Did Lack of Cast on Nose Cause Bridge to Widen?

Could the position of the bones have been compromised by the absence of cast? I had a rhino/septoplasty 5 weeks ago. The width of the bridge have significantly increased postop despite the fact that my doctor moved the bones closer. Is it possible that the bones did not maintain their new position as I have not been fitted with a cast, only tape removed after 4 days?

Doctor Answers 6

No Cast after Rhinoplasty

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If  the bridge has spread, the cast would not have prevented this, but only delayed the movement. If the nasal bones were not completely separated from the surrounding tissue during surgery,  this can occur.  Your surgeon can evaluate and revise, if necessary..

Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Wider Bridge after a Nose Job

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Tape and splint may reduce swelling but cannot keep partially released bones together. Without an examination is is impossible to tell so we can only guess why your bridge is wider. IF the controlled side fractures of the nose were not complete, theoretically the bones could have been pushed in but with memory slowly returned to their old positions. If this is the vase the fractures would need to be redone.

Peter A. Aldea, MD
Memphis Plastic Surgeon

Osteotomy and nasal width

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It is very possible that the bones have "sprung" a bit back. Sometimes the fracture is not completely performed to "greenstick" the bones.  Sometimes the "greenstick" falls back away as the nose still appears wide.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Splint in Rhinoplasty

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It mainly depends on how well the osteotomy was performed during the surgery.  It has little to do with the splint, eventhough the splint prevents the nasal bones from popping out with the swelling.  But if the nasal osteotomy was not complete the splint will not do much.

Hope that helps.

Farbod Esmailian, MD
Orange County Plastic Surgeon
5.0 out of 5 stars 88 reviews

Nasal widening after rhinoplasty

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Patients who undergo a rhinoplasty often have the bridge of their nose narrowed as part of the procedure. Occasionally, the nasal bones can splay outward during the healing process or as a result of incomplete osteotomies at the time of the procedure. The splint itself will not prevent nasal bone widening. The main purpose of an external splint is to help with swelling and protect the bones for the first week from being banged or inadvertently moved. They do not anchor the bones in the new position. I hope this information helps.

Scott Trimas, MD
Jacksonville Facial Plastic Surgeon
5.0 out of 5 stars 20 reviews

Nasal Cast and Widening of the Bridge

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It's possible that the bones swelled out and healed in a wider position. However, it doesn't look like the nasal bones were narrowed adequately.

Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
4.8 out of 5 stars 285 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.