Q. Nasal Bone Fracture Rhinoplasty: Can I Correct a Crooked Nose and Raise the Bridge Even Though It’s Broken?

Hello. I’m Kim Hyung-taek, CEO director of Kowon Plastic Surgery, where we align both the front and side profiles.

This time, the question came from someone considering nasal bone fracture rhinoplasty, and they asked because they wanted to know whether it would be possible to correct a crooked nose and raise the bridge at the same time now, rather than later.

Q. Nasal bone fracture rhinoplasty: Can I do crooked-nose correction and nose bridge augmentation even though it’s broken?

I recently broke my nasal bone in an accident.

After getting a CT scan at a university hospital, I was told that the result showed the nasal bone was broken by about 2 cm and bent inward.

It was an ENT consultation, and the doctor said it would be a simple surgery to put the fractured bone back in its original place.

More than anything, they said I would need general anesthesia.

However, my nose is somewhat bent to the right, so since I was already going to have nasal bone surgery, I asked whether I could also have crooked-nose correction and nose bridge augmentation through nasal bone fracture rhinoplasty, but I was told that should not be done right away.

On the other hand, I heard opinions from the internet, private plastic surgery clinics, and people around me saying that surgery can be done even in a fractured state.

As I kept searching online, I found opinions divided between saying surgery should not be done while the bone is fractured and saying it is fine to do it.

I’m now in a situation where I have surgery tomorrow, but I still haven’t decided whether to have the nasal bone fracture rhinoplasty as well.

What should I do in a case like this? The university hospital doctor said I should only straighten the crooked nose and bridge after four months. Should I follow that advice?

Or should I go to a place where such surgery can be performed and have the operation there?

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There are cases where surgery is performed together with the fracture treatment, and cases where only the fracture treatment is done.

As you said, opinions differ from surgeon to surgeon regarding nasal bone fracture rhinoplasty.

Whether to do only the fracture surgery depends on the degree of the nasal bone fracture, the current state of the nose, and whether there is an open wound on the skin.

Therefore, the extent of surgery must be determined after examining the nose directly.

However, if the nasal bone is broken by as much as 2 cm and has moved inward, that is a fairly severe fracture.

So, as the ENT doctor said, it seems better to first have the fracture treated and then have cosmetic surgery about six months later.

If you are still unsure, I recommend consulting several places.

I hope you get a good result.

I hope this consultation answer was helpful.

Thank you.

Source: https://kin.naver.com/qna/detail.naver?d1id=7&dirId=70110&docId=185275190&page=1#answer1

This is a case of someone with a slight deviated septum.

A crooked nose is not very noticeable when the bridge is low, but it becomes much more noticeable once it is raised.

During surgery, the deviated septum bent to one side was corrected to straighten the nasal bridge.

This is a case of a woman who underwent crooked-nose surgery.

Because her nasal bridge was already high, the surgery was performed without using a separate implant.

After surgery, her image changed to one that was both natural and more defined.

Because her nose was bent to the left, septoplasty and crooked-nose correction were performed together.

We explained in advance that even after correction, there was a possibility it could return to its original position, and after surgery a smooth, straight line was achieved.

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