgeons and another three or more years to become plastic surgeons. In general, facial plastic surgeons have... more
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Repairing a broken nose

Having had a previous rhinoplasty introduces an additional degree of difficulty in repairing your daughter's nose. I would recommend either a facial plastic surgeon who has background in ENT surgery or a plastic surgeon who does a lot of rhinoplasties. Also, I would see someone who has done a fair number of revision surgeries due to the added intricacies involved in repairing a nose that has been previiously operated on. I hope this information helps.
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Qualifies Rhinoplasty Surgeon

I would focus on a Facial Plastic Surgeon (Otolaryngology background) or Plastic Surgeon who is experienced in Rhinoplasty surgery. Both specialties are trained to perform this type of surgery, but only some individuals within each specialty take a special interest in it and/or obtain consistently good results.
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Acute Treatment of a Broken, Prevously Operated Nose

As a Plastic surgeon with several good friends who are ENT (Facial) Plastic surgeon, I feel strongly that a well-trained nose surgeon REGARDLESS of their formal training is what she needs to see. If she is happy with her previous nose surgeon, she should see him/her. Nasal fractures need to be evaluated immediately to prevent pressure by blood on the lining of the septum (Septal Hematoma). If such a blood collection is present, it needs to be evacuated as soon as possible. Putting the nasal... more
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Experienced with noses

In general both fields are more than capable of handling the issue. What you want is a surgeon that meets the following criteria: 1. Experienced with nasal TRAUMA/facial fractures as the pattern and instability around newly tramatically broken noses is different than a controlled break in the operating room. 2. Experienced with secondary rhinoplasty. 3. Board certified by American Board of Plastic Surgery. This can be a "plastic surgeon" as well as an "ENT" surgeon. In... more
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The experience, credentials, and outcomes of your Rhinoplasty Surgeon need to be assessed.

Since your daughter had previous nasal surgery, she should consult an experienced, board-certified Rhinoplasty surgeon with many favorable photos. Since the injury was yesterday, she should be seen within the next week or so, as she may only require a closed reduction of her fracture with local anesthetic in the office. I hope this is helpful for you.
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Plastic surgeon vs ENT for nasal fracture

Both plastic surgeons and ENT surgeons are capable of fixing this, but you should make sure that the surgeon you choose has extensive experience with nasal surgery. In general, insurance will cover the surgery related to the trauma; if your daughter wishes to have additional cosmetic work at the same time, she should expect to pay out of pocket for this. Good luck, /nsn.
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Choose the most experienced rhinoplasty surgeon who does good noses.

 The specialty is of less concern than the ability and experience of the surgeon. Look at real patients the surgeon has done and speak with them.
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Repair of nasal fractures after rhinoplasty

Your best bet in the setting of a nasal fracture after a rhinoplasty is seeking treatment from a surgeon who focuses the majority of their practice on the nose. There are both facial plastic surgeons (ENT) and plastic surgeons who would fall into this category. Your research should be geared toward the ability to correct problems from previous rhinoplasty surgery (revision rhinoplasty), and ability to correct berathing problems. Insurance may cover certain aspects of the procedures required... more
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Find the best nose doc you can for a broken nose and prior surgery

There are many superb ENT trained Facial Plastic Surgeons and many superb Plastic Surgeons who understand the nose. However, if you have had a prior rhinoplasty and now broke your nose, you want the most skilled person you can find who can address your nose inside and out. Seek out a specialist who devotes the majority of their practice to the nose and can treat both the cosmetic and functional aspects of the nose.
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Doctor choice depends on experience

Either is fine as long as the one you choose is doing lots of nose surgery with good results. Both ENTs and Plastic Surgeons are Board Certified by The American Board of Medical Specialties do do Plastic Surgery on the face. Typically ENT's do lots of septal and functional surgery. A small percentage do further sub-specialization and become Facial Plastic Surgeons and they do lots of nose surgery on the inside and outside of the nose. There are many Plastic Surgeons who do lots of good... more
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Ent vs plastic surgeon for nose

As a plastic surgeon, I will tell you it is a toss up. What you really want to know is the amount of experience with rhinoplasty and more importantly secondary rhinoplasty the doctor has had. Both do rhinoplasties and both do good jobs, so it is a matter of finding one your daughter is comfortable with and has the experience to treat your daughter. Good luck in your decision.
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