How to Fix Broken Nose Tip?

Question

A seal on a package I was opening gave way easier than expected, thus "punching" myself in the nose with the back of my thumb squarely hitting the tip straight up. I heard a snap followed by tenderness for a few days.
A year later, I have seen some slight drooping and it has lost its sharpness in the tip which moves around easily.  It is now bulbous looking with uneven bumps on top and aches.  The little bones on the tip are uneven and I have an indention along the top.  Is this fixable? I loved my nose! : (

David C. Pearson, MD · Answer

If the tip is still aching a year after the injury, I'd be very hesitant to recommend any surgery before the source of the pain is determined. Neuromas and neuropathic pain syndromes can be aggravated by surgery. So while the tip may look better, the pain could be made worse.
I'd get a good diagnosis about the pain first, if it were me.
All the best,
--DCP

Otto Joseph Placik, MD · Answer

The structure in the tip of the nose is essentially determined by the caritlage (similar to gristle in meat). This has a rubber like consistency. Although it is possible to fracture the cartilage, this is very unusual and if it occurs usually effects the septum and not the lower lateral cartilages. Seek the evaluation of a qualified surgeon to determine your options.

Toby Mayer, MD · Answer

What you describe is probably a combination of tip cartilage asymmetry and lack of support. See an experienced rhinoplasty surgeon to outline his plan for what you need. Make sure you think his work is good; see live patients he has done.

Michael A. Persky, MD · Answer

Hi Castles,
It is possible to repair your injured nose.  During your examination, qualified rhinoplasty surgeons will be able to diagnose what is causing the deformity that troubles you.  Once the diagnosis is made, a surgical plan can be outlined to achieve your cosmetic goals.
Most likely the nose that you loved in the past can be restored.  Choose your rhinoplasty surgeon most carefully.
Good luck and be well.
Dr. P

Darryl J. Blinski, MD · Answer

As ALL the expert posters are recommending, take pre injury photos to 3 boarded rhinoplasty surgeons. There you can compare the appearance of your nose. It does sound like either a displaced tip cartilage or a fractured septum, you stated you heard a 'crack'. Most likely some type of surgical intervention will be needed. Regards.

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How to Fix Broken Nose Tip?

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Answer: Rhinoplasty, How to Fix a Broken Tip?...Sounds Like the Old Bee Gees Song "How Do You Fix a Broken Heart?"

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