A member asked:

Is the nose always broken during rhinoplasty? is breaking the nose always necessary with rhinoplasty, or can it sometimes be avoided?

6 doctors weighed in across 5 answers
Dr. Thomas Lamperti answered

Specializes in Facial Plastic Surgery

It : It isn't always necessary to perform controlled bone fractures during rhinoplasty. It really depends on if the nasal bones need to be repositioned or not.

Answered 10/3/2016

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The : The most common reasons a nose would be broke would be to realign a malaligned boney nasal pyramid (crooked boney portion), to narrow excessively wide nasal bones, or to close an open roof deformity after nasal hump reduction. If there is minimal bridge excess sometimes it can be conservatively filed down without need to break the bones. If just tip work is needed there is no reason to break the bones.

Answered 10/3/2016

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Dr. Christopher Khorsandi answered

Specializes in Plastic Surgery

Rhinoplasty: No it is not always necessary to break the nose. If only tip work is being done then, it may be unnecessary.

Answered 3/26/2013

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Dr. John Christophel answered

Specializes in ENT - Head & Neck Surgery

Not always: Breaking the nose usually refers to "osteotomies" or the controlled cutting of the nasal bones. This is done to the upper third of the nose when the nasal bones need to be moved in some fashion. The most common reason the bones need to be moved is when the nose is crooked, or when the bones need to be narrowed.

Answered 6/12/2013

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Rhinoplasty: there are many maneuvers in rhinoplasty and each case is tailored individually to the patient. Discuss these issues with your surgeon and be sure your surgeon is a board certified facial plastic surgeon with expertise in these procedures.

Answered 10/17/2014

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