Broken Nose Surgery

How many times can a nose be broken before no longer being a rhinoplasty candidate?

Doctor Answers 17

Fix a broken nose

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Thank you for your inquiry!

Usually a broken nose with a noticeable deformity enables the patient to be a good candidate for a rhinoplasty that will improve the way the nose looks to complement the 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

Orange County Plastic Surgeon
5.0 out of 5 stars 205 reviews

Broken nose surgery

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A broken nose is a very generic term.  Reconstruction of a broken nose varies depending on the amount of damage.  It does not depend on how many times you have broken your nose.  The cartilage displacement is more difficult to repair than the boney damage.

Wishing you all the best,

Tal Raine MD FACS

Talmage J. Raine, MD, FACS
Chicago Plastic Surgeon

If a broken nose is not displaced, you may not need to have the nose fixed at all.

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If a broken nose is not displaced (i.e. crooked), you may not need to have the nose fixed at all. If the broken nose is crooked and you’re able to have it taken care of within 7-10 days, fixing the nose may be possible with a little local anesthetic and sedation, through an external approach. It’s important to have your broken nose evaluated soon after the injury takes place, to rule out any internal complications – such as a septul hematoma, which could ultimately result in further complications down the road. Early evaluation and attention will often make management of the broken nose much simpler. If there is residual deformity, correction may require rhinoplasty surgery. Certainly repair after multiple fractures is possible, without difficulty. Multiple surgeries, however, is a little more challenging since any scarring from previous surgeries may have to be attended to along the way.

Michael R. Macdonald, MD
Bay Area Facial Plastic Surgeon
4.6 out of 5 stars 18 reviews

Broken nose and surgery

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There is no limit to how many times you could brake your nose and then have a rhinoplasty, but dealing with the nasal bones may result in difficulty in the infracture.

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

Sorry, "Repeatedly" broken nose is one time too many to be "fixed!"

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Truly, there is no limit to the number of times a nose can be broken and ultimately reconstructed, but each new injury and healing phase leads to more bony thickness, irregularity, and soft tissue scarring, all of which add to the complexity of obtaining a desired cosmetic result. "Fixed" is in the eye of the beholder, but before considering elective nose surgery, you should be as reasonably certain as possible that your nose-breaking days are over! Because, one time more AFTER your nose surgery may well ruin your results and require more difficult and costly surgical intervention. Good luck!

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon
4.9 out of 5 stars 263 reviews

Broken Nose

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It is always best to repair a broken nose right away to limit the malalignment of the bone and cartilage fragments.  Repeated nasal bone and cartilage fractures will necessarily require more a extensive nasal reconstruction with ear or rib cartilage grafts.   I recommend consultation with a Board Certified Plastic Surgeon for more specific advice in your case.

Daniel Reichner, MD
Newport Beach Plastic Surgeon
4.9 out of 5 stars 50 reviews

Broken noses will have some anatomical changes

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The nose has limitations on 'being fixed' after multiple fractures. The nasal bones can deform after each injury as does the cartilage. Generally, the bridge loses height and form. The middle vault becomes depressed where the cartilage is weak. Fixing the broken nose can be as simple as a closed reduction (brief, clinic procedure) or complex ( 2 hr. outpatient procedure) requiring osteotomies and cartilage grafts. Of course, realistic expectations are necessary, since the nose is never quite the same after each break. Dr. G

Edward J. Gross, MD
Orlando Facial Plastic Surgeon
4.8 out of 5 stars 35 reviews

Broken nose can be improved

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A broken nose can be "re-set", however the more times it is broken, the more difficult is may become to recover the refinement someone might seek. See an experienced rhinoplasty surgeon for specific questions about your case.

Phillip Langsdon, MD
Germantown Facial Plastic Surgeon
5.0 out of 5 stars 4 reviews

Nose can still be fixed.

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No, despite the number of times a nose has been broken, it can always be straightened, corrected and realigned back to their normal anatomical position. for many examples a broken nose repair, please see the link below to our rhinoplasty photo gallery

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 157 reviews

Rhinoplasty after repeated broken noses

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Truthfully, there is no limit as far as how many times you can have your nose broken and still get it fixed. The key is to avoid any trauma to the nose after getting it fixed!

Ryan Greene, MD, PhD
Fort Lauderdale Facial Plastic Surgeon
5.0 out of 5 stars 85 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.