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I'm not satisfied with the closed reduction after nasal fracture. Can I ask the doctor to do a revision before it heals?

Can I ask the doctor to repeat the reduction that was done to nose as the patient wasn't satisfied with the result ?If I felt the closed reduction that was preformed to treat with the nasal fracture was not satisfied to me that much can I ask the doctor to repeat it before it heals and does this help to gain better result?


Doctor Answers 4

Closed reduction for nasal fracture

April 13th, 2014
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A closed reduction of a nasal fracture is simply a manipulation very soon after the fracture try to put the nose bones back into place. It does not involve osteotomies of the nasal bones. Open reduction nasal fracture with medial and lateral osteotomies are performed to straighten the nasal bones on a formal basis. This is performed through closed rhinoplasty techniques as an outpatient surgical procedure under general anesthesia. Occasionally, a cartilaginous spreader graft is also used if the upper lateral cartilage has been fractured off the nasal bone on the affected side and is creating a concavity or twist to the nose. For many examples of crooked nose repair in our practice, please see the link below to our rhinoplasty photo gallery

Web reference: http://www.seattlefacial.com/photogallery/rhinoplasty_photos24.html

William Portuese, MD


Seattle Facial Plastic Surgeon
4.7 out of 5 stars 125 reviews

Closed reduction for nasal fracture

April 11th, 2014
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Usually a close reduction's goal is to try to centralize the fracture or push out the depressed nasal bone. Refining a bump needs to be delayed until then use is completely healed( usually within 6 months).
Steven Wallach, MD

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 23 reviews

Wait!

April 11th, 2014
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Although it may not look like it, noses can be swollen for almost a year following surgery.  Wait until you are completely healed to have anything revised but make sure you voice your concerns to your surgeon.
Jan Zemplenyi, MD

Jan Zemplenyi, MD
Bellevue Facial Plastic Surgeon
5.0 out of 5 stars 12 reviews

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Closed reduction

April 11th, 2014
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A closed reduction is an attempt to put bones back into place and hope that there will be enough support to maintain it's position. It is often very successful in many nasal fractures but is not synonymous with a rhinoplasty. If you are unhappy with the result it's best to wait and let everything heal and then go back and do a rhinoplasty. That way your doctor is able to sculpt your nose from a stable structure, not try to piece fragments together.

Web reference: http://www.palmbeachface.com/revision-rhinoplasty.html

Michael L. Schwartz, MD

Michael L. Schwartz, MD
West Palm Beach Facial Plastic Surgeon
4.7 out of 5 stars 9 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.