Rhinoseptoplasty after nasal trauma: before and after
Case fact sheet
- Patient: Female, 33 years old
- Reason: functional and restorative: correcting the aftermath of a blow
- Background: Nasal fracture in a bicycle accident, operated on three years later, with the sequela now consolidated
- Starting nose: back and tip deviated by the blow and altered septum, with difficulty breathing
- Technique: rhinoseptoplasty ultrasonic structural: complete septum revision, spacer grafts (spreader grafts), septal extension graft and internal nasal valve enlargement
- Septum and turbinates: septoplasty in the same surgery
- Approach: to restore the nose to its function and shape as it was before the accident, without overcorrecting
- Entry: 1 night
- Anesthesia: general type TIVA
- Duration: 2 hours and a half
A 33-year-old woman fractured her nose when she crashed her bicycle into a guardrail. Three years later, with the injury fully established, she had a deviated bridge and tip, a deviated septum, and was having difficulty breathing. I performed a structural ultrasonic rhinoseptoplasty to restore the function and shape of her nose to what it was before the accident.
Comment by Dr. Gustavo Sordo
Reason for consultation
This patient came to my office after a bicycle accident: she hit her nose on a roadside guardrail and suffered a significant nasal fracture. She wasn't looking for an aesthetic change, but rather to correct the damage caused by the trauma, both functionally and in terms of the shape of her nose.
What I observed when evaluating it
During the evaluation, I found a clear deviation of the bridge and tip, a direct consequence of the blow, along with a septal defect that made breathing difficult. It was a case of rhinoplasty secondary to trauma—operated three years after the accident, on a sequela that had already healed—not a purely cosmetic rhinoplasty.
What was important to preserve
In these cases, my priority is to respect the patient's own anatomy as much as possible and not "overcorrect." The goal is not to reconstruct the nose, but to restore it to its function and natural shape before the accident.
My surgical approach
I proposed a structured ultrasonic rhinoseptoplasty, revising the septum in its entirety and with grafts: spreader grafts to reconstruct and stabilize the dorsum, and a septal extension graft at the tip to help straighten the nose and give it support.
Why I chose this technique
Ultrasound technology allows me to work on the bone with great precision, without damaging the surrounding soft tissues, which is especially important when there is already a fracture and the anatomy has been altered by the trauma. Structural grafts were necessary to provide long-term stability, not just to correct the shape.
What I did during surgery
I corrected the deviated septum, placed spacer grafts to reinforce and align the dorsum, and added a septal extension graft at the tip. In addition, I enlarged the internal nasal valve to improve the airway, which was one of the patient's main complaints.
What is observed in the result
The result is a straighter nose with improved breathing function. Each case is evaluated individually, and results may vary depending on the patient's anatomy, but in this case, the patient's own progress confirms both the aesthetic and functional improvement.
More rhinoplasty cases with deviated septum . Regarding blows to the nose, see the article "Nasal Trauma or Broken Nose ," and how I perform rhinoplasty in Madrid , on his website.
Case operated on by Dr. Gustavo Sordo
Specialist in Plastic, Aesthetic and Reconstructive Surgery. Member No. 282858125.
Before you compare yourself to this photo
If you're comparing results to get an idea, keep in mind that the starting point is just as important as the technique. How is a nose studied before surgery, in rhinoplasty in Madrid.
Do you want to know if this can be done in your case?
The first consultation is with Dr. Sordo, either at the Chamberí clinic or via video consultation. You'll leave knowing if you're a candidate, which technique is right for you, and how much it costs.
Dr. Gustavo Sordo · Member No. 282858125 · Plastic, Aesthetic and Reconstructive Surgery · Madrid