Nose injury never healed. How can this be treated? (Photo)

Question

13 months ago my friend threw a piece of dove chocolate across the kitchen and it hit me directly in the bridge of my nose. It instantly swelled up and hurt really bad. I went to a walk in and they said it was not broken and would Go back to normal. 13 months later and this is ruining my life I feel the worst I have ever felt and I'm left so confused on why it never went back to it's normal size and shape. Any input is appreciated

David M. Kowalczyk, MD, MBA, FACS · Answer

Good Afternoon! With nasal trauma of the bridge, sometimes scar tissue and inflammation can develop which is permanent. It's possible as well that the bone could have fractured. If the area seems firm like bone, then it may need to be rasped or filed down. If there's more significant damage, an open rhinoplasty might need to be performed to be precise. I would seek evaluation with a facial plastic surgeon to see what's best for you. Hope this helps!

Jeffrey C. Hamm, MD - Account Suspended · Answer

Hi and welcome to our forum!
From your before and after photos, I note a subtle dip in nasal projection at the bridge / supratip junction in profile view. The nasal bridge appears higher and wider with a small hump, and the tip appears fuller. The photos are taken quite close up, and, as a result, I can't establish the landmarks to determine the relationship of the nose to the face.
Many nasal fractures are not initially identified by x-ray examination. Following nasal trauma, the presence of deformity and / or pain and swelling would strongly suggest the presence of a nasal fracture. 
Swelling after a nasal fracture may persist for up to 2 years and the nasal tip is notorious for taking the longest to heal. The nose may appear larger.
As some of the features demonstrated suggest residual swelling, I would delay any surgical intervention for a bit longer. 
Pursue follow-up care with a board certified plastic surgeon or otolaryngologist.
Best wishes...

Nose injury never healed. How can this be treated? (Photo)

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Nose injury never healed. How can this be treated? (Photo)

Answers (2)

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