Can my Healed Broken Crooked Nose Only be Straightened via Surgery?

Question

Hi. About 6 months ago I believe I broke my nose. There was a crack and a little swelling. It was only made a little crooked though, and since I'm young and uninsured I didn't go to the doctor. About a month ago I fell and my nose became more crooked. On the left side it's risen and has a bump, giving the appearance that my nose isnt straight. My breathing isnt affected,but I don't want to live with the way my nose now looks. Can a doctor rebreak and straighten my nose, or is surgery only option?

Howard Webster, MBBS (Hons), FRACS · Answer

If it's only a month since your second injury, then you still may be swollen.  Without a picture it's impossible to properly advise you.

	However:  Being a month after injury, I would suggest now leaving it for at least 6 months in the hope that with swelling reduction your nose will look acceptable.

	If it still is crooked but only very mildly so, it's possible that fillers ( an injectable treatment)  might be enough to improve the appearance of symmetry.

	If it is obviously and significantly crooked then there is no way of correcting it other than surgery.

	If you are happy to post a good picture of your nose, more specific advice can be provided for you.

	Good luck.

Jonathan Kulbersh, MD · Answer

I'm sorry that your nose has been damaged twice in just six months. Re-breaking and re-setting your nose is actually considered surgery and is a normal part of the rhinoplasty procedure. A facial plastic surgeon who has expertise in reshaping noses can take a look and advise you on your best course. I hope this helps.

Eric M. Joseph, MD · Answer

Depressions on one side of the nasal bridge may lead to a crooked appearance and in our practice, micro droplet Silikon-1000 treatments may be permanent nonsurgical solutions for many people. Some people require rhinoplasty surgery to reposition their nasal fractures. Consider consulting with a rhinoplasty specialist so you could see what might be best for you. Thank you. Dr Joseph

Richard J. Bruneteau, MD · Answer

The
correction of displaced nasal fractures usually always requires surgical
intervention.When these fractures are
recent, they can usually be treated with a closed nasal reduction.Fractures of longer duration usually require
a formal rhinoplasty.In this
situation, a closed nasal reduction might have limited success for several
reasons.This procedure may not be
effective in a fracture that’s four weeks old.In addition, closed reduction might not impact the changes associated
with the first older fracture.Under
these circumstances, a reconstructive rhinoplasty in combination with a septal
realignment may be necessary.This
procedure shouldn’t be performed for at least six to nine months following the
most recent injury. No two
patients are exactly alike and for this reason treatment plans should be
individualized.It’s therefore important
to consult a board certified plastic surgeon who can perform a comprehensive
evaluation and formulate an appropriate treatment plan.

William Portuese, MD · Answer

A broken nose will remain crooked unless it is reset properly by osteotomies, which is re-breaking the nasal bones in a very controlled fashion.  Both medial and lateral osteotomies are performed while the patient is under general anesthesia.  A cast will then be applied across the bridge of the nose and left in place for approximately 1 week.  Any bruising from the surgery typically resolves after 14 days.  It is also important to make sure the septum is not deviated at the internal portion of the nose, which may or may not need to be addressed at the time of the surgery.

Thomas A. Lamperti, MD · Answer

By about 6 weeks after breaking the nose the nasal bone have reset in their new position. As a result, in order to straighten the deviation after that point would involve creating controlled bone fractures (osteotomies) to reposition the nasal bones.

	If you reinjured your nose 1 month ago it may be possible to reposition the bones without performing osteotomies though it can be difficult that far out from the injury.

Can my Healed Broken Crooked Nose Only be Straightened via Surgery?

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Can my Healed Broken Crooked Nose Only be Straightened via Surgery?

Answers (20)

Answer: Broken nose straightening

Answer: Broken nose straightening

Answer: Rebreaking the Nose for Rhinoplasty

Answer: Rebreaking the Nose for Rhinoplasty

Answer: A crooked nasal appearance may be improved with both rhinoplasty and nonsurgical rhinoplastic procedures.

Answer: A crooked nasal appearance may be improved with both rhinoplasty and nonsurgical rhinoplastic procedures.

Recommended reading

Everything you need to know about Rhinoplasty

Answer: Reconstructive Rhinoplasty... Maybe a good option for you.

Answer: Reconstructive Rhinoplasty... Maybe a good option for you.

Answer: Straightening a healed broken crooked nose

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Answer: Correcting crooked nose

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