Do the ULC’s follow the bone in an open reduction of nasal fracture? (Photo)

Question

Hello, I would like to do an open reduction of a nasal fracture because I broke my nose and was wondering if the ULC’s follow the nasal bones when they get reset ? If not, is that when grafts are necessary ? Thank you.

Eric M. Joseph, MD · Answer

Based on your limited photo, you appear to have a reverse C-shaped appearance to your nose. Sometimes the upper lateral cartilage does indeed follow the nasal bone and lead to a straight appearance. Sometimes a cartilage spreader graft is necessary on the concave side, especially when this is after trauma. Please consider meeting with a reputable rhinoplasty specialist if you are considering surgery. Thank you for this question. Sincerely, Dr. Joseph

Gary M. Horndeski, MD · Answer

The ULC's are not attached to the bone.  If you are having an open reduction of your bone then at the same time the ULC's can be repositioned as needed.  Most likely grafts are not necessary.

Best Wishes,

Gary Horndeski, M.D.

Andrew Miller, MD · Answer

When a nasal fracture is reduced using osteotomies, the upper lateral cartilages do usually move with the bones as they are attached. However, after moving the bones, it's possible that the cartilage may still be crooked which might necessitate cartilage grafting to help straighten everything. That's why it's very important to see a rhinoplasty specialist for this procedure.

Ronald J. Edelson, MD · Answer

Some surgeons do cartilage grafts routinely and others don’t. I would probably not do a cartilage graft in your case. When you have a crooked nose it can be improved in most cases but there’s a strong possibility that it will not be perfectly straight.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photograph, you will need a rhinoplasty with placement of spreader grafts in order to straighten your nose. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Do the ULC’s follow the bone in an open reduction of nasal fracture? (Photo)

Answers (7)

Answer: Rhinoplasty

Answer: Rhinoplasty

Answer: Rhinoplasty

Answer: Rhinoplasty

Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.

Do the ULC’s follow the bone in an open reduction of nasal fracture? (Photo)

Answers (7)

Answer: Rhinoplasty

Answer: Rhinoplasty

Answer: Rhinoplasty

Answer: Rhinoplasty

Browse related questions

Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.