Can I fix my nose bridge, septum, and tip after assault and reconstruction? And average cost for this? (Photo)

Question

In December I was thrown face first to concrete in a domestic assault. My nose was completely fractured in many spots, very deviated, and cut on the right side. I had a reconstruction done. But I hate my nose, and it is still in pain. I want the nose I used to have back. I would like my tip to be back to refined, my bridge fixed(skinnier and not crooked), and my nostrils not protruding. By my left eye there is a dent that hurts. Pictures = before, during, after reconstruction(now), wanted photoshop

Oakley Smith, MD, FRCSC · Answer

Hi , a rhinoplasty can enhance both breathing and aesthetic profile.
It is better for you to consult with a facial plastic surgeon who can examine you and discuss the surgical procedure and the post op recovery 
process.

Donald Groves, MD · Answer

Hello and thank you for your question and the pictures. I actually answered your similar question from 11/12/24.

To help other people with similar questions, I have copied my answer here as follows:

Hello and thank you for your question and the picture. For starters, I'm so sorry to hear about what you went through, that's absolutely awful! Addressing a crooked or asymmetric nose (especially if you have a history of nasal trauma) is actually one of the more common reasons people seek out and undergo a rhinoplasty. An open septorhinoplasty can best address both your aesthetic concerns and any functional issues with your nose. I would be able to address your septum, improve your breathing, straighten your nose, and also adjust the size, shape, and definition of your nose!

This truly a surgery of millimeters- and whether you're looking for a minor adjustment or a major transformation, it requires exceptional surgical skill to achieve functional and natural-looking results! Because your nose is the DEFINING feature of your face- I would only recommend seeing a surgeon who specializes in rhinoplasty procedures, and who has significant training and experience performing these surgeries. I actually trained under one of the world leading rhinoplasty experts (who performs 1,000+ nosejobs annually).

I recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with rhinoplasties) to thoroughly discuss your surgical goals, undergo a formal examination, evaluate your options, and develop a personalized plan just for you. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Eric M. Joseph, MD · Answer

Based on your photos, you appear to have a slightly crooked nasal appearance after your trauma. In order to advise you, you would require an examination. Please consider meeting with several reputable rhinoplasty specialists so you could see what might be best for you moving forward. If you can procure a copy of your operative report, that may be helpful for your surgeon moving forward. I hope this helps. Sincerely, Dr Joseph

Lucian Ion, FRCS · Answer

I'm truly sorry to hear about the sequence of events that you have experienced.

One aspect to consider in the evaluation of your current situation versus Photoshop projection is the interval between surgery and present day. Since it is not yet one year from your operation it is quite likely that there is still swelling affecting the width of the nose which will continue to improve over the next year.

If you are contemplating further surgery to produce a more refined appearance of the nose, it is important to appreciate that it does not restore the original shape. This is accurately reflected in your Photoshop simulation and the simulation is reasonable in terms of the characteristics of the nasal skin suggested by the photographs as well as the overall balance with the facial features.

The problems related to pain after injury to the nose are more complicated and not necessarily solved by more surgery. The recommended approach is to have a consultation with a pain specialist before embarking on further surgical interventions. This is because the type of pain can be analysed and it might lead to the conclusion that more surgery could make it worse. It may also be the case that the program of pre-treatment would increase the likelihood of surgery progressing without worsening of the pain.

Although the pain can be improved by surgery, it is not through a mechanism that we understand and therefore not something that surgeons can project on and this is an important aspect since pain is a constant reminder of the events that led to it.

Psychology help in situations like this is a valuable contribution and together with pain management and possibly surgery produce a holistic treatment that is more likely to be successful.

Caner Kacmaz, MD · Answer

Hi! This is Arzu from Dr. Caner Kacmaz clinic. Your nose can be reconstructed with piezo rhinoplasty. For more information please contact us we will be more than happy to help you
Kind regards

Can I fix my nose bridge, septum, and tip after assault and reconstruction? And average cost for this? (Photo)

Answers (5)