Can my Healed Broken Crooked Nose Only be Straightened via Surgery?

If it's only a month since your second injury, then you still may be swollen.  Without a picture it's impossible to properly advise you.

However:  Being a month after injury, I would suggest now leaving it for at least 6 months in the hope that with swelling reduction your nose will look acceptable.

If it still is crooked but only very mildly so, it's possible that fillers ( an injectable treatment)  might be enough to improve the appearance of symmetry.

If it is obviously and significantly crooked then there is no way of correcting it other than surgery.

If you are happy to post a good picture of your nose, more specific advice can be provided for you.

Good luck.

I'm sorry that your nose has been damaged twice in just six months. Re-breaking and re-setting your nose is actually considered surgery and is a normal part of the rhinoplasty procedure. A facial plastic surgeon who has expertise in reshaping noses can take a look and advise you on your best course. I hope this helps.

Depressions on one side of the nasal bridge may lead to a crooked appearance and in our practice, micro droplet Silikon-1000 treatments may be permanent nonsurgical solutions for many people. Some people require rhinoplasty surgery to reposition their nasal fractures. Consider consulting with a rhinoplasty specialist so you could see what might be best for you. Thank you. Dr Joseph

The
correction of displaced nasal fractures usually always requires surgical
intervention.When these fractures are
recent, they can usually be treated with a closed nasal reduction.Fractures of longer duration usually require
a formal rhinoplasty.In this
situation, a closed nasal reduction might have limited success for several
reasons.This procedure may not be
effective in a fracture that’s four weeks old.In addition, closed reduction might not impact the changes associated
with the first older fracture.Under
these circumstances, a reconstructive rhinoplasty in combination with a septal
realignment may be necessary.This
procedure shouldn’t be performed for at least six to nine months following the
most recent injury. No two
patients are exactly alike and for this reason treatment plans should be
individualized.It’s therefore important
to consult a board certified plastic surgeon who can perform a comprehensive
evaluation and formulate an appropriate treatment plan.

By about 6 weeks after breaking the nose the nasal bone have reset in their new position. As a result, in order to straighten the deviation after that point would involve creating controlled bone fractures (osteotomies) to reposition the nasal bones.

If you reinjured your nose 1 month ago it may be possible to reposition the bones without performing osteotomies though it can be difficult that far out from the injury.

Sorry to hear about your two nasal fractures! Your nose certainly can be improved, but it will likely require surgery. Occasionally, in very mild cases of asymmetry, we can sometimes us a filler, like Restylane, to correct a small divot in the nose. However, from your description, it sounds like you will require surgery to straighten your nose.

Beyond a couple of weeks following injury the only way to straighten a crooked nose is surgery. During the procedure fine instruments are used to "cut" the nasal bones rather than "break the nose." Depending upon what other changes you want to make in the shape of your nose this procedure can require anywhere from 30 minutes to two hours and can be performed under twilight anesthesia. Consult with an experienced Facial Plastic Surgeon if you have any questions about this surgery.
Thank you for your question.Stephen Weber MD, FACS

the best time to reposition fractured nasal bones is within a two week period after the initial injury.  If done during that time period,the bones can be manipulated back into their original position and no need for aggressive surgery or re-breaking up the bones are necessary.

however, once the bones have healed, the only way to reposition them is to fracture them again.

Yes, a surgeon can rebreak and straighten your nose, but that is the same thing as having surgery. Straightening the nose without surgery only works when done soon after the trauma, before the bones and cartilage have healed in the incorrect position. In such an instance, the surgeon is not "rebreaking", but rather is realigning the nose in a procedure called a "closed reduction of nasal fracture". Also, it may be more than just your nasal bones that were injured. You may have also injured your septum, which will also give the appearance of a crooked nose. Your best bet is consulting with a board certified plastic surgeon or facial plastic/ENT surgeon to do a physical exam in order to provide you with your options. Many surgeons don't charge a first consultation fee, so take advantage of that opportunity. If you absolutely cannot afford surgery, sometimes a filler such as Restylance can be injected to camoflouge (not fix) a contour irregularity like a bump. Good luck!

A broken nose will remain crooked unless it is reset properly by osteotomies, which is re-breaking the nasal bones in a very controlled fashion.  Both medial and lateral osteotomies are performed while the patient is under general anesthesia.  A cast will then be applied across the bridge of the nose and left in place for approximately 1 week.  Any bruising from the surgery typically resolves after 14 days.  It is also important to make sure the septum is not deviated at the internal portion of the nose, which may or may not need to be addressed at the time of the surgery.