Nose was broken in the late 90s. Can it be reset by a ENT doctor now?
Can a Broken Nose Be Reset Years After Being Broken?
Doctor Answers 27
Nose can be reset years after injury
Yes, a nose reset years after an injury and can be done through rhinoplasty, specifically an open reduction of the nasal fracture. If it has caused breathing issues with the nose, surgery may be covered under the patient’s medical insurance if determined a medical necessity. A qualified ENT facial plastic surgeon that has performed many of these would be your best option.
Timing of rhinoplasty for the broken nose
Typically, we try to reset the bones before they've healed. After that, the surgery essentially becomes a rhinoplasty. The specific maneuvers needed will depend on the individual nose. This may include a combination of breaking/resetting the bones and camouflage techniques (using grafts, etc).
Best of luck to you.
Resetting broken nose after many years
A nose cannot be "reset", but it can be realigned with an osteotomy. Every alteration in the nose affects other elements. For example, an osteotomy alone might cause worsening of the breathing if it is not specifically addressed.
For the best result, the nose as a whole should be evaluate, the breathing maximized, and the appearance made the best possible.
This is not just a reconstructive procedure like removing a mole. It is an aesthetic procedure and a functional one that requires very careful assessment before the surgery and a plan that maximizes all the elements above.
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It’s not unusual for patients with post traumatic nasal deformities to present for consultation years after their original nasal fracture. Under these circumstances, nasal fractures are managed very differently than they are immediately following nasal injuries. Immediately after nasal injuries, nasal fractures are treated with a procedure known as a closed nasal reduction. At this point, the bones are still freely moveable. This procedure relocates or resets the nasal bones in proper position. They are then held in this position with a nasal splint.
When patients present years after an injury the bones have usually healed in an abnormal position. Under these circumstances closed reduction won’t work and rhinoplasty surgery is usually necessary.
At this point, a careful analysis needs to be undertaken to evaluate both aesthetic and functional issues. It’s important to make sure that breathing isn’t compromised by a deviated nasal septum. It’s also important to understand the patient’s aesthetic goals.
Rhinoplasty surgery can dramatically impact appearance. The procedure is designed to address the patient’s aesthetic goals and unique anatomic findings following nasal trauma. In most cases the procedure corrects post traumatic dorsal humps and increased nasal width. In many cases it also straightens the nasal septum and nose.
In patients with post traumatic nasal deformities with associated functional impairment, consultation with a board certified plastic surgeon is appropriate. It’s never too late to correct these types of deformities, especially if they’re associated with functional impairment.
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.