I’d rather go back to the.The approach your surgeon will take with your nose will depend upon whether the fracture has displaced your nose and if so, how severely. A non-displaced nasal fracture can be observed and it will heal to the same shape it was prior to the injury. If your nose was displaced during the trauma, you will likely have to have the fractures reduced to straighten the nose. The reduction procedure will also depend upon the degree of displacement you sustained.
Your surgeon will decide and discuss this with you.My suggestion is to fix your nose before it heals, if all you want is to have the nose you had before your injury.
If you are looking for cosmetic improvements, you can either do it at the same time as the fracture repair, or you may have to delay the surgery until the nose has healed enough to perform cosmetic rhinoplasty. Thank you for this great question which many patients contemplating or undergoing this procedure are sure to ask.Generally, a newly sustained (acute) nasal fracture should be 'reduced' or fixed if it is associated with a significant cosmetic deformity or deviation or if nasal breathing is compromised as a result. The timing of the procedure is typically within 24-48 hours before the swelling kicks in, or at the 7-10 days mark (sometimes up to 14 days) when most of the swelling has subsided. The procedure, which is entitled closed reduction with external stabilization, entails physically manipulating/moving the broken bones with a blunt surgical instrument to restore them in a more correct anatomic location.This is done under general anesthesia or sedation anesthesia depending on your surgeon's preference and the nose is anesthetized so no pain is felt during the procedure. A splint is then placed over the nose, which gets removed approximately 1 week later. A closed reduction is a quick and well tolerated procedure with minimal post operative swelling and bruising (beyond what is already present from the injury), and the likely first step to manage an acute nasal fracture.The vast majority of patients do not seek any additional surgical treatment after their closed reduction. If a proper reduction is unsuccessful via closed reduction then it is reasonable to consider a more involved surgery 6 weeks-3 months later, at which time other issues such as a deviated nasal septum could be addressed simultaneously.
Hope this helps! After a nasal fracture, if the injury is less than 7-10 days old there may be an option a reduction, where the bone is literally pushed back into place. This can only be done early, before the forces of healing occur to fuse the bone fragments.
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