Los Angeles

Nasal Fractures

What is Nasal Fracture?

Nasal fracture surgery or broken nose repair is a reconstructive procedure that is performed to address broken or misaligned nasal cartilage and bone from injury or trauma caused by contact sports or accidents. If not addressed properly, a broken nose can significantly alter the patient’s facial appearance and cause structural issues that contribute to recurrent breathing problems.

It is best to have a broken nose examined immediately to check for septal hematoma and other associated issues. In cases where the nasal structure must be repaired, this procedure offers the most optimum solution for restoring proper form, alignment, and internal function to the nose.

Why Should You Undergo Nasal Fracture Surgery

A broken nose will naturally heal on its own after an injury. However, the bones may not set correctly if left untreated by a doctor, thus resulting in permanent breathing problems and unwanted facial changes. Undiagnosed septal hematoma, if present, can also lead to the collapse of the septum and other nasal deformities.

Nasal fracture surgery improves the patient’s nasal appearance and ensures complete relief from breathing problems and other functional issues that may arise from a broken nose. It addresses the following:

  1. Nasal injuries
  2. Septal hematoma
  3. Deviated septum
  4. Collapsed nose bridge
  5. Functional issues

What are the Benefits of Undergoing Nasal Fracture Surgery

Nasal fracture surgery requires expert diagnosis to ensure that all structural issues are identified prior to repair. This is crucial in restoring the functional capabilities and aesthetic appearance of the nose, which is why it is important to seek the expertise of an otolaryngologist for proper treatment.

As a double board-certified facial plastic surgeon and otolaryngologist, Dr. Jacob Sedgh is uniquely qualified to diagnose and perform the complex reconstructive repairs involved in mending a broken nose. With superior surgical knowledge and an artistic eye, he is able to deliver optimum results that are both aesthetically pleasing and functionally sound.

Patients can expect the following benefits:

  1. Restored nasal function
  2. Improved facial symmetry
  3. Enhanced nasal appearance

What Should You Expect During the Initial Consultation

During your initial consultation, Dr. Sedgh will interview you about the circumstances of the injury, as well as the resulting symptoms you’ve experienced. He may also ask you to describe what your nose looked like before, and if there were any existing cosmetic or functional issues prior to the injury. Upon gathering the pertinent details, he will then carefully examine the nose and other areas that may have been affected, such as the eyes, jaw, and teeth.

You can also expect the following:

  1. An interview on your medical history and past injuries or surgeries
  2. Complete physical examination
  3. Rhinoscopy and other diagnostic tests
  4. Explanation of the procedure

If you cannot come in for a consultation, Dr. Sedgh can conduct your consultation via video conferencing. The doctor’s office can also assist in making the necessary travel arrangements once you have been scheduled to undergo the procedure.


The methods for repairing a nasal fracture vary depending on the complexity of the damage. If the broken nose requires a simple re-alignment, the doctor may simply perform a closed nasal fracture reduction, which involves repositioning the broken nasal bones into the correct alignment (performed under local anesthesia if needed). For extensive nasal damage, a more complex reconstructive procedure may be needed.

The timing of treatment is also significant. Patients are advised to seek treatment within the first two weeks after the injury, as the nasal bones can still be moved back into position with simple measures. However, if the patient is not able to meet with a doctor within this timeframe, they may be advised to wait two to three months to allow the swelling to go down before performing surgical repair. This is due to the fact that the nose will begin to partially heal following this two-week period, and attempting to repair a broken nose that is in the process of healing can lead to further nasal deformity.

During a closed nasal fracture reduction procedure, Dr. Sedgh will carefully place a surgical instrument inside the nose to allow him to adjust and properly align the nasal bones.

Open reduction of the nasal bone, as well as septorhinoplasty and other functional rhinoplasty techniques, can be used to repair more extensive deformities and abnormalities caused by the broken nose. These are commonly performed after an older nasal bone fracture has healed in place.

The procedure is typically done in an operating room, under general anesthesia. During open reduction, Dr. Sedgh will create small incisions inside the nose to re-fracture the nasal bones and move them to their original position.

At the end of the surgery, the doctor will install a splint or cast to prevent movement during the healing process.


Nasal fracture surgery is commonly performed as an outpatient procedure, but this will largely depend on the extent of the surgery. Downtime will vary between a few days up to a few weeks, as every case is different and will require different types of treatments.

During the recovery period, patients must avoid strenuous activities to prevent bleeding or further injuries. Patients will usually experience swelling and bruising, as well as congestion and other symptoms associated with rhinoplasty, which is why it is imperative to follow proper aftercare measures and take the prescribed medications to manage any pain or discomfort.

In the interest of ensuring optimum health and proper healing, Dr. Sedgh makes it a point to closely monitor the patient’s recovery progress through recurring follow-up appointments scheduled between the first day post-surgery up to a year (or more) later.

Patient Reviews

I don’t think it is an overstatement to say that Dr. Sedgh was a godsend to me for his willingness to do surgery on my nose when several notable surgeons refused to take on the task of correcting the damage that three previous surgeries had done. Dr. Sedgh clearly has an artistic eye as well as a very professional ability at nose surgery. He has earned my trust and respect.

Randy, R.


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