If nose is straight after fracture-- but there is a bump - is closed nasal reduction w/general anesthesia necessary? (photo)

Question

7 days ago I fainted and fractured my nose, fracture/break was confirmed by a CT scan in the ER. ENT suggested that because I complained of a bump on one side of my nose general anesthesia and resetting - what I assume is closed nasal reduction would be needed. I my question is that since my nose does not appear crooked to me and my biggest concern is the bump where a cut is, could this bump be temporary and something that is coming up because of the fracture healing? Congestion comes and goes

Frank P. Fechner, MD · Answer

If there has been no change in the contour of the nose on frontal view (shift, crooked etc), a closed reduction is not indicated - at least in my opinion. A new or larger bump will likely not improve with the reduction. Wait for all the swelling to have subsided (3 to 6 months). At this point, the nose should be assessed and a possible rhinoplasty considered.

Jeffrey M. Darrow, MD · Answer

As you noted, your nose looks straight to you.  There is no need for a closed reduction of your nose.  The nasal bump you have should be allowed to settle and fully soften, which takes 4-6 months and then reevaluated to see if the nasal contour has returned to its pre injury shape.  If it has, nothing further needs to be done.  If a bump remains, you may wish to improve that contour by a rhinoplasty.  Patiente is best for now.

Samir Undavia, MD · Answer

The bump is not going to get better after closed nasal fracture reduction. That operation is designed to help truly crooked noses in the immediate post-injury period with any incisions or significant surgery. It's a quick operation that moves nasal bones back to being straight. It won't take care of the bump. I would wait at least 6 weeks to see if the bump will come down. Good luck!

Emmanuel Mallol Cotes, MD · Answer

Thank you very much for sharing your concerns with us.The harmony between facial parts makes us instinctively recognize the beauty... without knowing it, without defining it, just a perception that surprises and captivates us.In this regard, I suggest perform a Closed Rhinoplasty (without visible scars) to treat the tip, base and nasal bridge.With this procedure you get a delicate nose, better harmonize with your other facial features.Respectfully,Dr. Emmanuel Mallol Cotes.-

Tanveer Janjua, MD · Answer

A nasal hump does not reduce with a closed reduction of the nose.  Closed reduction only achieves manipulation of the bones leading to a straight nose.  For hump of the nose you will have to do an open reduction That involves osteotomies.RegardsDr. J

If nose is straight after fracture-- but there is a bump - is closed nasal reduction w/general anesthesia necessary? (photo)

Answers (8)

Answer: Closed rhinoplasty, some advices:

Answer: Closed rhinoplasty, some advices:

Answer: Closed reduction of the nose and nasal hump

Answer: Closed reduction of the nose and nasal hump

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Everything you need to know about Rhinoplasty

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If nose is straight after fracture-- but there is a bump - is closed nasal reduction w/general anesthesia necessary? (photo)

Answers (8)

Answer: Closed rhinoplasty, some advices:

Answer: Closed rhinoplasty, some advices:

Answer: Closed reduction of the nose and nasal hump

Answer: Closed reduction of the nose and nasal hump

Browse related questions

Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.