Broke Nose 3/2/11 - How Soon Can I Have Rhinoplasty?

I am 18/f. I broke my nose a few weeks ago and am really looking forward to my septorhinoplasty. I asked my ENT when I could get the procedures done and he said that I must wait at least 4 months for my nose to heal, which means I can't have surgery until June or July. If my nose is healing quickly, could I get it done much sooner, like in May? I really just want this overwith so I can enjoy my summer before college. I meet with my plastic surgeon this Thursday. Thanks!

Doctor Answers 12

The Timing Of Septorhinoplasty After A Fracture Depends On Numerous Factors

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While plastic surgeons will have preferences in timing about a rhinoplasty after a nasal fracture, the most important step is to see what the nose looks like after the swelling from the fracture has subsided. That will take about 6 weeks to have an accurate view of what your nose looks like. If it is just fixing the fracture, then you can go ahead and do it at that point. If the rhinoplasty is going to be more complex and complete, the timing may be longer based on your rate of healing and what internal structures are to be manipulated. In some cases, it may be wise to wait until 6 months or longer. While you anxious to complete this before summer, the results from a rhinoplasty done when the nose is not well healed may make you regret that decision later. Listen to what your plastic surgeon recommends and do not push for early surgery just because the timing is better for your personal schedule. The only mistake you can make with your septorhinoplasty timing is going too early, not too late. 

Treating the fractured nose and Rhinoplasty

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Having Rhinoplasty surgery after a fracture depends on the amount of swelling and trauma to the nose. When the bones are displaced and crooked sometimes it is best to do it immediately. If their is extreme swelling in the tissues I would suggest four to six weeks after your injury so you should be fine to proceed with your surgery. This will allow you ample time for some post operative healing prior to departing for college. Be careful while enjoying your summer and protect your new nose. Best regards from Newport Beach!

Michael Elam, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 218 reviews

How Soon Can I Have Rhinoplasty?

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I agree that unless it is a compound fracture and extremely swollen, you should be safe to have your surgery in 4-6 weeks after your injury.  Ask your plastic surgeon for advice on timing.

Amy T. Bandy, DO, FACS
Newport Beach Plastic Surgeon
4.9 out of 5 stars 109 reviews

You may be a candidate for Rhinoplasty Surgery around 6 weeks after your nasal trauma.

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I read your concern. In most cases of nasal trauma, swelling and bruising is almost gone in a month. I think it's prudent to heal from your nasal trauma before proceeding with your Rhinoplasty Surgery.  It should be ok to proceed with your rhinoplasty by the middle of April if your trauma was 3/2.

All the best with your surgery. I hope this is helpful for you.

Regards from NJ:

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
4.9 out of 5 stars 435 reviews

Treating broken noses and possible rhinoplasty

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Each surgeon has their own particular approach to how they treat broken noses. If the only problem is shifting of the nasal bones to the side, they can be repositioned by what we call a "closed reduction." Unless you are seen right after trauma, the nose is usually too swollen to do this right away. However, after about two weeks, the bones start to heal so the ideal time is somewhere between 3 days and 2 weeks.

If there is a simultaneous deviated septum, cartilage heals differently. I prefer to wait at least 6 to 8 weeks before treating the septum. So, if both are present, I delay fixing the broken nose and re-break it when I fix the septum so the patient only has one operation.

As for a rhinoplasty, I prefer waiting at least two to three months to let everything heal and settle if I we are to do more than straighten the nasal bones and a deviated septum.

Steven J. Pearlman, MD
New York Facial Plastic Surgeon
4.9 out of 5 stars 141 reviews

Fractured nose and rhinoplasty

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Dear Columbia - thanks for your question - I think that most would agree that waiting for the majority of fracture healing to be complete (4-6 weeks) prior to a formal rhinoplasty (nose job) is in your best interest.  The healing of the nose is an unpredictable process and this is one reason that the Rhinoplasty is the most difficult operation we as Plastic and Facial Plastic Surgeons perform. Once the injury from the fracture is healed, the rhinoplasty which is in and of itself another injury is much more predictable and able to be manipulated to achieve your best outcome. 

Paul E. Kelly, MD
Hamptons Facial Plastic Surgeon

Rhinoplasty about 3 weeks after surgery

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After a broken nose, patients have 2 options.  Option 1 is to do a closed reduction.  This merely puts the bones back to their original  location.  The advantages with this is that it can be done quickly and within 7 days after the accident.  The disadvantage with this is that the technique is not exactly predictable.

I find that a septorhinoplasty is more predictable and gives much more reproducible results.  I would undertake such a procedure about 4 weeks after the original accident to minimize acute swelling after the initial accident.

Raghu Athre

Double Board Certified Facial Plastic Surgeon

Houston, TX

Raghu Athre, MD
Houston Facial Plastic Surgeon
4.6 out of 5 stars 94 reviews

Rhinoplasty after Broken Nose

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If the accident caused only displacement of the nasal bones, the bones can be repositioned with a limited procedure within 2 weeks of your accident. If you need or want more refinement, wait 6-8 weeks. Depending on what is done to fix your nose  there may be some restrictions on your activities this summer.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Rhinoplasty after fracture.

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It  is best to wait til the swelling goes down and this is 4-6 weeks. Your surgeon should be able to see what is what then.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 38 reviews

Rhinoplasty after fracture

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Your doctor is correct to wait at least 4 months. I personally like to wait about 6 months to insure everything is healed.  If you perform rhinoplasty at this point, you may have problems with loose nasal bones etc..

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.