My nose shape changed after a fall. Is there a way to fix it without surgery?

Dear NoseChanged;If you injured your nose, and the shape has changed,
it is quite possible you sustained a broken nose. Without correction, it is not likely to
revert to its pre-injury state. When you said “it gets really large whenever I do a facial expression,” that
may reflect an accentuation of the width by the action of the facial
muscles.
Assuming that this is the result of an injury, it is most
likely you are going to need a surgical correction.
Surgical correction of a broken nose is common and
generally very successful. It involves
essentially the same surgical maneuvers as done in a cosmetic rhinoplasty.
What you need to do next: do some homework and have a few surgical
consultations to best assess the condition of your nose.
Finding
a good cosmetic plastic surgeon starts with a computer search of surgeons in
your (or distant) areas. Best results come from super-specialists (a medical,
not an advertising term) who do the procedure you want at least weekly and have
done it for at least a decade.



Once
you narrow in on the website of a surgeon who looks good to you, focus on the
before and after pictures, looking for patients who have had the procedure you
want. There should be dozens and dozens of such photos.



Many
good, plain language books about cosmetic plastic surgery are on Amazon.com or
Barnes&Noble.com.

As
you read, write down questions that can be asked later in consultation with a
surgeon. We have two such books – Secrets of a Beverly Hills Cosmetic Surgeon
and The Essential Cosmetic Surgery Companion designed to help with
all the nuts and bolts of cosmetic plastic surgery consultations and queries to ask about before and after surgery.

Another super-important element of the best consultations: Computer Imaging. Here’s how it works: photos are taken of you as you are and uploaded onto a special computer system that can morph your present appearance into an anticipated after picture. (The technology is also known as Computer Morphing.). Such imaging is an incomparable learning tool because it provides a forum for doctor-patient agreement on the after surgery result that would satisfy you and a result the doctor can deliver. At the end of the day, cosmetic surgery is 100% visual. It's all about appearance. But without visuals, everything is left to the imagination. To anticipate a successful outcome, there must be a meeting of the minds between surgeon and patient. Why waste your time on a consultation in which the surgeon can’t demonstrate what he envisions as the outcome? Would you buy a painting without seeing it? In my opinion, a consultation without computer imaging is nearly worthless.





Best wishes,
Robert
Kotler, MD, FACS Beverly Hills, California, USA

Without pictures and an x-ray, it's impossible to say if the nose was broken from the trauma. If the nose bridge got larger after the injury, it may have been fractured with either a displaced, or non displaced fracture. The dorsal hump related to a nasal fracture is composed of both bone and cartilage and must be shaved down in order to remove it. Osteotomies of the nasal bones are required to straighten a crooked nose. All of this can be performed with closed rhinoplasty techniques under a brief general anesthesia  as an outpatient surgical procedure. For many examples of fractured nose is repaired in our practice, please see the link and video below

Fillers can be used to reshape the nose in certain situations, but photos are needed to determine if you are a candidate or not.  Best, Dr. Emer.