Hit nose hard 1 month post op. I am paranoid that I ruined something.

The majority of rhinoplasty surgeons reinforce and support the nose during a rhinoplasty by:1)  Cartilage Grafting2)  Suture ManeuversThis steps create a nose that is stronger and more supportive than the nose before surgery.  As the nose heals, scar tissue will form and "lock" the nose in its new position.  At 1 month after surgery I would anticipate the nose has had time to from a strong foundation.  While is it possible that you could of caused damage, it is unlikely.  It would have to a been a strong force to cause damage.  With this being said, I would recommend you have your nose evaluated to confirm that it is ok.  It is the safest route and will help you sleep better at night.I hope this helps.  

Dear ashleykmThanks for the question. The strength of the impact is crucially important to say something processing. Of course, it’s better to visit your doctor as soon as possible. I wish you all the best.

Your nose is stronger now than it was before surgery. A very hard hit could have caused some damage but I do not believe it would be permanent. However, an in person exam is needed in order to be sure. I recommend you consult with your doctor.Hope this helps,Dr. Ali Sajjadian

If you are concerned about the trauma that you sustained, then it is best to see your surgeon to be properly evaluated.  Best of luck.

Dear Ayshakamacihan,

Although from your clinical history, you didn’t state how
many weeks you are postoperatively, the closer you are to the operative date,
the higher risk there can be of shifting of the nasal structure, particularly
the nasal bones themselves. Open
rhinoplasty with stable suture fixation and structural support, a small force
injury such as the one you describe is unlikely to shift the nasal tip and
cartilages. The nasal bones can be quite
mobile in the early postoperative period – certainly in the first three to four
weeks – and if there’s any visible irregularity or shift of the bones, the best
advice is to seek the expertise of your operative nose plastic surgeon, as they
are in the best position to judge the aesthetic outcome, having performed the
surgical procedure.

I have been performing cosmetic rhinoplasties for over 20
years, through plastic surgery as well ENT head-neck oncology and cosmetic nose
surgery is a big part of my practice.
Over these two decades, there have been several patients like yourself
that had significant postoperative forces applied to the nasal structure which
resulted in subtle deviation. A simple
procedure performed under local anaesthesia, with or without IV sedation, with
repositioning of the nose is usually all that was required. Care and attention, if there is no deviation
over the next several weeks, would be warranted. Generally, by six to eight weeks the nasal
bones and cartilaginous structure are quite stable and it would take a
significant force or blow to refracture or cause nasal deviation.

My best advice would be to seek the expertise of your
operative surgeon for reassurance that nothing untoward has happened to the
nasal shape and structure with your low-velocity trauma.

I hope this information has been of some assistance and best
of luck.

Sincerely,

R. Stephen Mulholland, MD

Certified Plastic Surgeon

Yorkville, Toronto

At one month post op, you are still in the early healing stage.  An in person exam is needed to determine if there is any damage.  See your Plastic Surgeon as soon as possible for an evaluation.