Rhinoplasty After a Broken Nose?

Question

I broke my nose in a few places just two days ago. I have been wanting to get rhinoplasty anyway and was hoping that since it's broken anyway I could just get it now. Is this a possibility?

Steven Wallach, MD · Answer

The key thing for you right now is to see a rhinoplasty expert to make sure that your bones and septum are not displaced. If they are you will need a reduction. I would not do a rhinoplasty at this time and would put it off for at least 6 months.

Jay Calvert, MD, FACS · Answer

Have a plastic surgeon look at it now, but expect that nothing will be done for 6 months or more. Nasal fractures should not be "fixed" until most of the healing is done. I like to wait six months at least and longer if I can. And I find that the nose needs a significant amount grafting if it is deviated. This is not a normal aesthetic rhinoplasty!

Travis T. Tollefson, MD, MPH · Answer

Dear Detroit7749  Sorry to hear about your nasal fractures.  I would seek a consult with a facial plastic surgeon or plastic surgeon to discuss your options. 

	
		You may be a candidate for moving the bones back into place
	
		But, making cosmetic adjustments to the nose after a trauma
		
			
				isn't a good idea.  
		
	
	
		A fractured nose can have many components that are affected:


	
		fractured bones,
	
		traumatized skin
	
		traumatized lining of your nose
	
		injured cartilage.


	Waiting for three - six months to see how you have healed before proceeding with additional surgery will give you the best chance for a great result.

	Best Wishes

Richard W. Fleming, MD (retired) · Answer

Be evaluted by a surgeon within the next week. It is possible to have a closed reduction of any displaced nasal bones at this time. If the result is not satisfactory or you want additional improvement, wait 3-6 months and then have definitive changes with a rhinoplasty which is difficult to achieve immediately after trauma.

Oleh Slupchynskyj, MD, FACS (retired) · Answer

Hi,

If your nasal bone have significant displacement at this time, you should have a plastic surgeon look at you for a possible closed reduction to realign the nasal bones now. Then you can have a formal open reduction nasal fracture after 3 months' time and fix any cosmetic issues at that time.

Best,

Dr.S.

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