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A rhinoplasty is required to reset the crooked nasal bones by placement of osteotomies in them. This must be done under general anesthesia by a board-certified physician anesthesiologist. Patients simply cannot tolerate the amount of pain it would take to straighten them without being put to sleep with a formal surgery. For many examples of broken nose repair in our practice, please see the link and the video below
Your question can only be properly addressed following an in-person consultation. Your nose needs to be carefully examined by a board-certified plastic surgeon who can then determine whether you require a reconstructive rhinoplasty. An examination and possibly a CT scan can determine the extent of the fracture and deviation. From there your surgeon can suggest a plan which can include surgery. If your airway is not compromised then you can decide if you want a procedure to correct the external appearance of the fracture or deviation of the nose. Insurance often pays for the procedure if there is significant airway restriction. Often a cosmetic rhinoplasty can be performed at the same time. An in-person exam with a board-certified plastic surgeon is always the best way to fully assess your needs and address your concerns. Best of luck!
Threads will not be the best solution to treat your nose. It sounds like you would likely best benefit from a rhinoplasty, but you would have to be seen in person first to be properly evauated.
Hello and thank you for your question. The footplate of the right medial crura is displaced into your right nostril. This is usually due to a deviated septum and can be fixed with a septoplasty. The nostril or alar collapse you are referring to can be helped with cartilage grafts to the ala...
I would go ahead and have a closed reduction now, and wait several months to do the rhinoplasty. If the bones are displaced and you do nothing now, it may be more difficult to correct this as part of the rhinoplasty. Doing the rhinoplasty now would be a mistake in my opinion, for the reasons ...
You seem to be a good candidate, and yes a tip rhinoplasty seems to also be in order. That surgery in itself is not overly complicated, and the downtime is fairly minimal, with a very good result after 10-14 days, and swelling to continue to go down for another few months... but certainly...
Over the past 35+ years I've rarely used rib cartilage to augment the nasal bridge. Usually there is enough septal or ear cartilage available which is much easier to harvest. I also prefer diced cartilage so I don't have to worry about possible warping with onlay grafts.
Whether the perichondrium is left intact or not on a rib graft harvest has no influence on postoperative discomfort. That is best managed through the use of Exparel nerve blocks placed during the surgery. Rib grafts are used exclusively because larger volumes of cartilages are needed to...