Can my Healed Broken Crooked Nose Only be Straightened via Surgery? Doctor Answers, Tips
Rhinoplasty: Q&A
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Can my Healed Broken Crooked Nose Only be Straightened via Surgery?

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?

17 Doctor Answers | Asked by Lynne31 in Hagerstown, md
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Straightening a healed broken crooked nose

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... more
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Treatment of Broken, Crooked Nose 1 Month Injury

It is very unlikely a surgeon can significantly improve your cooked nose with a bump by digitally manipulating the bones1 month after the injury. Unfortunately, surgery is probably the only alternative but a much better result will be achieved.
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Crooked nose

By definition fixed bony or cartilaginous deformities can only be changed by phusical reshaping-surgery. No pill, spray or injection will do this. Crookrd or deviated noses are challenging and you should consult with a rhinoplasty surgeon comfortable with this problem and both internal and external nasal surgery.

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

It will require a Rhinoplasty and osteotomies to re-break and re-allign the nasal bones and cartilage. There is no way or manipulating the nose externally once the breaks are healed and IMHO, this closed reduction procedure has an exceedingly high failure rate (nose is still crooked) even when done before the nose heals.
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Does Broken Nose Require Surgery to Correct

Yes, a doctor can rebreak your nose to straighten it but it can only be done with any accuracy by operating. It may be as simple as recreating the break and aligning and splinting the nose. It may also require attention to the nasal septum which is frequently dislocated or fractured along with the nasal bones. An unrepaired septum made lead to less than satisfactory results with the reduction of the nasal bones so make sure this is checked out as well. Best of luck Dr Harrell more
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Nasal correction after trauma

If your nasal bones were altered after trauma and are not straight the only way to straighten the nose is to straighten the nose. If your nose is re broken and straightened that is surgery.
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Correcting crooked nose

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.
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Surgery to straighten a crooked nose

Sorry to hear about your two nasal fractures! Your nose certainly can be improved, but it will likely require surgery. Occasionally, in very mild cases of asymmetry, we can sometimes us a filler, like Restylane, to correct a small divot in the nose. However, from your description, it sounds like you will require surgery to straighten your nose.
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Broken nose straightening

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... more
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Beyond a couple of weeks following injury the only way to straighten a crooked nose is surgery

Beyond a couple of weeks following injury the only way to straighten a crooked nose is surgery. During the procedure fine instruments are used to "cut" the nasal bones rather than "break the nose." Depending upon what other changes you want to make in the shape of your nose this procedure can require anywhere from 30 minutes to two hours and can be performed under twilight anesthesia. Consult with an experienced Facial Plastic Surgeon if you have any questions about this surgery. Thank... more
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Crooked nose and rhinoplasty

Yes, if you had a displaced nasal fracture, surgery would be the open open. When you ask whether the bones can be "rebroken", reduction of a nasal fracture can be accomplished in the first few days after a trauma, either by an open or closed approach, but at this point, you would need surgery. The extent of that surgery would depend on the internal and external condition of the nose, whether septoplasty or SMR would be required and the degree of reconstruction required. This can be... more
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When and how to fix a broken nose.

The best time to reposition fractured nasal bones is within a two week period after the initial injury. If done during that time period,the bones can be manipulated back into their original position and no need for aggressive surgery or re-breaking up the bones are necessary. however, once the bones have healed, the only way to reposition them is to fracture them again.
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How to straighten a crooked nose

Unfortunately, at this point the nose would need to be re=fractured and straightened out. The problem may lie iin whether or not the septum needs to be straightened as well, and this can only be determined by seeing a qualified plastic or facial plastic surgeon experienced in rhinoplasty. I have to agree with my colleagues that surgery is the only answer, but get several opinions before proceeding. Good luck
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Broken nose.

Your only option is surgery at this point. The surgeon will need to "rebreak" the nose, but in a controlled surgical way (call osteotomies). In addition, the inside septum may be crooked and need to be treated surgically. Good luck!
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Straightening a crooked nose

Yes, a surgeon can rebreak and straighten your nose, but that is the same thing as having surgery. Straightening the nose without surgery only works when done soon after the trauma, before the bones and cartilage have healed in the incorrect position. In such an instance, the surgeon is not "rebreaking", but rather is realigning the nose in a procedure called a "closed reduction of nasal fracture". Also, it may be more than just your nasal bones that were injured. You may... more
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A crooked nose is often more than just crooked bones

Dear Lynne To directly answer your question, a surgeon can "rebreak and straighten" your nose. But a crooked nose is often more than just crooked bones. A complete Septorhinoplasty may be needed and that depends on how the cartilage of the rest of your nose was affected by your accident. This can only be determined with a consult to discuss your options. Best Wishes.
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Can my Healed Broken Crooked Nose Only be Straightened via Surgery?

At this particular time surgery is your only option. In the very short window of 2 weeks from the time of injury your nasal fracture is still mobile and amendable to repositioning. So at this particular time an operation is necessary to refracture the nose in a controlled manner and reset the nasal bones. To be fair, however, often times even if you had been seen in the short term....a quick closed nasal reduction often doesn't cut it from a results standpoint and it is... more
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