Can crooked nasal bones be straightened without septoplasty? (Photo)

Question

Hello, I broke my nose few months ago and did the closed reduction too late on the 17th day after the injury because of a misdiagnosis by my ent doctor. My nose is still crooked and a little bump has formed on one side of my nasal dorsum. Is it possible to fix this with a rhinoplasty by rebreaking the nasal bones and pushing them back into place, without a septoplasty ? I just want my nasal bones straight again can that be achievable without a septoplasty ? Thank you

Stephen Kleid, MBBS, FRACS · Answer

It is not possible to give a definite answer to that question without examining your nose, and more details about the previous injury, 
But is seems - "Yes".
If the septum is straight, "simple" lateral and medial osteotomies around the "bump" can be used, and the bump pushed inwards, or perhaps the bump can just be rasped down (with a metal rasp, diamond rasp, power rasp, or Piezo rasp) - depending on the surgeon's preference.
(What you call "re-breaking the nose" is done with bony cuts called "osteotomies")
This bump might be very suitable to "stab" osteotomies, like "postage stamp perforations.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.
As far as I can understand from your question, first of all, after a detailed examination, I recommend a rhinoplasty operation. 
It would be better face to face consultation.
Best Regards!

Eric M. Joseph, MD · Answer

Based on your photos, you appear to have a reverse c-shaped appearance to your nose. Reducing your nasal fracture with osteotomies with general anesthetic may be considered for achieving a straighter nasal appearance. I hope this helps. Sincerely, Dr Joseph

Gary M. Horndeski, MD · Answer

Bones can be corrected by either filing them down if there is just a prominence or by incising them with osteotomes.  The underlying  septum may be a component contributing to the deviation.  If that is the case then the septum has to be addressed as well.  From the looks of your photographs, it appears filing alone can be done and you may not need a septoplasty.  You will need a physical examination to determine exactly what needs to be done.

Best Wishes,

Gary Horndeski, M.D.

Ronald J. Edelson, MD · Answer

In order to straighten the nose the bones need to be broken again. Septoplasty by itself will not do it

Can crooked nasal bones be straightened without septoplasty? (Photo)

Answers (10)

Answer: In person examination needed

Answer: In person examination needed

Answer: Rhinoplasty

Answer: Rhinoplasty

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Can crooked nasal bones be straightened without septoplasty? (Photo)

Answers (10)

Answer: In person examination needed

Answer: In person examination needed

Answer: Rhinoplasty

Answer: Rhinoplasty

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Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.