Yes they can. See several facial plastic specialists and make sure you like their photos. See my web site for a good example. Good luck!!
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It sounds like perhaps you broke the bones in your nose and also your nasal septum. Is that the case? If that is so and you are still growing, it is appropriate to delay the septal repair. If you nose is really smashed up it may also be appropriate to wait. i really cannot comment on this any further without examining you.
Rhinoplasty to fix bone and cartilage
Rhinoplasty involves shaping both bone and cartilage routinely and there is no need for 2 separate procedures. The nasal bones can be reset with osteotomies, while cartilage removal or grafting techniques can all be performed at the same time under one general anesthetic. For many examples please see the link below
If the septum is bent from the fracture it can often be splinted or straightened at the same time as the nasal bone treatment. However, revision is often necessary in 6 months or so to shave down any bumps or irregularities.
Rhinoplasty following nasal trauma.
Your surgeon may have a reasonable plan. If the facial fractures are extensive with severe disruption of the bony nasal framework and the adjacent facial bones, I would recommend open repair of the fractures accompanied by closed manipulation of the cartilaginous nasal structure followed by delayed definitive rhinoplasty. If the nasal bone fracture is of mild to moderate severity then it would be reasonable to proceed with definitive nasal repair. Contrary to recommendations from other surgeons, I would not simply consult with a "Board Certified Plastic Surgeon" as this individual may spend the majority of his/her time playing around in the breasts or abdomen. Instead seek out experienced, qualified rhinoplasty surgeons.
Mario J. Imola, MD, DDS, FRCSC, FACS.
Nasal Bones and Nasal Tip Surgery
As long as the swelling is reasonably resolved, you should be able to have a standard rhinoplasty which includes surgery on the nasal bones and the lower lateral cartilages of your nasal tip. Consult a Board Certified Plastic Surgeon.
Can my surgeon fix my bone and cartilage in one surgery?
An experienced Plastic Surgeon can correct both of your problems at the same setting. Consult with a Board Certified Plastic Surgeon for an exam, and to discuss your concerns and expectations.
Septorhinoplasty can be done in one surgery
A broken nose and deviated septum can be fixed with a simultaneous rhinoplasty and septoplasty, or septorhinoplasty. If your nose was recently broken the bone can simply be reset with by elevating any displaced nasal bones. The damaged septum can also be straightened during the same surgery. There will be more swelling to contend with during the septum surgery, but it is possible to perform the septoplasty. Thanks for your question. Best wishes.
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