Can a nasal bone be outfractured back to its original position?

Question

What technique is used to bring back a fractured sunken nasal bone to its original position threw rhinoplasty?

Andrew Miller, MD · Answer

Yes, by redoing the osteotomies, the nasal bone can be refractured and moved outwards. It would be important to determine if there are any other issues contributing to the depression before just doing it. Some packing would be needed to stabilize it. Also, since there would be no guarantee of it staying, bypassing surgery and using filler to correct the appearance can be used. Be sure to see an expert rhinoplasty surgeon for consultation.

Alejandro Nogueira, MD · Answer

If your description corresponds to the actual cause of the sunken area, then refracturing and pusing it out is an easy maneuver, then maintained by a high nasal packing with gauzes.

However, I have the gut and background experience feeling that this is not the actual cause of your problem.

Images needed, please.

Eric M. Joseph, MD · Answer

I believe there is a natural tendency for the nasal bone to fall inward once it is fractured. When people have an indentation along their nasal sidewall, many times we recommend permanent non-surgical nose job treatments with microdroplet Silikon-1000 to permanently fill in the divot and to improve upon nasal symmetry. I hope this helps! Sincerely, Dr Joseph

Yucel Sarialtin, MD · Answer

In rhinoplasty, a fractured and sunken nasal bone is brought back to its original position using a technique called osteotomy, where the nasal bones are carefully re-fractured in a controlled manner and then repositioned to restore proper alignment and shape. This can be done through a closed or open approach, depending on the severity, and is often stabilized with external splints to ensure proper healing.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. It can be challenging to out fracture to a stable position longterm but it also depends on your anatomy. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Lexie Wang, MD · Answer

Yes it's possible to do that. We would need to do osteotomies to re-break the bones and then pop it out. Depending on how depressed it is, that might be enough vs. you may also need a graft put in to hold it out.

Sean Fisher, MD · Answer

It is difficult to say definitively without seeing photos of the area of concern. It is common in revision rhinoplasty that the nasal bones need to be addressed as part of the revision. this often means performing repeat osteotomies to free the bones. Once this has been done, your surgeon can mold them into the position that is needed- This can involve fracturing the bones outward if it is determined that this is necessary. 
Sean M Fisher, MD Aesthetic Plastic Surgeon Seattle, WA

Can a nasal bone be outfractured back to its original position?

Answers (7)

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