Following a closed reduction of a nasal fracture with or without a septoplasty, it is common for the nose to have residual deformity or breathing problems. The medical literature reports that the need for a subsequent rhinoplasty to correct these problems can be as high as 50%.
Rhinoplasty and septoplasty are frequently performed together. The term septorhinoplasty denotes a surgical procedure to correct both the form and function of the nose and is often performed after nasal trauma.
For a post-traumatic nasal deformity in which the nose remains crooked, a rhinoplasty with osteotomies (surgical breaking of the nasal bones) combined with other techniques such as spreader grafts is almost always required. The timing since a previous septoplasty is less important as the time since the most recent nasal fracture as it is important for the swelling that resulted from your trauma to have gone down.
If the cartilage from your septum has been removed or is severely damaged, it is likely that cartilage grafts would be needed for your rhinoplasty to straighten, strengthen and rebuild your nasal framework. Cartilage cano be taken from another area such as the ear or rib. Thus, for severe post-traumatic nasal deformities, seek a surgeon that specializes in rhinoplasty for your definitive correction.