Nasal Fracture Surgery Sydney

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

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.

Doctor examining patient nose after rhinoplasty

Symptoms that indicate you may require nasal fracture 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.

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.

What to expect


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.


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.


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.


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.

Surgery Time
30 minutes to 1 hour
Hospital Time
Day stay
Time off work
1 week
Cast Removal
After 7 days
4 to 6 weeks
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.
After 7 days for national and 14 days for international
Full Recovery
A broken nose will usually heal within three to four weeks and swelling can last between six to twelve months.

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

General risks and complications of surgery include:

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 and complications include:

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.

How Much Does Nasal Fracture Surgery Cost?

Your personalised quote will be prepared following an in-depth evaluation by our expert surgeon. This includes a thorough assessment of your individual needs, detailed explanation of the procedure, and a tailored approach to best achieve the desired outcomes. The quote considers various elements including surgical supplies, hospital requirements, and the specifics of the surgery itself.

Potential rebates might be available if the procedure is deemed medically necessary by relevant health authorities. Conditions for this include providing evidence supporting the medical necessity of the surgery and a referral from a healthcare professional. Your private health insurance may also provide coverage, so it’s essential to discuss this with your provider.


Anyone who just broke their nose due to an accident or other matter can usually be diagnosed by performing a physical examination, which involves looking at and touching the patient’s nose and face. If the patient is in a lot of pain, their nose injury appears to be severe or is accompanied by other facial injuries, their Doctor may order an X-ray or Computed Tomography (CT) scan to determine the extent of damage to the nose and face.The ideal candidate for Nasal Fracture Surgery is someone who is in good physical and mental health. Smokers are encouraged to quit at least a couple of weeks before the procedure and it is also recommended to not drink alcohol before and after surgery. This promotes proper healing and aids in avoiding complications during the procedure.Dr. Zacharia will explain what can be done to assist eligible candidates for this procedure. He will discuss the steps of the proposed surgery and the variables that may affect the procedure. Physical characteristics such as the size and shape of nasal bones and cartilage, as well as the thickness of skin may affect the technical considerations.
The cost of Nasal Fracture surgery varies to each individual, as well as the complexity of the procedure performed. The cost will be based on specific fees for the physician, anaesthetic, hospital, and if applicable, charges for an overnight stay.Any surgery performed for purely aesthetic reasons will not be covered by health insurance. In cases where the procedure is considered medically necessary, such as corrections of birth defects or damage due to trauma, the procedure may be covered. It is recommended that patients discuss what will be covered by their insurers prior to booking the procedure.Book a consultation, request a quote online, or contact the staff at Dr. Zacharia’s rooms today on (02) 9192 1600.
In most nasal surgeries, general anaesthesia is used. However, in some cases, local anaesthesia with intravenous sedation may be used. Dr Zacharia and his anaesthetist will assist patients in making the decision regarding which type of anaesthesia is best for their individual procedure.
It is likely to be sore and regular painkillers will be arranged. The discomfort is usually worse for the first few days although it may take a couple of weeks to completely disappear. Broken noses usually heal without infection and it is not necessary to give patients any antibiotics.There is a variable amount of swelling and bruising around the eyes. These changes are most noticeable in the first 24 hours after surgery and have very much reduced by the end of the first week. Swelling and bruising can be reduced by using cold compresses around the eyes and sleeping propped upright for the first few days after surgery. Most of the swelling has disappeared after a fortnight, but there is often some subtle swelling that can take several months to resolve, although only the patient and their family are likely to notice this.Before patients leave hospital, an appointment will be arranged to remove the splint and review the patient in the outpatient department. It is important to keep any dressings as dry as possible until they are removed.
No surgery is risk free. As with all procedures, there are number of risks and complications. Understanding the risks is imperative and Dr. Zacharia discusses these openly with prospective patients in the initial consultation.The chance that any of these complications may occur during the surgery or during recovery is usually very small.The following is a list the most common risks that may occur, such as occasionally the nose may start to bleed again once the packs have been removed. This bleeding usually settles by applying pressure and pinching the nose. Rarely do the packs need to be reinserted.Some people who have broken noses straightened require further revisionary surgery to improve the appearance or help with breathing. This is usually not carried out for several months because it can take as long as this for all the bruising and swelling to completely disappear.During the initial consultation, Dr. Zacharia will answer any questions and make sure the patient fully understands all possible complications involved with the surgery.
Depending on the injury and the amount of damage, the time to heal after a broken nose can vary greatly. Nasal bone fractures usually heal enough within two weeks that closed reduction to repair the fracture is no longer possible.
This varies enormously from person to person and depends on what kind of work they do. It is recommend that most people have around a week off.
Anytime that the skin is cut, a scar is formed. Incision healing is dependent on several factors, including surgical technique, prevention of infection, reduction of tension, patient nutrition, as well as smoking (before or after surgery), etc. It is possible for a nose to break and not have any visible deformity of the nose or external scarring. Most often, a severe break will cause some shifting of the nose to one side or the other or, possibly, flattening of the nasal bridge.
A broken nose will usually heal within three to four weeks and swelling can last between six to twelve months.

Self-Assess Your Readiness For a Facelift

Thank you for taking the Dr Zacharia self-assessment form to better understand how mentally and physically you are for achieving the best facelift possible. Please answer all questions below, and provide photos for a pre op screening by Dr Zacharia.

Disclaimer: Please note that Dr Zacharia has the same rights as a patient. If you choose not to go ahead with Dr Zacharia based on his recommendations, he also has the right to turn away patients who he feels may be too high risk for surgery or show a lack of compliance for surgery protocols.

Surgery is a serious decision, and we are striving for the best outcomes for all. However, all surgery comes with a risk of complication or revision. Follow your pre and post op instructions for your safety and best possible outcome. However, the human body is not an exact science and Dr Zacharia and his team can only use their extensive experience to help guide you through any issue that could arise.

Please complete the following information, so we can send you your results and contact you for further discussion later.

Dr ZACHARIA’s opinion will be based on your anatomy. If the budget you have specified does not meet his recommendations, we will highlight the limitations of lesser invasive treatments based on your budget/ anatomy.

Please provide a front on and profile photo of your face. Also, a photo of you on your profile looking down. Ideally stand in front of a plain wall or door and have someone else take the photos for the best pre op consult advise.

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