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

Question

I had my nose pulled extremely hard. Physically pulled in a downward motion. A little after my nasal bone and sinuses and forehead started to throb horribly the whole night. The next morning my nose was extremely swollen and seems like the footplates of my medial crura and protruded out and also downwards as if there’s no support holding them in or up. Nose also looks wider around nostrils a turned up. If so would I need to have them sewn together and back upwards toward my septum area?

Eric M. Joseph, MD · Answer

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

J. Renee Booth, MD · Answer

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.

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

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

Answers (2)

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Everything you need to know about Rhinoplasty

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