How Long Must I Wait After Broken Nose/closed Reduction to Have Repair Rhinoplasty?

I am a bit more conservative in recommending early rhinoplasty after closed reduction for a nasal fracture. I like to wait 6 months unless there is gross deformity that requires an early open reduction. This is to allow the swelling to resolve and see if there are any other problems that are not apparent initially. I would follow you at bi-weekly and then monthly intervals initially. See a Plastic or fellowship trained Facial Plastic Surgeon with good expertise and artistic judgement in nasal surgery. Best of luck. Sorry for your unfortunate encounter. 

       Rhinoplasty to fix bony deformity could be performed a few weeks after closed reduction as the nasal bones heal quickly.  However, residual swelling can be an issue and this should resolve before embarking upon a rhinoplasty, so maybe 3 months to 6 months or possibly more.  Kenneth Hughes, MD Los Angeles, CA

The most common time frame for a procedure like this would need to take place 3-6 months following your initial surgery. This is the safest time period to ensure that the problems your experiencing will be corrected. I suggest visiting an expert rhinoplasty surgeon who can examine you in person.

Hello, and very sorry to hear about your accident. In general, you should wait around 6 months after a closed nasal reduction to have rhinoplasty. I hope this helps, and I wish you the best of luck.

Rhinoplasty for the broken nose after closed reduction is usually about 2-3 months since we need to wait for the swelling from the closed reduction to subside.

The safest approach is to let healing and reduction in post-injury swelling to completely resolve, now that you are almost 4 weeks out.  In general that is 6-12 months.  

Hello,

Thank you for the question.  Although there is no specific time frame that everyone agrees upon, you will want to wait at least until your bones have healed and the swelling has gone away.  This will be at least 6 weeks and perhaps a little longer.  I would arrange several consultations with board certified plastic surgeons.  You can then get an idea of your plastic surgeons choice of time frame as well.

All the best,

Dr. Remus Repta

Closed reduction of a nasal fracture has a poor success rate, so we perform osteotomies to re-set the fracture properly.  Open reduction of the nasal fracture gives a much more predictable and consistent result.  All of the incisions are located inside the nose, this is not open rhinoplasty . Expect a cast on the nose and bruising for a week.  No packing is placed inside the nose. It is acceptable to have it repaired at any time.  

My usual routine for traumatic nasal injuriesis to try to reduce it as best that I can within the first week or two.  However, this will only straighten the nose a bit.  A rhinoplasty willmost likely be needed about 6 months later to remove dorsal hump, straighten it more and remove irregularities. this refinement can not be done during the initial phase of healing because the nose can collapse.

It is not always possible, to achieve a perfect result by performing closed reduction of a fractured nose. In my practice I wait at least six mounths before performing the definite rhinoplasty. This allows for the swelling to disappaer and all the damaged structures settle in . It is a good idea to bring a picture of the nose ( before the accident ) to your consultation to be reviewed by your Plastic Surgeon.