If patients approach a nose correction after having had an accident, the procedure can be a lot more complicated. Depending on the nature of nasal trauma, in case of multi fragmented fractures the osteotomies (which is the correction of the position of the bones) may be less stable than in a primary rhinoplasty.
Also, post traumatic rhinoplasty frequently involves work on the nasal septum as well because septal deviation frequently follows nasal trauma. I have made a policy of operating all rhinoplasty surgeries together with an ENT specialist. I have managed to contract an excellent ENT and head and neck surgeon as consultant for my department. We operate all rhinoplasty surgeries together.
I strongly believe that this interdisciplinary concept is the future in rhinoplasty surgery, since it is to the benefit of patients, giving best possible rhinoplasty results both from an aesthetic as well as from a functional point of view. This results in a slightly higher risk of secondary dislocation of bones and possibly patients undergoing such a reconstruction may look at wearing the nasal splint, which normally needs to be worn for 7 days, for about three days longer.
Some irregularities may be camouflaged without a full rhinoplasty operation, but with fillers. I prefer to first apply a permanent filler and secondarily a permanent one.
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