My nose is broken and the ENT wants to do a closed reduction next week. Before the break I was considering having rhinoplasty done so it makes sense to have everything done at once. So my question is do I hold off on the closed reduction with the ENT and just let my nose heal crooked and then have everything (functional & cosmetic) fixed with a plastic surgeon? Or still do the closed reduction now and cosmetic Rhinoplasty later? How long will I have to wait before it's ok to have surgery?
Answer: Okay, my take: closed reduction now, but ONLY if the surgeon will ONLY center the nasal bones with perhaps no incisions. I don't like the idea of making fine, definitive cosmetic-rhinoplasty changes right after a nasal fracture. The nose is swollen, the tissues have lots of dilated blood vessels, and you can't do the fine work to get the nose right where you want it.
Helpful
Answer: Okay, my take: closed reduction now, but ONLY if the surgeon will ONLY center the nasal bones with perhaps no incisions. I don't like the idea of making fine, definitive cosmetic-rhinoplasty changes right after a nasal fracture. The nose is swollen, the tissues have lots of dilated blood vessels, and you can't do the fine work to get the nose right where you want it.
Helpful
April 10, 2017
Answer: Closed reduction now. It is best to perform closed reduction now and wait several months. Once the broken nasal bones heal out of place, it can be more difficult to correct with a rhinoplasty later. Therefore, it is important to realign things now. Usually you have about 2 weeks to perform the closed reduction. After 2 weeks it becomes more difficult.
Helpful
April 10, 2017
Answer: Closed reduction now. It is best to perform closed reduction now and wait several months. Once the broken nasal bones heal out of place, it can be more difficult to correct with a rhinoplasty later. Therefore, it is important to realign things now. Usually you have about 2 weeks to perform the closed reduction. After 2 weeks it becomes more difficult.
Helpful
April 9, 2017
Answer: Closed reduction with an ENT and then rhinoplasty later? In our experience for over 25 years, closed reduction does not give good results. We perform an open reduction with placement osteotomies in the nasal bones to reduce a nasal fracture that's been displaced. All of this can be performed through a closed rhinoplasty approach with all of the incisions placed on the inside of the nose. It's best only have one nasal surgery, not two, and find the right surgeon who can address both functional, broken and cosmetic issues with your nose. Look for a very experienced, double board certified ENT/facial plastic surgeon for best results
Helpful
April 9, 2017
Answer: Closed reduction with an ENT and then rhinoplasty later? In our experience for over 25 years, closed reduction does not give good results. We perform an open reduction with placement osteotomies in the nasal bones to reduce a nasal fracture that's been displaced. All of this can be performed through a closed rhinoplasty approach with all of the incisions placed on the inside of the nose. It's best only have one nasal surgery, not two, and find the right surgeon who can address both functional, broken and cosmetic issues with your nose. Look for a very experienced, double board certified ENT/facial plastic surgeon for best results
Helpful
April 10, 2017
Answer: Closed reduction Thanks for your question! A closed reduction can help align the nasal axis but will not change the shape of the tip or profile. Aligning the deviated bones now may help facilitate your rhinoplasty in the future. Most surgeons prefer not to perform primary rhinoplasty in the setting of an acute injury as the healing can be more unpredictable. I typically delay definitive rhinoplasty for 6-12 months after nasal injury.
Helpful
April 10, 2017
Answer: Closed reduction Thanks for your question! A closed reduction can help align the nasal axis but will not change the shape of the tip or profile. Aligning the deviated bones now may help facilitate your rhinoplasty in the future. Most surgeons prefer not to perform primary rhinoplasty in the setting of an acute injury as the healing can be more unpredictable. I typically delay definitive rhinoplasty for 6-12 months after nasal injury.
Helpful
Answer: What to do with broken nose if rhinoplasty desired I would go ahead and have a closed reduction now, and wait several months to do the rhinoplasty. If the bones are displaced and you do nothing now, it may be more difficult to correct this as part of the rhinoplasty. Doing the rhinoplasty now would be a mistake in my opinion, for the reasons already stated in other responses.
Helpful
Answer: What to do with broken nose if rhinoplasty desired I would go ahead and have a closed reduction now, and wait several months to do the rhinoplasty. If the bones are displaced and you do nothing now, it may be more difficult to correct this as part of the rhinoplasty. Doing the rhinoplasty now would be a mistake in my opinion, for the reasons already stated in other responses.
Helpful
