By Dr. Jaray Krainam, MD
An old fractured nose refers to a previous nasal injury—often from an accident, sports trauma, or physical impact—that has healed improperly. This can lead to a crooked or deformed nasal appearance, chronic breathing difficulties, nasal obstruction, sinus problems, and aesthetic concerns. Many patients seek corrective nasal surgery to restore proper function and regain a natural, balanced nasal shape.
At Dr. Jaray Cosmetic Surgery, Dr. Jaray Krainam, MD brings over 20 years of advanced rhinoplasty experience, specializing in post-trauma nasal reconstruction and complex deformity correction. His surgical approach aims to restore symmetry, structure, and breathing function while preserving a natural and harmonious appearance.
Repairing an old nasal fracture often involves septoplasty, cartilage reshaping, and reconstruction of collapsed or misaligned areas. Most incisions are placed inside the nostrils, avoiding external scarring. Bone and cartilage may be shaved, repositioned, or replaced with autologous cartilage grafts harvested from the patient’s own body.
In many cases, functional correction (septoplasty) is performed together with cosmetic refinement (rhinoplasty) to achieve the best aesthetic and functional outcome.
📌 Operation Time
Usually around 1 hour, depending on the severity of the nasal deformity and the extent of reconstruction required.
📌 Care After Surgery
- A molded nasal splint helps maintain alignment during healing.
- Gauze packing may temporarily block the nasal airways to control bleeding.
- Avoid resting glasses on the nasal bridge for three weeks.
- Adequate rest is essential during the early recovery period.
📌 Recovery Period
- Avoid blowing your nose for 10 days.
- Cold compresses or cool showers help reduce swelling.
- Refrain from strenuous activity and sneezing for several weeks.
- Swelling gradually subsides, and breathing improves as internal tissues heal.
📌 Results
Dr. Jaray is dedicated to achieving safe, functional, and aesthetically satisfying results.
If any surgical correction is required due to surgical factors, the clinic provides revision surgery at no cost.
📌 Risks and Complications
While complications are rare in experienced hands, potential risks include:
- Infection
- Nosebleeds
- External or internal scarring
- Altered or diminished nasal sensation
- Nasal airway obstruction
- Sinus pressure or headaches
- Nerve irritation or temporary numbness
Following postoperative guidelines greatly reduces the likelihood of complications.
📌 Types of Anesthesia
Depending on the case and patient preference, surgery may be performed under:
- Local anesthesia
- IV sedation
- General anesthesia
📌 Hospital Admission
Old fractured nose surgery can be performed:
- As an outpatient procedure,
- In a hospital, or
- In an accredited surgical suite—based on surgeon recommendation and patient needs.
📌 Preparation Prior to Surgery
✔ Medical Evaluation
Comprehensive assessment including medical history, medications, allergies, physical exam, blood/urine tests, and possibly X-rays to evaluate nasal bone structure.
✔ Avoid Smoking
Stop smoking for 3–4 weeks before surgery to ensure proper circulation and healing.
✔ Avoid Alcohol
Do not consume alcohol for 1 week before surgery and throughout the recovery period.
✔ Avoid Certain Medications
For 4–6 weeks prior, avoid:
- Hormones
- Anticoagulants
- Anabolic steroids
- Supplements
Also avoid aspirin, anti-inflammatory drugs, and herbal supplements that increase bleeding risk.
📌 Why Choose Dr. Jaray Krainam, MD?
- Over 20 years of specialized expertise in trauma, reconstructive, and revision rhinoplasty
- Expert in restoring both nasal function and natural facial symmetry
- Minimally visible incisions with advanced scar-hiding techniques
- Trusted by international patients for complex nasal reconstruction
- High safety standards and exceptional surgical precision
