How a fractured nasal bone alters the nose after trauma, and how reduction and reconstruction are performed

Hello, I am Dr. Peter C. Kang.

Today, I would like to share the case of a patient who visited our clinic concerned about a nasal bone fracture caused by trauma. Rather than simply treating the fracture, we improved the balance of the entire face to achieve a more harmonious result.

• Nasal bone fracture resulting from trauma

• Nasal deformity and reduced function

• "I want to restore my trauma-damaged nose to normal."

• "I want my nasal bone fracture treated properly."

• "I want to correct the deformed shape of my nose."

• "I also want to improve my overall facial balance."

• "I want a natural-looking result."

In this surgery, a comprehensive approach was key: reconstructing the trauma-damaged nose while simultaneously improving overall facial balance.

Nasal reconstruction surgery:

1. Nasal bone reduction

• Precise reduction of the fractured nasal bones

• Safely performed via closed reduction

• Restoration of nasal bone symmetry

• Reconstruction of a natural nasal line

2. Revision rhinoplasty using donor rib cartilage

• Use of proven, vetted donor rib cartilage

• Systematic reconstruction of damaged structures

• Improvement in nasal height and shape

• Securing long-term stability

3. Nasolabial angle correction

• Creation of a natural nasolabial angle

• Improvement in the profile line

• An elegant profile silhouette

• Achievement of overall harmony

4. Reconstruction of the right alar cartilage and upper lateral cartilage

• Restoration of cartilaginous structures damaged by trauma

• Precise reconstruction of the right alar cartilage

• Realignment of the upper lateral cartilage structure

• Achieving bilateral symmetry

Surgeries to improve overall facial balance:

1. Autologous facial fat graft

• Improved overall facial balance

• Replenishment of areas lacking volume

• Creating natural three-dimensional definition

• A more youthful and refreshed appearance

2. Receding chin implant (chin augmentation)

• Increased volume at the tip of the chin

• Refinement of the lower facial contour

• A more defined V-line

• Harmonious proportions with the nose

3. Paranasal augmentation (noble surgery)

• Restored volume around the nasolabial folds

• Enhanced three-dimensional midface projection

• Natural volume augmentation

• A softer, more youthful appearance

4. Submental liposuction

• Refined jawline

• Correction of a double chin

• A sharper, well-defined jawline

• Improvement in the profile line

Front view changes:

• Fractured nasal bones restored to normal alignment

• Correction of the post-traumatic nasal deformity

• Achieving bilateral symmetry

• Enhancing overall facial balance

• A natural, harmonious frontal line

Profile view changes:

• Nasal line naturally improved

• An elegant profile achieved by correcting the nasolabial angle

• Jawline cleanly refined and defined

• Refined impression through reduction of the double chin

• Harmonious overall profile silhouette

Overall facial changes:

• Overall balance improved through rhinoplasty, chin surgery, and paranasal augmentation

• Natural volume via autologous fat grafting

• Refined impression with an enhanced V-line

• Enhanced overall balance despite post-traumatic swelling

• A harmonious and natural facial appearance

Nostril view changes:

• Improvement of nostrils deformed by trauma

• Reconstruction of the right alar cartilage completed

• Restoration of bilateral symmetry

• Alignment of the columellar midline

• Natural nostril shape

Nasal bone fractures caused by trauma require more than just setting the bone; reconstructing damaged cartilage structures makes this a demanding surgical procedure. In this case in particular, the right alar cartilage and upper lateral cartilage were also injured, requiring precise reconstruction.

Closed reduction realigns fractured nasal bones without skin incisions, realigning the nasal bones effectively without leaving external scars. Alongside this, donor rib cartilage was used to systematically reconstruct the damaged cartilage structures.

Donor rib cartilage is a material with proven safety that offers the advantage of providing an ample amount of cartilage without the burden of harvesting autologous rib cartilage. This allowed us to precisely reconstruct the right alar cartilage and upper lateral cartilage, securing bilateral symmetry.

What made this surgery distinctive was improving the balance of the entire face along with the nasal reconstruction. Moving beyond the original goal of treating trauma, we addressed the facial contours that had long concerned the patient, creating a more satisfying outcome.

Autologous facial fat grafting provided overall volume, while chin augmentation and paranasal augmentation enhanced the three-dimensional projection of the midface and lower face. Submental liposuction sharply defined the jawline, making the overall balance extending from the nose to the chin significantly more harmonious.

Because surgery followed acute trauma, overall swelling was present; however, once the swelling resolves, an even more natural and refined result will become visible. Despite performing several procedures simultaneously, each area blended harmoniously, greatly enhancing the overall facial balance.

Receiving prompt, proper treatment for traumatic nasal fractures is vital. Leaving fractures unattended or receiving inadequate treatment can lead to permanent deformities; therefore, I recommend undergoing accurate diagnosis and care from an experienced specialist.

I will continue to provide customized surgeries that reflect each patient's individuality and requests through this meticulous approach. I hope this helps those with similar concerns.

This was Dr. Peter C. Kang. Thank you.

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