Is Bump After Broken Nose from Swelling or Permanent? (photo)

Question

I broke my nose about a week and a half ago, just a small nasal fracture, and there's this little bump that never used to be there. The bruises are almost gone and it's becoming less painful, but I can't tell if the hump is getting any better. Does it look like this bump is just from my nose being swollen still or could it be permanent? I attached two images (sorry it's not that clear). If it's permanent and I want to fix it to how it was before, what surgery is involved?

Steven J. Pearlman, MD, FACS · Answer

There is no way to predict if a new bump will go away after a broken nose. That occurs from what is called a callous. Bones react to trauma by forming new, healing bone. If it persists beyond a few months it can be "rasped" down. If you have Emergency Room records and and X-Ray of a fracture then you might even get insurance to cover it.

Ali Sajjadian, MD, FACS · Answer

Thank you for your inquiry!

It is very possible that even a minor trauma can create a nasal bump well apparent to you after the swelling subsided. Therefore, you may be a good candidate
for a corrective rhinoplasty that will improve the way your nose looks to complement your
facial features in a natural fashion. However, without a physical
examination it is not possible to provide you with specific details. I highly
recommend that you schedule a consultation with a well-experienced surgeon.

It is important to mention that the
finest cosmetic results in any particular case are based on a variety of
factors, including: the unique anatomy of the patient, realistic expectations,
a well-informed and detailed discussion with your plastic surgeon concerning
the best options for you especially covering a deep understanding of the pros
and cons of any given choice you will adopt.

Please keep in mind that following the
advice from a surgeon online who offers to tell you what to do without a
physical examination covering the nature and the status of the tissue,
assessing your desired outcome, taking a full medical history, and discussing
the pros and cons of each operative solution would not be in your best
interest. With that in mind, it is the safest and for your best interest to
find a plastic surgeon with solid experience and certified by the American
Board of Plastic Surgery who is ideally a member of the American Society of
Plastic Surgeons that you will trust and be comfortable with. You should
discuss your concerns with that surgeon in person.

Good luck!!!

Ali Sajjadian, MD FACS

Shahriar Mabourakh, MD, FACS · Answer

It is still too early to tell. Wait untill all swelling and pain are gone. Usually if the bump is still there after 3 to 6 months, then you can be sure it is permanent. At thatvtime you can consider a consult with a plastic surgeon.

Michael I. Echavez, MD · Answer

Unfortunately, there's no way of knowing at present if your bump is permanent or not. At a week and a half after the injury, there is still going to be some swelling. Some more time is needed for the swelling to resolve, and then you will have a better idea if the bump is still there or not. If the bump is still there are the swelling subsides, it would require a relatively simple surgery to remove the bump, most likely just by rasping it down.

Emily Hrisomalos, MD · Answer

Thank you for your question and I am sorry that you had this accident and are going through this! I do not think it has been long enough since the injury to definitively know whether or not the bump will resolve or not as likely there is almost certainly swelling still contributing at this point. After about 3 months, a rhinoplasty specialist should be able to perform a thorough examination and discuss corrective options with you if the bump is still present at this time. If the bump is the only thing present and there is no deviation, filler could potentially be used as an alternative to surgery. It is important to note the rare (though very serious) risks that this can impart as well as realizing that this would not be a permanent solution. Definitive treatment would involve rhinoplasty to take down and/or reposition the bone leading to this appearance.

Once you are 3 months out from the injury, contact a facial plastic surgeon or plastic surgeon specializing in rhinoplasty for evaluation and discussion of the best options for you. As mentioned, there is a chance this could resolve and no intervention will be needed. Best of luck in addressing this issue!

Once you are 3 months out from the injury, contact a facial plastic surgeon or plastic surgeon specializing in rhinoplasty for evaluation and discussion of the best options for you. As mentioned, there is a chance this could resolve and no intervention will be needed. Best of luck in addressing this issue!

William Portuese, MD · Answer

Since it has only been approximately 10 days after the nasal trauma, the nose is still swollen. It's a good idea to seek out a consultation with the ENT/ facial plastic surgeon to determine whether or not the nose has been fractured. X-rays or CAT scan may be of benefit as well. If a  Small bump is present, rasping may be all that is required. If the nasal bones are twisted, fractured and displaced, then medial and lateral osteotomies of the nasal bones are required in addition to the hump  removal.

Stephen Weber MD, FACS · Answer

At 1 1/2 weeks it is difficult to say if your bump will resolve. You definitely still have swelling so there is hope that this will resolve completely. If it does not resolve within three months the only effective solution would be a rhinoplasty to reduce the bump. If your nose is also deviated as a result of the injury that can also be repaired at the same time. I hope this information is helpful.Stephen Weber MD, FACS

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