ENT wants to do closed nasal fraction reduction tomorrow. What is the success rate, any downsides or problems that could occur?

In my experience closed reduction of nasal fractures usually provides improvement but results are seldom perfect. There are several issues. Reducing the fracture will probably return your nasal bones to a normal position. However, the cartilage that is attached to the nasal bones usually remains out of position resulting in a slight curvature. Also, injured cartilage can change in shape over time and a closed reduction of the nasal bones will not alter this course. This is not to say that a closed reduction is inappropriate. The procedure is performed frequently and most patients are satisfied with the results. The procedure is relatively quick and technically easy but there are limitations about what it can accomplish. Good luck.

If you have an isolated, minimally displaced nasal fracture, then closed reduction has the potential to correct your problem. The advantage is that it is fast and recovery is quick. However, compared to other methods, there is a possibility closed reduction will not completely correct the depression or deviation. This may require more formal rhinoplasty procedures in the future. The question is whether you want to give closed reduction a chance first. An ENT surgeon should be qualified to perform this procedure.

The goal of the initial closed reduction is to try to re-centralize the nose since it is easier at this point as opposed to after things heal.. Bumps and irregularities are not treated at this time for fear that the nose might collapse.  It is best to wait 6 months or so to do the finesse work.  

 In our practice, we rarely ever perform a Closed nasal reduction of a nasal fracture. Nasal fractures are usually very asymmetric,  with depressed nasal bones, fracturing of the nasal septum, and dislocation of the upper lateral cartilage on the side of the trauma. In our practice, we perform an open reduction nasal fracture with osteotomies to completely set the nasal bones straight to allow full  and symmetrical  healing. Some patients require a  spreader graft placed underneath the concave upper lateral cartilage as well. All of the incisions for straightening these nasal bones are performed internally, which is known as a closed rhinoplasty approach. Anticipate a cast applied across the bridge of the nose for one week with visible bruising and swelling for approximately 10 days . A double board-certified ENT/facial plastic surgeon  has additional experience and training than just an ENT doctor