Nasal Fracture Closed Reduction Now Bump On My Bridge and Crooked, What Next?

After trauma to the nose a closed reduction will align the nasal bones and correct the deformity.  There will be swelling this can alter the appearance of the early result, and it can have an effect on the long term result and undo the good work of the closed reduction.

I agree with your ENT that now is not the time to act.  Now is the time to wait and see the the final result mature and this may take more than a month.  Once this swelling and healing has resolved it is time to see if a post traumatic rhinoplasty is needed and this may involved breaking the bones.

Only time will tell

Jeremy Hunt     

 

This is a very common scenario - revision rhinoplasty after closed reduction of a nasal fracture can be done safely a few months after the initial injury. I tend to wait a littler longer (6 months) to allow post-traumatic nasal swelling to subside completely.

Nasal fracture revision after closed reduction will depend on what the nose looks like in 2 months. It will take that long for the immediate swelling to go down and then I would need to see your potos to give a proper answer. No surgery before that time.

Closed nasal reductions even in the best of hands have about a 60% success rate.  The reasons for this are multifold but include swelling from the trauma that precludes accurate identification of all the contour and structural irregularities that are present in the nose.  The nose may look straight after the initial reduction, but once the swelling resolves will reveal the underlying abnormalities.  

Depending on the severity of the deformities that are present on your nose, you may need a formal rhinoplasty to satisfactorily address them.  I would wait at least 3 months for your nose to adequately heal before pursuing additional surgery.  

Since you surgery is only 3 weeks after closed reduction, it's too early for any type of revision. Closed reduction is an useful treatment if your nasal fracture is significantly displaced or your breathing is affected by the fracture. It has limitation that it may not completely straighten your nose. It's common to require subsequent revision rhinoplasty for further improvement. I recommend that you wait at least 6 months before any surgical revision. Find a qualified plastic surgeon or facial plastic surgeon to help you achieve your goals.

Best Wishes,

Hi Lorena,

Closed reduction is performed to get the broken nasal bones back into their approximate normal position.  It is thought best to do this before the bones heal solidly in the improper position.  If the nose does not look aesthetically good after closed reduction then it is best to wait a few months to allow the nose to heal and then consider rhinoplasty.  At that time, most likely the bump will be rasped down, and if needed osteotomies (breaking the nasal bones) performed.  There is the possibility that over time your closed reduction will look better so that surgery may not be needed.  Good luck and be well.

Michael A. Persky, MD

Encino,CA

Hard to tell without pictures....

My advice to you is to wait until all the swelling is gone and the tissues are healed, at least 6 months!! (unless there is some type of obstruction). Then see what's going on and have your nose revise I know it's your nose and very visible, but be patient.

Most insurance companies will cover revisions of nasal fractures, especially within the first year after injury.

Dear Lorena


Sorry to hear that you broke your nose

The bone healing will form a callous of new bone that:


feels like &

Looks like a bump



This will change over the next months as the nose heals

some people believe in massage or "nasal exercises" to press on the bones while the heal, although this can be painful

Be patient as it heals and wait for the swelling and healing to disappear.

Then meet with your surgeon and discuss options (like rasping)


Best Wishes

A closed reduction for  a nasal fracture is usually the first step to try to get the nose midline and the bones in the right position.  I always tell patients that they will probaly need a revision in 6 months to smooth out bumps etc..

Not an uncommon problem after closed reduction of a nasal fracture.  The deviation of  your nose could be due to a fracture of the nasal septum or a shifting of the nasal base to one side.  Once the area has completely healed, 4  - 6 months, you may be a candidate for a rhinoplasty and possibly a septoplasty.