I Hit my Nose, Is the Swelling Mean Permanent Damage?

Its been 2 days since a "flying" soccer ball landed straight to my nose with a great force. I didnt bleed, nor was I in pain except for the first 2-3 minutes. Theme is, now the left side of the bridge of my nose is a little bit more swollen than the right ( and a bit harder when i touch it). The difference is slight, but still there is. Could you please tell me whether it could be something permanent? If its not, when should I expect the swelling to leave? Im too worried. Thank you in advance.

Doctor Answers 11

Injury to nose

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It is very difficult to answer your question without seeing you in person and examining your nose – you should consider seeking medical attention

Nasal Fractures

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Nasal fractures occur frequently following facial trauma. In many cases, fractures are accompanied by bruising, swelling, bleeding, distortion of nasal structures, deviation of the nose and difficulty breathing through the nose.

                In many cases, the diagnosis of a nasal fracture is relatively simple. Some patients have obvious deformities such as nasal flattening or significant nasal deviation which makes the diagnosis obvious. In other cases, the diagnosis of a nasal fracture can be very difficult because of swelling. In these cases, swelling may need to resolve before the diagnosis can be made.

                When patients have obvious or displaced nasal fractures, they will usually require corrective surgery. Not all nasal fractures require treatment. In some cases, the bone and cartilage are not displaced and because of this, surgery isn’t indicated.

                When corrective surgery is performed within three weeks of the fracture, closed nasal reduction is performed. This is a relatively simple procedure that re-positions and stabilizes the nasal bones. If repair isn’t done within three weeks of injury, correction should be delayed for one year and then a formal rhinoplasty performed.

                In your particular case it’s reasonable to seek medical attention if your deformity and swelling are persistent. Under These circumstances a nasal fracture may be present. 

Hit my nose is the damage permanent?

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Very common question.  As you can imagine without an exam it is very difficult to say.  Just because a nose is swollen it does not mean that the structures like the bone and cartilage are permanently damaged.  An exam and often time will tell

Good Luck

Dr Rahban

Signs of a nasal fracture include nasal bleeding, nasal swelling, under eye bruising, and a possible change in nasal appearance.

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Without nasal bleeding, it's possible you did not fracture your nose, and you may be seeing swelling. For definitive evaluation and treatment, consider visiting a rhinoplasty specialist within the first 10-14 days after your trauma.Wishing you well.Dr Joseph

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
4.9 out of 5 stars 430 reviews

Asymmetrical Swelling 2 Days after Nasal Trauma

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This swelling will significantly improve over the next week. At that time it will be easier to evaluate your nose. Even if there is a fracture, surgery will not be necessary unless you do not like the appearance of your nose or you have problems with nasal breathing. I suggest you see a specialist now to make sure there was no bleeding within your nose, observe you as healing progresses, determine if there is any permanent injury that can be corrected, and describe alternatives of treatment if that is necessary.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 40 reviews

Nasal Fracture Treatment

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It sounds like you need to be examined by a qualified facial plastic surgeon, plastic surgeon, or ENT doctor to evaluate your nose. You may just have swelling associated with trauma but you could also have a nasal fracture.  Some further questions and an examination will help discern this.

Jacob D. Steiger, MD
Boca Raton Facial Plastic Surgeon
5.0 out of 5 stars 68 reviews

Swelling after nasal trauma

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Swelling is maximized 48 hours after trauma in general. As  far as permanent damage you must be evaluated by a Plastic Surgeon to ascertain both if you had a fracture and whether it should be repaired.

Nasal trauma

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How do you know that you did not sustain a nasal fracture?  It might be a good idea to see a plastic surgeon to be evaluated.  It could all be swelling just from the trauma and not from a fracture..

Trauma to the nose

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I would suggest seeing a good qualified surgeon for an evaluation if the swelling does not completely dissipate in a few more days. The surgeon will be able to do an exam and see if there is any fracture of the nasal bones. If there is no fracture then the swelling should go down in days to come and you will be on the road to recovery! If not and you have sustained a nasal fracture then a diagnosis will be made as to whether surgery will be needed to correct the problems. I treat a lot of athletes and this is a common injury in soccer and basketball. Sometimes the trauma results in fracture and other times heals on its own. Best regards!

Michael Elam, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 214 reviews

Swelling does not mean a broken nose

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Definitely not.  If you didn't bleed, it probably isn't broken.  Just ice it over the next few days, and see what it looks like in about a week.
 

Ryan N. Heffelfinger, MD
Philadelphia Facial Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.