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Will my Doctor Break my Nose During a Rhinoplasty?
my greatest fear of a nose job is the doctor snapping my nose. Thats not urban legend is it, that doctors break your nose during nose surgery?
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Breaking Bones in Rhinoplasty
Based on proper and extensive pre-operative analysis of your nose, your surgeon will determine whether an osteotomy (nose break) is needed or not. This depends on how wide the shadows and lines that cme from your eyebrows down to your tip are. Measurments and close evaluation of your photos will dictate the need for bone manipulation. Trust your surgeon and make sure you go to a surgeon who really "knows noses."
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Breaking the Nasal Bones
Depending on what is being done to reshape the nose, it may be necessary to break the nasal bones.
This is done with special bone cutting instruments for precision.
Of course, you would be unaware of what is happening during surgery with sedation or anesthesia to allow you to sleep through the entire procedure.
The pain from the breaking of the bones is similar to a very mild headache.
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Breaking of the nose (osteotomy) during rhinoplasty
No, it’s not an “urban legend” although we don’t call it snapping the nose, but rather osteotomies. It is not always indicated, and can be avoided in some cases when just rasping or filing of the walls of the nasal bridge are adequate, but for many cases especially when a bump is taken down or the bridge is very wide, osteotomies are an essential component of rhinoplasty.
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Reason to break the nasal bones during rhinoplasty
Many people are concerned that they will have their nasal bones fractured during rhinoplasty. So, why would this need to be done in some cases and not in others? The simple answer is that when taking down a nasal hump, it is important to narrowing the nasal bones in order the close the "open roof" created during hump reduction. Without this step the nose will appear too wide. The other general reason is to straighten the nose when it is crooked. When tip work is...
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San Diego Facial Plastic Surgeon
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To reshape the nose "breaking bones" may be needed
To reshape the nose in many cases the nasal bones and nasal wall may need to be repositioned. This is accomplished with surgical cutting instruments to make precise cuts to reposition the nose. It is not severely painful and if needed the surgeon will give the patient some form of pain relief to minimize the discomfort.
Toronto Facial Plastic Surgeon
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Rhinoplasty, Narrowing the Nasal Bones or Breaking the Nasal Bones
Rhinoplasty is an art and oftentimes a veriety of techniques are used to get the best aesthetic outocome.
Breaking the bones is not done in all rhinoplasty patients. Often times, reshaping of the bones are performed without breaking the bones by special instruments.
The technique of Osteotomies or controlled narrowing of the nasal bones is common aspect of rhinoplasty procedures. This portion of the procedure can be fairly painless.
This technique is routinely used...
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Osteotomies (Surgically Breaking the Nose) and Rhinoplasty
Because each nose is unique, every rhinoplasty should be approached on an individual basis. The need for osteotomies (surgically breaking the nose) will depend on the type of the nasal deformity and the goals for surgery.
The basic premise of surgically breaking the nasal bones (called osteotomies) is that a delicate instrument is used to cut the bones under the skin. The surgeon then repositions them to acheive the desired result.
Osteotomies are performed during rhinoplasty for several...
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Dallas Facial Plastic Surgeon
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Rhinoplasty is one of the most difficult facial plastic...
Rhinoplasty is one of the most difficult facial plastic surgical procedures to master. Osteotomies are one of the more difficult maneuvers to understand in rhinoplasty. Having written several papers and chapters on this topic, and having taught this to other surgeons in the cadaver lab during my Facial Plastic Surgery Course, I can tell you these statements are absolutely true.
The indications for breaking the bones of the nose are (not all-inclusive):
•to close the top of the nose when...
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Bay Area Facial Plastic Surgeon
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Breaking the bones of the nose, or osteotomies, are...
Breaking the bones of the nose, or osteotomies, are oftentimes done in a precise, controlled fashion in order to narrow the width of the bridge of the nose during rhinoplasty.
This maneuver is quite common in rhinoplasty surgery and can produce a nice change or refinement in a nose that looks too big or wide on the face.
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Does the nose have to be broken during rhinoplasty?
Breaking the nasal bones, or controlled infracturing, during rhinoplasty is a delicate and refined technique to narrow the bridge of the nose. If a large hump is taken down, the bridge may look like the top of an aircraft carrier. The nasal bones then need to be brought in to round off the edges. This creates a more refined and natural appearance.
see video
Houston Facial Plastic Surgeon
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Rebreaking the nose in a controlled fashion may be necessary.
Doctors do oftentimes during rhinoplasty break the nose in a very controlled fashion. While this takes a great deal of skill to do it appropriately and in a constructed manner you shouldn’t be fearful of having this done. Re-breaking the nose can allow the surgeon to straighten the nose as well as to make it smaller. In addition, with the controlled techniques that we use today, patients typically do not have a lot of discomfort after having rhinoplasty which includes breaking the nose...
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Indianapolis Facial Plastic Surgeon
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Breaking the Nose In Rhinoplasty
It is considered an urban legend that whenever a patient has a rhinoplasty that the nose is “broken”. However, that is not necessarily true. It depends on whether this needs to be performed to improve nasal appearance or to correct nasal deviation. In my practice, about half of the time the nasal bones are not fractured or broken as part of a rhinoplasty. It depends on the analysis of the patient’s problem and what is needed to optimize the result for cosmetic improvement...
