I broke my nose a week ago and had closed reduction surgery to straighten it. Since the nasal splint was removed, I have developed a very large hump on the top third of my nose and am now considering Rhinoplasty. Is this permanent or is the bump the result of swelling (I have no remaining swelling on my face)? Also, how soon after closed reduction must I wait for Rhinoplasty? Is Rhinoplasty more difficult following closed reduction?
April 28, 2009
Answer: Rhinoplasty After Closed Nasal Reduction (Fracture) Hi Joe, Be patient and wait to see if the bump resolves. The main purpose of a closed reduction is to get the nasal bones realigned in the center of your face. If the nose continues to bother you either cosmetically or functionally (breathing difficulties) after 6 months then open rhinoplasty would be indicated. After a nasal fracture, natural healing forces and scarring continue for a few months. It is best to let these forces settle down before performing rhinoplasty to give you the best chance of getting it right the first time. By waiting for healing to take place, the surgery should not be "more difficult". Plus, by waiting you may find that the bump will resolve and you will not need surgery at all. You will be able to find plenty of surgeons who are willing to operate on you tomorrow, can you say $$$; my advice would be to wait. Choose your rhinoplasty surgeon carefully. Good luck and be well. Dr. P
Helpful 1 person found this helpful
April 28, 2009
Answer: Rhinoplasty After Closed Nasal Reduction (Fracture) Hi Joe, Be patient and wait to see if the bump resolves. The main purpose of a closed reduction is to get the nasal bones realigned in the center of your face. If the nose continues to bother you either cosmetically or functionally (breathing difficulties) after 6 months then open rhinoplasty would be indicated. After a nasal fracture, natural healing forces and scarring continue for a few months. It is best to let these forces settle down before performing rhinoplasty to give you the best chance of getting it right the first time. By waiting for healing to take place, the surgery should not be "more difficult". Plus, by waiting you may find that the bump will resolve and you will not need surgery at all. You will be able to find plenty of surgeons who are willing to operate on you tomorrow, can you say $$$; my advice would be to wait. Choose your rhinoplasty surgeon carefully. Good luck and be well. Dr. P
Helpful 1 person found this helpful
Answer: Need more time to determine if rhinoplast is indicated The type of swelling that you are describing is not unusual and all and is in fact very common. The bone must heal and a callus formation is necessary. You willl notice many changes in the shape and feel of your nose over the next 3 - 6 months. If the bump persists after this time then a more formal hump or dorsal reduction may be needed.
Helpful 1 person found this helpful
Answer: Need more time to determine if rhinoplast is indicated The type of swelling that you are describing is not unusual and all and is in fact very common. The bone must heal and a callus formation is necessary. You willl notice many changes in the shape and feel of your nose over the next 3 - 6 months. If the bump persists after this time then a more formal hump or dorsal reduction may be needed.
Helpful 1 person found this helpful