Rhinoplasty: Q&A
Ask a QuestionHow Long Must I Wait After Broken Nose/closed Reduction to Have Repair Rhinoplasty?
Hello, on the 4th of January I was in a car accident and broke my nose (minor nasal pyramid displacement). I went to an ENT specialist and he scheduled a closed reduction for one week after the accident - unfortunately, he encountered some difficulty during the reduction and couldn't properly set it back in place. I'm now looking to have whatever operation necessary to fix the issue. My question is, how long must I wait after closed reduction to have rhinoplasty to fix any assymetry? Thank you.
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11 Doctor Answers |
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bnjmnkrs
+3
Timing of rhinoplasty following a nasal fracture
I am a bit more conservative in recommending early rhinoplasty after closed reduction for a nasal fracture. I like to wait 6 months unless there is gross deformity that requires an early open reduction. This is to allow the swelling to resolve and see if there are any other problems that are not apparent initially. I would follow you at bi-weekly and then monthly intervals initially. See a Plastic or fellowship trained Facial Plastic Surgeon with good expertise and artistic judgement in...
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When can I have rhinoplasty following a closed nasal reduction?
Hello, and very sorry to hear about your accident. In general, you should wait around 6 months after a closed nasal reduction to have rhinoplasty. I hope this helps, and I wish you the best of luck.
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Broken nose repair
Closed reduction of a nasal fracture has a poor success rate, so we perform osteotomies to re-set the fracture properly. Open reduction of the nasal fracture gives a much more predictable and consistent result. All of the incisions are located inside the nose, this is not open rhinoplasty . Expect a cast on the nose and bruising for a week. No packing is placed inside the nose. It is acceptable to have it repaired at any time.
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Nasal trauma and rhinoplasty
My usual routine for traumatic nasal injuriesis to try to reduce it as best that I can within the first week or two. However, this will only straighten the nose a bit. A rhinoplasty willmost likely be needed about 6 months later to remove dorsal hump, straighten it more and remove irregularities. this refinement can not be done during the initial phase of healing because the nose can collapse.
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Optimal time for Rhinoplasty after traumatic nasal deformity
It is not always possible, to achieve a perfect result by performing closed reduction of a fractured nose. In my practice I wait at least six mounths before performing the definite rhinoplasty. This allows for the swelling to disappaer and all the damaged structures settle in . It is a good idea to bring a picture of the nose ( before the accident ) to your consultation to be reviewed by your Plastic Surgeon.
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How Long Must I Wait After Broken Nose/closed Reduction to Have Repair Rhinoplasty?
If you have only undergone closed reduction (no osteotomies or "cuts" made in your nasal bones) I would recommend waiting 6-12 weeks after your injury to perform a rhinoplasty. If you ask 10 plastic surgeons this question you'll likely hear 11 different answers but this timeframe works very well. I hope this information is helpful.
Stephen Weber, M.D., F.A.C.S.
Lone Tree Facial Plastic Surgeon
+2
Rhinoplasty for the broken nose.
Rhinoplasty for the broken nose after closed reduction is usually about 2-3 months since we need to wait for the swelling from the closed reduction to subside.
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Nasal Surgery Timing
I have had other patients in your situation. It would be best to let things settle down for at least a couple months. You need to be sure the swelling is resolved so an accurate correction can be done at the second surgery. Also, if anything else needs to be done to improve the appearance of your nose, it can be done at this setting. Something can be done sooner if your surgeon deems that swelling and healing from the closed reduction are over.
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Rhinoplasty after Fracture
The safest approach is to let healing and reduction in post-injury swelling to completely resolve, now that you are almost 4 weeks out. In general that is 6-12 months.
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How Long after Closed Reduction can Rhinoplasty Be Performed?
Rhinoplasty to fix bony deformity could be performed a few weeks after closed reduction as the nasal bones heal quickly. However, residual swelling can be an issue and this should resolve before embarking upon a rhinoplasty, so maybe 3 months to 6 months or possibly more. Kenneth Hughes, MD Los Angeles, CA
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.
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