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Rhinoplasty
Rhinoplasty involves multiple steps and not all the same for each individual patient. If a bump on the top of the nose needs to be taken down, then the nasal bones often have to be infractured, or carefully cut so that the bones can slide in and leave the desired nasal appearance both by narrowing the nose and correcting the "lines" of the front appearance.
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Rhinoplasty and What is Involved
The purpose of a preoperative consultation is to make sure that your and your Surgeon are on the same page as far as your goals. Assuming your goals are realistic, a good Rhinoplasty Surgeon will be able to employ a range of techniques to achieve a result you will both be pleased with. Breaking the nasal bones, or osteotomies, are sometimes necessary in order to accomplish the aesthetic result desired; in fact, failure to perform osteotomies is sometimes a mistake. The...
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Nose job: Types of Fractures or bone cuts
The use and type of fractures in nose job depend on the goals to be achieved. Sometimes no fractures (we call them osteotomy = bone cuts). Occasionally we use one fracture on one side of the and different type of the other side. They are used to push bones in or to push them out. Sometimes the bones are completely cut and shifted and other times they are perforated like a sheet of paper and partially attached (greenstick fracture)
see video
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Nasal Bone Management During Rhinoplasty
Although the nasal bones may be "cut" (osteotomized) and repositioned during rhinoplasty, I don't think any of us would use the term "snap" or "break" to describe what is really a meticulous maneuver to create the most aesthetically pleasing nose possible. Keep in mind that not every nose requires modification of the nasal bones. Typically, those that are wide, crooked, have post-traumatic deformities, or require modification for airway...
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Chicago Plastic Surgeon
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Your surgeon will never "break" your nose during rhinoplasty
The nasal bones are precisely and delicately "cut" during rhinoplasty for one of two reasons. The first, your nose is deviated (crooked) and your bones must be cut and re-set in the middle. The second, you had a bump that was removed leaving an opening in the "roof" of the nose and the bones are cut to close that roof. These is a very precise and controlled procedure and should not be confused with "breaking the nose."
Best,
Dr. Stephen...
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Lone Tree Facial Plastic Surgeon
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Your nose may get broken during Rhinoplasty
Your nasal bones may or may not be broken during a rhinoplasty. Fracturing the nasal bones is necessary, if they are crooked to start with, or if a large hump is taken down. Relax however. This is very different from you breaking your nose in a sports injury for example. First of all you will be completely anesthetized so you don't feel anything. Secondly, this is a controlled break rather than a whack on the face. You really should not worry about...
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Breaking the nose during rhinoplasty: It's more finesse!
As seen from the front, the nose should not look like a sausage, it should widen at the top and bottom and taper in the middle (like an hourglass). In order to achieve that type of harmony between the upper and lower parts of the nose, your surgeon may need to manipulate the nasal bones.
Through small incisions, precision cuts are made in the bones in order to free them and allow the nasal bridge to be narrowed or widened. Remember, the nasal bones are not...
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Austin Facial Plastic Surgeon
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Breaking the nose during rhinoplasty
The rhinoplasty procedure involves reshaping the nasal skeleton, which is made of cartilage and bone. After the hump is brought down (which is both cartilage and bone), the sides of the nose must be narrowed. This is done by performin osteotomies, which are basically cuts on the bone. This is necessary to give the nose a balanced and proportioned look. You should not be afraid of this, as this does not cause any pain durring or after the procedure.
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Management of Nasal Bones During Rhinoplasty
The nasal bones are often repositioned during rhinoplasty to close the "open roof" after lowering a "dorsal hump" and to narrow the nose slightly. Repositioning bones involves very controlled fractures, but this is a necessity if you want a narrower nose. If under general anesthesia, you don't see it, hear it, feel it, and afterward, you'll never realize it has been done.
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Possible need to break nasal bones during rhinoplasty
Depending on what maneuvers are performed to reshape your nose controlled bone fractures (osteotomies) may be needed during your surgery. Common indications are:
The nasal bones (the upper 1/3 of your nose) are deviated or excessively wide.
You have a hump on your bridge that you want removed. Your surgery will need to shift the nasal bones inward after this to avoid leaving you with what's called an open roof deformity (i.e., an excessively flat, wide...
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Seattle Facial Plastic Surgeon
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Breaking of the bone with rhinoplasty
An osteotomy is sometimes performed during rhinoplasty to narrow the bridge of the nose. It does not have to be performed during every surgery, however, it is almost vital in some cases. Discuss this with your surgeon, as it is an important element in some rhinoplasties.
Los Angeles Plastic Surgeon
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Handling the nasal bones in rhinoplasty
The vast majority of patients who undergo rhinoplasty to change the way their nose looks are ultimately extremely pleased with their result, regardless of whether the nasal bones are "broken" or not. This question is an extremely common one asked by patients considering rhinoplasty for a number of reasons. Patients fear it will be very painful and cause them to have black eyes. Many of them have watched rhinoplasty videos on YouTube and found the process of...
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Baltimore Facial Plastic Surgeon
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Rhinoplasty Terminology- "Breaking the nose"
Many patients are haunted by the phrase, "breaking the nose." I get asked this questions very often during my rhinoplasty consult.
When referring to this, most people are referring to a procedure called an osteotomy. An osteotomy is performed only in SOME rhinoplasties in order to narrow the bridge of the nose. This is a controlled fracture of the nasal bones, which are very thin and comprise the upper one-third of the nose. The term "breaking the...
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Boca Raton Facial Plastic Surgeon
Anxious about rhinoplasty and whether you're getting the full story? Learn 9 secrets from a RealSelf community member who went through it all.