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I had a bad fall four weeks ago; I fell face down in a parking

 
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  • Answered by:Plastic Surgeon
  • Plastic Surgeon (MD)
  • Positive Feedback: 97.7 %
  • Accepted Answers: 612
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I had a bad fall four weeks ago; I fell face down in a parking lot and broke my nose (had CT scan at ER). I had a consultation with an ENT/facial plastic surgeon. Since I am past the point of having my nasal fracture set in the office, I would have to have it rebroken in surgery about 6 weeks after the original break after it has healed. He also suggested septum surgery done at the same time (I have severe deviated septum). This would all be presumably covered by my medical insurance.

Before my accident, I had planned on having an eye lift and perhaps facelift end of summer (I'm 58). Well the broken nose has put a crimp in my plans. I saved vacation leave at my job for the eye lift/face lift. Should I even think about having the broken nose/septum surgery done at the same time as the eye lift/face lift or is all this too much surgery? Or could I be turning into Joan Rivers? I was thinking that since I would be out with the anesthesia, I could get it all done at once - perhaps too much surgery.

Would it be more reasonable to take a week off to the get the nose fracture resolved and septum fixed. Wait and then get the other cosmetic surgery later in the year? How long would I need to wait? I wanted to get the cosmetic surgery done before I leave my current job to take advantage of my built up leave.

Also, along with my nasal fracture at the bridge of my nose (still hurts), the tip of nose seemed to be affected - I now have a pea size bump on the left part of the tip. During my consultation, the plastic surgeon mentioned fixing that somehow. Since I have thin skin, he mentioned using "mesh" and that my nostrils might seem slightly more flared after surgery due to having to use the mesh.

Please advise,

Accident Prone in Virginia

 

Optional Information:
Person's Gender: Female
Person's Age: 58

Already Tried:
I know I need surgery to correct my nasal fracture but I need more advice before committing to this surgeon.

Submitted: 400 days and 9 hours ago.
Category: Plastic Surgery
Value: $30
Status: CLOSED

Accepted Answer

Expert:  Plastic Surgeon replied400 days and 8 hours ago.


Plastic Surgeon : Thank you for your question. The nasal surgery with refracturing the bone and the work on the septum and nasal tip should be performed separately from eyelid and facelift surgery. You will be swollen and bruised from the nasal surgery and that would affect the eyelid surgery. Heal from the nasal surgery for at least 3-6 months before having elective eyelid and facial surgery. You may want to get another opinion on the nasal surgery. The use of mesh in the nose is not a common procedure and is a foreign material. Your nose should still hurt from the trauma you sustained.
Customer :
Plastic Surgeon : In addition, you should ask that surgeon exactly why he wants to use mesh. You may not be satisfied with nostrils that are flared. This needs to be explained to you before any surgery is scheduled.
Customer :

Thanks for the answer. You are right about looking for another opinion about the mesh in the nostril area. It seemed odd to me. I really went to get a consultation about correcting my obviously broken nose and didn't anticipate getting the deviated septum fixed. He said it was severely deviated but I was checked on my deviated septum years back and was told it wasn't that bad. All the talk about changing my "downward sloping" tip of my nose was not something I anticipated. I simply need my left bending broken nose fixed! This specialist was at Johns Hopkins, and is quite young. I guess you are right - I need to find another surgeon for the nose. Thanks for your answer.

Customer :
Plastic Surgeon : You really should have a consultation with a board certified plastic surgeon for another opinion.
Customer :

Expert TypePlastic Surgeon (MD)
Category: Plastic Surgery
Pos. Feedback: 97.7 %
Accepts: 612
Answered: 5/15/2012

Experience: 30 years experience; Board Certified in Plastic Surgery; Member American College of Surgeons;

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