Can the medial crura detach from the septum area or fracture? (Phtoo)

It is difficult to permanently change the appearance of somebody's nose by pulling the tip downward. Have you had previous rhinoplasty surgery? Not, you may be a bit swollen from the trauma and your concerns should spontaneously resolve within one month of the trauma. If this is not the case, please consider meeting with several reputable rhinoplasty specialists to discuss your concerns. Thank you for this question. Sincerely, Dr Joseph

I recommend seeing a facial trauma surgeon (an ENT, OMFS, or plastic surgeon) who operates frequently on facial injuries. Level 1 trauma emergency departments have a facial trauma surgeon. In the photo, it appears there may be bruising of the columella, but I cannot tell for sure. Changes in the position of nasal structures that you are seeing are due to swelling and will likely resolve as the swelling goes down. Nasal trauma that is severe enough or nasal trauma right after facial surgery (when the nose has not healed fully) would potentially require sutures. Otherwise, it would be less likely to require sutures, though the provider may recommend taping the soft tissue for 14 days to support the columella. The medial crura are not directly connected to the septum. There is connective soft tissue between the septum and the medial crura unless there are surgical changes. Some surgeons connect them during rhinoplasty.