Is a cosmetic rhinoplasty possible during a reconstructive surgery?

It is definitely better to do both at the same time. Sometimes septal cartilage is used to help strengthen the tip or help with breathing. You need to wait two months to let the nasal fracture heal and for any swelling to go down, but then do it all together. Be sure to see a rhinoplasty specialist for consultation.

After a nasal fracture, almost always, the right thing to do is nothing. We wait until the swelling has gone down, and then see if the nose looks different, and consider whether any surgery is needed. Frequently none is needed, because it's possible to break a bone and have it not move far enough to change the appearance of the nose. Rarely, a bone was moved far enough in a fracture that an operation is needed within a week of the fracture, but that's uncommon, AND it usually is a *terrible* fracture where the skin was broken, too, AND during surgery the surgeon should do just as little as he can get away with -- certainly no cosmetic stuff -- probably just trying to put the bone back closer to a normal position. So what does this all mean? If you fractured your nose, but it doesn't look dramatically different as a result of the fracture (and even, just maybe, if it does), then you should wait a minimum of about two months, and then you can have your cosmetic rhinoplasty, to make the cosmetic changes and to fix up whatever happened during the fracture. You should avoid having two operations. If you *must* have two, those two would be 1) a tiny tiny re-positioning of a nasal bone, done within the next couple of days, and then 2) your cosmetic rhinoplasty. You should NOT have two operations that are 1) a "reconstruction" of the fracture in two months, and then later 2) your cosmetic rhinoplasty. Oy. this is hard to describe, but I hope I did a good enough job.

You should not get a cosmetic rhinoplasty right after a fracture. If your nasal fracture is bad enough you should just have the nose set for now. The formal rhinoplasty should wait

Hello, I'm sorry to hear about the accident. Others may differ, but I generally do not recommend a cosmetic rhinoplasty in the setting of recent nasal trauma. (I just reduced a nasal fracture on a young man 3 days ago and he asked me the same question). Rhinoplasty is a challenging and meticulous surgery, and anyone undergoing this operation wants the absolute best possible outcome. Nasal trauma can destabilize the nasal bones, cause swelling, etc that would make surgery technically more difficult. I may doubt my ability to judge symmetry, for example. I advise to reduce the fracture(s) so the nose heals in its best form, and then usually waiting 6 months to a year before secondary rhinoplasty.
Best,Dr. Tower

Rhinoplasty after nasal fracture: if you have a displaced nasal fracture it should be set and casted within a week or 10 days from the injury. This is a rather minimal procedure which often simply requires pushing the bones back into place with some sedation. This would have to be allowed to completely heal, with complete resolution of the swelling and inflammation before undertaking a Rhinoplasty or septoRhinoplasty. This period of time would be a minimum of three months, but preferably more like 4 to 6 months. This still leaves you time to have the rhinoplasty or septorhinoplasty and be fairly well healed in time for a wedding a year from now.

A cosmetic rhinoplasty, septoplasty, and straightening the nose with the the reduction of the nasal fracture can all occur simultaneously under one anesthesia with one recovery period. Look for a double board-certified ENT/facial plastic surgeon who can accomplish both the functional cosmetic and reconstructive surgery on your nose. Rhinoplasty is the most difficult procedure to perform correctly in the entire field of cosmetic surgery, so choose your surgeon wisely based on extensive experience

Setting, a broken nose is a fast procedure that you generally be done as quickly as possible after the injury. This is not the time to contemplate cosmetic surgery. The goal of reduction of nasal fracture is to get an atomic alignment before scar tissue develops.
Reduction of nasal fracture, and sometimes to be done in the office, emergency room, or is sometimes done in an operating room.
It’s usually a short procedure that only takes a few seconds.
Once you’re healed from your nasal fracture, and the swelling has subsided, you should be able to get an assessment and schedule an elective rhinoplasty with septoplasty.Septoplasty surgery is often covered by medical insurance if it’s creating breathing difficulties. It is possible to do an insurance based septoplasty with cosmetic rhinoplasty in conjunction. The cost and appropriateness of combined procedures varies quite a bit based on what facility the surgery is done that. Sometimes big hospital are not particularly friendly to pricing for facilities for cosmetic surgical procedures.
If you have not done, so already, I suggest consulting with a plastic surgeon, otorhinolaryngologist, or other appropriate provider sooner rather than later.
Best,
Mats Hagstrom, MD