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Broken Nose Repair – Restoring and Improving Nasal Form

Blog post - before after broken nose repair septoplasty rhinoplasty front view

Before and after broken nose repair. Patient had closed rhinoplasty, septoplasty, and turbinate reduction to help improve her nasal congestion and appearance of the nose. The tip of the nose was also conservatively setback to reduce a droopy tip. Her rhinoplasty was performed soon after injury.

Deviated noses are commonly seen in a facial plastic surgery practice. A deviated nose may develop naturally as the nose develops from childhood or following nasal injury and trauma. The nose, since it projects from the face, tends to get a more of the facial injuries.

What is a broken nose?

A broken nose typically refer to fractures of the nasal bones. However, the cartilage and tissue of the nose and nasal septum may be injured as well. Some signs and symptoms of a broken nose may include:

  • a deviated, crooked, or twisted nose
  • bruising and swelling
  • pain, discomfort, tenderness
  • nasal congestion
  • a nose bleed
Blog post - before after broken nose repair septoplasty rhinoplasty front view

Before and after broken nose repair. He underwent a closed rhinoplasty and septoplasty. His rhinoplasty was performed long after the original injury.

Nasal injuries are often evaluated by a plastic surgeon, otolaryngologist, or facial plastic surgeon soon after the injury. The surgeon can help determine if the nose was fractured or just swollen. Sometimes swelling alone may make the nose appear asymmetric. Nasal swelling may last several weeks and occurs both on the outside and inside of the nose.

How is a broken nose treated?

Treatment for nasal injuries varies broadly, so speak with your facial plastic surgeon to evaluate your nasal injury, deviated septum, and broken nose to help determine appropriate options.

Minor nasal injuries and fractures may not necessarily require surgical intervention, such as septoplasty or rhinoplasty. If your nose appears as it did before the injury and nasal breathing is not blocked, then treatment may involve just rest and observation.

Broken noses can be repaired with a closed reduction, if there is new deviation or the bones have shifted from injury. This relatively minor procedure repositions the nasal bones and septum back to its original position.

Closed reduction for a broken nose can be performed in the office with local anesthesia. For more severe injuries or patient preference, plastic surgeons will treat broken nasal bones in the operating room with general anesthesia or IV sedation (twilight anesthesia). The procedure is very quick and simple and patients may return home afterward. A cast or tape is placed over the nose for a week afterward.

Is rhinoplasty performed at the same time of broken nose repair?

Most plastic surgeons fix the broken nose first, then perform a rhinoplasty at a later point if desired. Generally, nasal healing and recovery is better, and rhinoplasty results are considered more predictable when rhinoplasty is done separately from the acute injury. Many plastic surgeons and rhinoplasty specialists wait at minimum 6 months after a broken nose before contemplating another surgery. For patients who had an old injury or multiple nasal injuries over the years, then rhinoplasty or septoplasty may more likely be required, since nasal bone reshaping (i.e. osteotomy) is often necessary.

Blog post - before after broken nose repair septoplasty rhinoplasty front view

Before and after broken nose repair. She underwent an open reduction of the nasal fracture with conservative rhinoplasty and deviated septum surgery. Her repair was performed soon after injury.

Rhinoplasty surgery is highly variable and thus tailored to the unique needs of each patient. Closed reduction is often done during the initial period after nasal injury, while rhinoplasty is more likely performed after the initial healing period after trauma. Speak with your plastic surgeon as to possible rhinoplasty timing.

10 Responses to Broken Nose Repair – Restoring and Improving Nasal Form

  • Zakaria Khan says:

    I had broke my nose when i was 5 years old and now am 37. Due to having difficulty in breathing causing restless nights. I want rhinoplasty amd reshaping of my nose if you have suggestion as to how it may be carried out?

    • Houtan Chaboki, M.D. says:

      Thank you for reading the blog!

      A nasal injury or broken nose can contribute to breathing issues, sinus problems, or nasal congestion. Rhinoplasty and septoplasty may be appropriate to reshape the nose and improve the nasal passages. Nasal surgery is performed via an open approach, with an external scar, or a closed approach, without external scar. Our practice performs all types of rhinoplasty, but specializes in closed rhinoplasty.

      Best,
      Dr. Chaboki

  • Ehsan says:

    Hello dr chaboki,so grateful to have this platform to communicate with you,i broke my nose 8 month ago and
    immediately underwent close reduction but not sattisfied with results,i just want to know that is it possible to get my old nose appreance by rihnoplasty or its just a lie?

    • Houtan Chaboki, M.D. says:

      Thank you for reading the blog. Rhinoplasty and/or septoplasty may be performed after initial repair for a broken nose for a variety of reasons. The specific timing and extent of rhinoplasty will depend on many factors. Plastic surgeons may try to restore the original shape. While possible to get the original shape, rhinoplasty surgeons can never guarantee the “old nose”.

      Best,
      Dr. Chaboki

  • Kevin says:

    Hello and thank you, i broke my nasal bones but after reduction the lower cartilage got droopy , can i solve this or its permanent?

    • Houtan Chaboki, M.D. says:

      Thank you for reading the blog. We try to educate on plastic surgery procedures, nonsurgical (ex. Botox) and surgical (ex. facelift).

      For a broken nose, the nose can be repaired with a reduction. A reduction repositions the nasal bones back toward the midline. While many patients require only a reduction of the bones, additional surgery with rhinoplasty and septoplasty to repair cartilage may be necessary. Patients should speak with their specialist surgeon to help determine appropriate options.

      Best,
      Dr. Chaboki

    • Houtan Chaboki, M.D. says:

      Thank you for reading our article on broken nose repair. “Soon” is a vague term, but may be referred to within weeks after injury. At some point after trauma, the bones fuse and would need to be modified with rhinoplasty. Read more about osteotomy in rhinoplasty. Plastic surgeons will develop a surgical plan with patients that is based on multiple factors, which includes timeframe after injury, degree of nasal injury from trauma, pre-existing conditions (ex. possible deviated septum, sinusitis, etc), and chronic medical conditions.

      Best,
      Dr. Chaboki

  • John says:

    Hello and thank you
    Whats the exact time you called on above pictures “soon after injury” for under going rihnoplasty for broken nose?
    Is it 8 month soon after injury?
    One side of my nose is depressed and other side is empty i just wanted to push the bones back to its place by rihnoplasty,is it possible?

    • Houtan Chaboki, M.D. says:

      Thank you for reading our article on broken nose repair. Plastic surgeons may be able to perform a closed reduction within the first couple weeks after injury, without necessarily needing to re-break the nose. At some point after trauma, the nasal bones fuse and would need to be modified with rhinoplasty surgery and osteotomy. Read more about osteotomy in rhinoplasty. Timeframe after injury, degree of nasal injury from trauma, pre-existing conditions (ex. possible deviated septum, sinusitis, etc) are just some factors that plastic surgeons consider when planning treatment. Lastly, many patients have a deviated nose without prior injury.

      Best,
      Dr. Chaboki

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    Houtan Chaboki, M.D.