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Nasal Fracture Surgery

A nasal fracture commonly referred to, as a broken nose is a break or crack in a bone or in the cartilage in a person’s nose. These breaks most often occur over the bridge of the nose or in the septum (the area that divides the nostrils).

Nasal Fracture Surgery Sydney

Nasal Fracture Surgery

A nasal fracture commonly referred to, as a broken nose is a break or crack in a bone or in the cartilage in a person’s nose. These breaks most often occur over the bridge of the nose or in the septum (the area that divides the nostrils).This type of fracture usually affects either the bridge of the nose, which is the bony part that extends outwards from the face, or the septum. The septum is the cartilaginous wall that sits centrally in the nose, separating the two nostrils. These two areas are particularly vulnerable because of their prominent and location on the face.

Symptoms that indicate you may require nasal fracture surgery

  • Evident Nasal Deformity: If a nasal fracture has resulted in a visible deformity or a change in the shape of your nose, surgical intervention may be considered.
  • Persistent Pain: Pain in or around the nose that persists after initial injury can be an indication for this surgery.
  • Chronic Nasal Obstruction: Difficulty breathing through your nose, potentially due to blockage caused by a fracture, may indicate the need for surgical correction.
  • Swelling: If significant swelling on the outside of your nose does not resolve with time or medical treatment, you may need to discuss surgical options.
  • Continuous Nosebleeds: Persistent or recurrent nosebleeds following a nasal injury may signal the need for surgery.
  • Bruising around Nose and Eyes: Chronic or significant bruising around your nose and eyes could indicate a more serious injury that might necessitate surgical intervention.
  • Concerning Nasal Asymmetry: If the fracture has resulted in a notable asymmetry or crookedness of the nose, surgical correction may be considered.
  • Blockage of Nasal Passages: If your nasal passages remain blocked or congested after initial healing time, it could be an indication for surgery.

It’s important to remember that every individual is unique and so too are their needs and desired outcomes for cosmetic surgery. If you’re considering a procedure, it’s essential to have a comprehensive consultation with one of our experienced surgeons. They can help you understand whether you’re a suitable candidate and what you can realistically expect from the surgery. The information provided here is meant to help guide you, but it’s not a replacement for professional medical advice. Always organise a consultation for personalised advice.

If you are concerned about the way you look or are thinking about cosmetic surgery for confidence reasons, there are alternatives. Talking to a counsellor or psychologist may help you overcome your concerns about your appearance.

What to Expect

Consultation

The journey towards nasal fracture surgery begins with a comprehensive consultation with our highly experienced surgeon. In this session, the surgeon will discuss your symptoms, medical history, and evaluate the structure and condition of your nose. The surgeon may use physical examination and imaging studies such as X-rays or CT scans to understand the extent and location of the fracture. This consultation is the perfect opportunity to address any concerns or ask any questions you might have about the procedure.

Number and type of consultation
It is a requirement under the law, that a patient seeking cosmetic surgery must have at least two pre-operative consultations. The patient’s first consultation must be with the medical practitioner who will perform the surgery or another registered health practitioner who works with the medical practitioner who will perform the surgery (not a patient advisor or an agent). At least one of the two consultations must be in person with the medical practitioner who will perform the surgery. Other consultations can be in person or by video.

When consent can be given
A patient must not be requested to sign consent forms at their first consultation and cannot consent to cosmetic surgery until they have had an in-person consultation with the medical practitioner who will perform the surgery. The decision to have the surgery (provision of informed consent) must be made at a consultation with the medical practitioner who will perform the procedure (in person or by video).

Cooling-off Period
There must be a cooling-off period of at least seven days after the patient has had two consultations and given informed consent (signed consent forms), before the surgery can be booked or a deposit paid.

Preparation

Once the surgical plan has been agreed upon, you will receive detailed preoperative instructions to prepare for your nasal fracture surgery. These instructions may include dietary restrictions, advice on smoking and alcohol consumption, specific instructions regarding medications or supplements, and cleaning your nostrils.

Surgery

Nasal fracture surgery typically lasts between one to two hours and is often performed under general anesthesia. The procedure involves realigning the fractured nasal bones and, if necessary, correcting any associated septal deviation. The surgeon may make incisions inside the nostrils or along the nasal columella, depending on the complexity of the fracture. If necessary, splints or packing may be inserted to support the newly aligned bones during the initial healing phase.
  • Surgery Time
    30 minutes to 1 hour
  • Hospital Time
    Day stay

Recovery

Following surgery, you will be monitored in a recovery room for a short period. Most patients are able to go home the same day, although in some cases an overnight hospital stay may be recommended.

Swelling, bruising, and nasal congestion are common after nasal fracture surgery but will begin to improve after a few days. Most patients are able to return to work or school within a week or two, depending on their individual recovery rate and the nature of their work.

Regular follow-up appointments will be scheduled to monitor your healing process and ensure a smooth recovery. The final results of your nasal fracture surgery might not be fully apparent for a few weeks to a few months, as it takes time for the nose to heal and settle into its new shape.
  • Time off work
    1 week
  • Cast Removal
    After 7 days
  • Exercise
    4 to 6 weeks
  • Driving
    24 hours after general anaesthetic and not while taking prescribed pain relief. We also recommend checking with your CTA insurer as to the post surgery exclusion period.
  • Travel
    After 7 days for national and 4 weeks for international
  • Full Recovery
    A broken nose will usually heal within three to four weeks and swelling can last between six to twelve months.

