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How Much Bleeding After Broken Nose Repair?

When a broken nose is repaired, is there much bleeding afterward?

Doctor Answers (12)

Usually, very little bleeding after nose repair

+1

Any nasal fracture repair or rhinoplasty for that matter, if done properly in a healthy patient, should be associated with very little blood loss. After the case you may have a little oozing, but it usually stops in a couple days. We do not pack the nose because it is extremely uncomfortable - it is better to ooze slightly and breathe.


Edison Facial Plastic Surgeon
5.0 out of 5 stars 66 reviews

Most of the time there is very minimal bleeding

+1

Most of the time there is very minimal bleeding after the nose has been repaired. At the time of the surgery while patients are asleep, there is lidocaine with epinephrine injected into the nasal bones to stop any bleeding and bruising. The nose bones are then reset to their proper anatomical position and then a cast placed across the nose. There is some oozing the first 24 hours after the nose surgery has been performed.

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 60 reviews

Typically no large amount of bleeding after Rhinoplasty

+1

Typically after any Rhinoplasty surgery, there won't be a large amount of bleeding. There may be a small amount of oozing, but that gets soaked up either into a nasal drip pad or nasal packing (if your surgeon uses any.) My advice to all patients is to never swallow any blood once you are awake after surgery. It will make you nauseated and uncomfortable.

The incidence of frank bleeding after surgery is very small in the hands of a careful surgeon. Uncontrolled blood pressure, use of aspirin or ibuprofen type medications, and uncontrolled pain that raises blood pressure are some factors in post-operative bleeding complications. My patients are instructed to open mouth sneeze only. They are also not allowed to blow their noses or reach into their noses. When patients follows these directions, they stay out of trouble typically.

Good luck.

Manish H. Shah, MD, FACS
Denver Plastic Surgeon
5.0 out of 5 stars 21 reviews

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Did you have bleeding or are you anticipating it?

+1

Erin,

I would first ask you the above question. The amount of bleeding after a broken nose repair is highly variable from almost none to a moderate amount and is dependent on a number of factors, including but not limited to, your tendency toward bleeding, the extent of the break, the amount of work required to repair it, whether the septum is involved. Speak to your surgeon for answers to some of these questions and good luck!

Kenneth R. Francis, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 32 reviews

Nose bleeding after nasal fracture repair

+1

Thanks for the question -

The nose is a very vascular structure and fractures associated with mucosal lacerations can bleed quite a bit at the time of injury and at time of repair. In the operating room we're usually able to control the bleeding with cautery or vessel ligation in extreme cases.

After surgical repair there may be some ooze. Your doctor may pack your nose to reduce the chance of hematoma internally.

I hope this helps.

Steven H. Williams, MD
San Francisco Plastic Surgeon
5.0 out of 5 stars 28 reviews

Bleeding after nasal reduction

+1

Bleeding after repair of a broken nose, in my experience is frequently similar to the amount of bleeding experienced at the time of the fracture.

Various agents are used during surgery to minimize bleeding.

A post-operative regimen is also prescribed to minimize bleeding and includes packing, compressses, head elevation, etc.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 48 reviews

Nasal Fracture; How Much Bleeding After Repair?

+1

Hi Erin,

We should ask Tex to answer your question.

There should not be too much bleeding following repair of a nasal fracture. If the repair is a "closed reduction" where the displaced bones are manipulated, there should be very little to no significant bleeding.

If the fracture is repaired through an open reduction, depending upon how much work is done, there can be a little bleeding for about 12 to 24 hours. An open reduction of the fracture is elective and patients should be off all medications that "thin" the blood, i.e. aspirin. In those cases a small gauze sponge is taped below the nostrils, the head is kept elevated above the heart (sleep up on 3-4 pillows), and a light baggy of frozen peas is rested on the bridge of the nose.

Nasal packing is not necessary in the majority of cases. Patients are a little more comfortable without packing, and without having to go through its removal.

Good luck and be well.

Dr. P

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 23 reviews

Bleeding after broken nose repair

+1

Usually after broken nose repair acutely or a rhinoplasty there is a small non-stick dressing of some sort placed under the nasal bones to support them. This is taken out at home the next day by the patient. In either case there is usually only a small amount of blood tinged drainage the first 24 hours that is minor.

Edward Buckingham, MD
Austin Facial Plastic Surgeon
5.0 out of 5 stars 32 reviews

No reason to expect a lot of bleeding after repair

+1

Erin,

I have written a response to explain the different ways to correct a broken nose. The tall and short of the answer to your specific question is that there is no reason to expect a lot of bleeding after surgery. Most surgeons have you leave a gauze drssing below your nose for the first night after surgery to avoid any drip onto your lip.

You should ask if there will be any nasal packing involved as this can be uncomfortable, and we have found it to be unnecessary in the vast majority of our cases. You should also be seen by someone who does a lot of rhinoplasty even if you think you just "broke your nose." This is because septal deviation or septal fracture is very common with twisted and/or broken noses and its correction, in large measure, determines the long-term success in treatment of the associated crooked cosmetic deformities. That is why oftentimes, people who have broken their noses and had them treated in the emergency room, long term end up with a still crooked nose--the bones were straightened but because the septum was not, over time, the nose twists.

Oftentimes, surgeons treating the crooked nose fall into one of two camps, those who attempt to simply "camouflage" existing deformities and those who attempt to restore and reconstruct the pre- injury state. Rarely, following acute trauma where minimal or no functional problems are present, we can use cartilage grafts to restore the pre-injury straight appearance. These thin slices of cartilage are placed over areas of depression or curvature to hide the contour irregularities. The irregularities themselves are left uncorrected. However, while camouflage techniques preserve maximal support, they may lead to a nose that is overly prominent and wide. That is why, in general, we also do not use or recommend injection rhinoplasty in these patients- it can make your nose too wide.

For most patients presenting with broken or crooked noses there is a vague history of previous trauma, often during childhood, which was not treated and eventually led to a twisted nose. Oftentimes in correcting the twisted tip or asymmetric nostrils, we have found that it is the deviated or fractured septum that is the main cause and not the broken bones. Reconstruction provides optimal aesthetics in these cases because it not only allows us to make the nose look straighter but also to restore the underlying framework to its normal pre- injury positions. This approach is balanced and allows us to address each cosmetic concern while maintaining and maximizing long-term support and function.

Peyman Solieman, MD
Beverly Hills Facial Plastic Surgeon
3.0 out of 5 stars 3 reviews

Usually not a lot

+1

I do not pack noses, either after a cosmetic procedure or a fracture repair. There is always some oozing and it usually stops after 12 to 24 hours.

William B. Rosenblatt, MD
New York Plastic Surgeon
4.0 out of 5 stars 9 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.