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Nasal fracture repair

Face the world with confidence

Because the nose projects outwards and is central to the face, it tends to be one of the most frequently broken appendages in the human anatomy. Nasal fractures can occur as the result of a brawl, a car accident, a fall, or a sports injury. The sports most commonly implicated in nasal fractures are hockey, boxing, basketball, skiing and wrestling.

Common indicators of a broken nose are:

  • black eyes or bruising
  • bleeding
  • swelling
  • acute breathing problems
  • sinus infections
  • facial pain/tenderness
  • crooked nose

It’s important to see a physician as soon as possible if you suspect you may be suffering from a nasal fracture. Failure to do so can result in serious medical complications, not to mention significant alterations to the cosmetic appearance of the nose and face.

If the nasal bones have shifted out of alignment and less than 10 days have passed since the trauma, a facial plastic surgeon in NYC can repair the fracture right away. Being proactive at this early stage is the best way to ensure a complete recovery for the nose, both aesthetically and functionally. Otherwise the patient must wait for several months until the break has completely healed, at which time a more extensive repair surgery such as a septorhinoplasty will be required.

Choosing your surgeon for nasal fracture repair

Because nasal fractures may affect several parts of the nose at once, such as the septum, the bridge and the tip cartilage, repairing a broken nose is a complex, painstaking procedure that requires a surgeon who is well-versed in the most advanced cosmetic, reconstructive and functional techniques. Dr. Kwak holds a double board certification in reconstructive facial plastic surgery and otolaryngology (ENT medicine), and brings to the operating table a lifetime of expertise specifically in nasal surgery.

During your initial consultation, Dr. Kwak will determine the nature and consequences of the fracture. He will gather your medical information such as prior surgeries and current medications, and discuss with you your goals for the procedure. If cosmetic changes are desired, Dr. Kwak will outline his treatment plan for your NYC rhinoplasty in addition to the nasal fracture repair. Many patients find that this is a perfect time to make long-desired changes to the look of their nose, since they are already undergoing nasal surgery.

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What can I expect from the procedure?

Nasal fracture repair is an outpatient procedure most typically conducted under local anesthesia. As a functional nasal surgery, it is commonly covered by insurance carriers and Medicare.

If the septum alone is fractured, repair surgery will involve a closed procedure with an incision inside the nose. In cases where the patient fails to see a surgeon within the initial 10 days, more complex strategies may be needed, such as cartilage grafting to bolster weakened nasal support.

Occasionally the tip cartilage will become fractured during physical trauma. When this happens, the doctor may opt to perform “tip-plasty” or surgery to reshape and correct the tip of the nose.

In situations where some time has passed since the fracture, it may become necessary for the doctor to perform an open repair procedure. This involves re-breaking the nose with a hammer and an osteotome (type of chisel), and then resetting the bones in place.

Recovery from nasal fracture repair

Swelling, discomfort and bruising are all common after nasal fracture repair surgery, however pain medications are available to you should you desire them, along with compresses and the herbal remedy Arnica Montana. These reactions generally subside within a few weeks. The head should be kept in an elevated position, propped up by pillows, and patients should avoid rigorous exercise or physical labor for 10-14 days. Although nasal stuffiness is typical post-surgery, take care not to blow the nose, as it could disturb healing or incite infection. Lastly, eyeglasses and sunglasses should not be worn for at least 21 days following nasal fracture repair.

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