Send an Enquiry

Want to ask a question or organisation a consultation?

Our Rhinoplasty Surgeon

Dr Michael Zacharia

MBBS, FRACS, FAAFPS, ACCS
Dr Michael Zacharia is a Fellow of the Royal Australasian College of Surgeons, Head and Neck (Otolaryngology) and practices in Facial Plastic Surgery. He is also an Ear, Nose and Throat (ENT) physician and has completed over 8,000 procedures, with over 4,000 being Rhinoplasty. Combining the latest medical, surgical and health techniques, Dr Zacharia strives to deliver the best outcome for each and every one of his patients.
Cosmetic Surgeon & ENT Specialist
MED0001178357

Contact us

Make an Enquiry

Get in touch today to organise a consultation or to find out more information.

Our team will give you a call to discuss your enquiry and we will then send you any relevant information via email.
You will need a GP referral for surgical procedures. AHPRA require all patients having a surgical cosmetic or medical procedure to have a GP referral. You can fax your referral to 02 8072 6824 or email office@drzacharia.com.au
You will need a GP referral for surgical procedures. AHPRA require all patients having a surgical cosmetic or medical procedure to have a GP referral. You can fax your referral to 02 8072 6824 or email office@drzacharia.com.au

Considerations Before Cosmetic Surgery

While we aim to provide accurate information about the different surgical procedures available, it’s important to understand that the content provided here serves as a general guide only. The specifics of each surgery, including the procedure detailed above, can and will vary significantly from person to person, depending on their unique circumstances and physical characteristics.

Undergoing cosmetic surgery is a serious decision that requires ample thought, careful consideration, and meticulous planning. It should never be taken lightly or treated trivially, as it can have profound impacts on one’s lifestyle and wellbeing.

Recovery from cosmetic surgery, too, requires time, support, and proper aftercare. We strive to present realistic and transparent information about the recovery process, but individual experiences may vary. It is typical for recovery to involve certain services or requirements, such as the use of compression garments or receiving therapeutic massages. It also often necessitates significant lifestyle changes, which may include a period of absence from employment and temporary restrictions on certain activities.

In light of these considerations, we strongly encourage potential patients to engage in comprehensive discussions with their GP and our surgeons. The goal is to fully understand the implications, requirements, and likely outcomes of any chosen procedure, and to make informed decisions about their health and aesthetics.

For more information on preparing for cosmetic surgery visit health.gov.au/cosmeticsurgery

General risks and complications

  • Substantial Hemorrhage: This involves severe blood loss from the area that underwent surgery, which may necessitate additional medical interventions.
  • Susceptibility to Infection: Post-surgery, the risk of infection can rise, potentially requiring either antibiotic treatment or subsequent surgical interventions.
  • Allergic Responses: Patients may exhibit allergic reactions to medical materials such as sutures, dressings, or antiseptic solutions used during and after the procedure.
  • Hematoma Formation: This involves the development of a sizable clot of blood beneath the incision site, which may necessitate medical drainage.
  • Post-Surgical Discomfort: Patients may experience pain, bruising, and swelling in the area surrounding the surgical site.
  • Scar Development: There's a risk of developing keloids or hypertrophic scars, which are elevated, red, and thickened scars over the healed incisions. Though they can be bothersome and aesthetically displeasing, they don't pose a direct health threat.
  • Delayed Healing Process: Healing can be sluggish, especially in patients with pre-existing conditions like diabetes or those who smoke.
  • Anaesthesia Risks: Patients may experience short-term nausea following general anaesthesia, along with other potential risks associated with anaesthesia.

Nasal fracture surgery risks

  • Post-Surgical Pain: Nose surgeries can lead to severe and persistent pain that requires pain management.
  • Altered Sensations: After the subsidence of bruising and swelling, the nose may exhibit numbness or a changed sense of touch.
  • Temporary Numbness in Teeth: Following the surgery, the upper front teeth may experience temporary numbness.
  • Unfulfilling Cosmetic Outcome: There's a chance that the visual outcome may not meet expectations, necessitating further corrective surgery.
  • Impaired Olfactory Function: The sense of smell may be negatively affected, with rare instances of permanent loss or distortion.
  • Long-term Swelling: The nose may remain noticeably swollen for several months post-operation.
  • Darkened Under-eye Skin: The skin beneath the eyes may darken, persisting for more than six months after the procedure.
  • Structural Instability: The support structure of the nose may weaken, leading to a flattened appearance of the nose. This could also result in complications with any implanted materials, possibly causing them to protrude into the nose or through the skin, and potential narrowing of major airways that may result in difficulty breathing.

AHPRA Registration

  • Dr Michael Zacharia MED0001178357 - Otolaryngology
  • Dr Kenneth Brito MED0001680302 - General Practice
  • Dr Ahmed Alsultan MED0001647273 - General Practice
Disclaimer: Surgical and invasive procedures are not an exact science and they carry risks. Results vary with each patient depending on their age, health, weight, hormones and lifestyle. Please note that results are not permanent solutions and will change as your body changes over the years. After you consult with Team MZ, you should seek a second opinion from an appropriately qualified health practitioner
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