facial surgery
facelift blepharoplasty rhinoplasty

Nasal Fracture Repair

Nasal bones are the most commonly fractured bones in the face. Fortunately most of the fractures are mild in nature and do not need any repair. If the fracture leads to change in the shape of the nose, it can be repaired.

At the time of initial injury there can be swelling of the nose and a subtle deviation of the nose might be missed. After the first few days as the swelling subsides a deviation of the nose can become noticeable. The nasal bones heal very fast. Usually in 10 to 14 days the nasal bones can heal enough that you cannot move them by force.

This has implications towards the timing of the repair. At the time of nasal injury x-rays of the nasal bones can be obtained but are not necessary. They usually help in legal issues related to assaults or injuries and might be necessary for insurance approval in certain cases. From a pure medical perspective, x-rays will not determine the nature of the treatment you receive.

There are two things that need to be addressed immediately after a nasal injury.

First is the ability to breathe through the nose. If the person cannot breathe at all through the nose immediately after nasal trauma, this could indicate collection of blood in the nasal septum (septal hematoma) which can block the nose. It needs to be surgically drained or will lead to an abscess and possible complete loss of nasal septum. That in turn can cause severe deformity of the nose such as ‘Saddle Nose’.

The other issue to determine is if the nose has become crooked compared to what it looked before the injury.

There are two approaches to repair nasal fractures;

Closed Reduction of Nasal Fracture: This involves putting the patient to sleep and then moving the bones back towards the center using digital pressure with fingers and thumb. It can be facilitated with certain instruments that can act as levers to push the bones towards the center.

This approach can only be used in the first 10 to 14 days after a nasal fracture. After that time period the bones could be healed and you cannot manually move them back in place.

Open Reduction of Nasal Fracture: In this approach the nasal bones are re-fractured using chisels called osteotomes and a hammer. This approach is used in healed nasal fractures after the first two weeks of injury.

My Approach:
I use both approaches. My biggest concern is to differentiate between existing nasal deviation and a new deformity. At times a patient might have a slight deviation of the nose to begin with and was never aware of it. If that is not determined before surgery then the bones might not move back to place without breaking them again. In essence, I always plan to use open technique if the closed technique does not fix the problem.

For more information or to schedule an appointment, contact us toll-free at 877-JANJUA1.

Our location in Bedminister, NJ is within easy access from Morris and Somerset County, New Jersey.

DISCLAIMER: THIS WEBSITE IS NOT INTENDED TO GIVE A MEDICAL OPINION. TO OBTAIN A MEDICAL OPINION, YOU WILL NEED TO BE EVALUATED IN PERSON. FOR ANY QUESTIONS CALL OUR OFFICE AT 908-470-2600

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6 Jan 2013 I've had Laser hair removal as well as Botox. Dr. Janjua is very professional and kind.. He is conservative and doesn't feel the need to go overboard with Botox so you can maintain a natural look. I've received tons of compliments on my skin. I've also had great results with the hair removal as well. I recommended him to all my friends.

Marynn V. (R.N.)

December 23, 2011 (from a scalp and neck melanoma patient) Dr. Janjua Just wanted to say thank you. Thank you for all that you do & for just being you. You made a very scary time in my life a little less scary & a little easier. You treated my whole person & not just my diagnosis. You listened & you cared. And I can’t thank you enough. If the reason I worked at the clinic was to meet you because one day I would need this surgery , well it was totally worth it. I’m so grateful for all you’ve done. You and your entire staff make unpleasant times a little more pleasant than they would have been. I only hope to find a job where my co-workers will be as friendly, caring and professional as you all are. I wish you all a very merry Christmas and blessings...

TC DC

Our experience with Sculptra and Dr Janjua well exceeded our expectations. The procedure was much easier and comfortable than we expected. I had the procedure a few weeks earlier than my husband. I was surprised at how minor the discomfort was. During the procedure I felt some pressure and a few pinches that was all. The day of the procedure I experienced some puffiness. I was instructed to use ice for swelling and to massage my face for 5 minutes 5 times a day. By the second day I resumed my normal activities and looked and felt fine. My face was a little tender when I applied my make-up to the area but not painful. It has been 3 months since I received Sculptra and I am thrilled! I get many compliments on how young I look. I feel like I turned the clock back 10 years, really! I would...

July 25, 2007 Dear Dr. TJ, I wanted to thank you and all of your staff both in the office and in the OR for their courtesy and professionalism. You are a wonderful doctor, you made me very at ease and comfortable, and I had great faith in you, that you would take care of me & you did! I have beautiful results from the blepharoplasty (upper eyelid surgery). You are an expert in your cosmetic field. I am so happy I had the surgery done and did it when I did. I look more alert and my eyes seem bigger to me. Many people have told me I look great! Thank you so much for the beautiful results. Sincerely, Margaret Mary P. (R.N.)

Henry Russo

Tannersville, October 25, 2001 Esteemed Dr. Janjua, I have just learned that you will be exercising your outstanding profession in a different state. Needless to say that this move affects me deeply. In fact, as a consequence of my tragic car accident of January 20, 2000, I was transported to the Pocono Medical Center and entrusted to your able and experienced hands to perform, for the first time in Monroe County, the Medialization of my left vocal cord through Ishikki Thyroplasty. The success of this difficult procedure led to an acclaimed Seminar, which you held at the Medical Center, illustrating the procedure to surgeons, doctors and medical staff of the area. Two months after your successful operation, I felt like a newborn person, capable of eating and drinking again without any tube feeding devices. I wish to thank you for your precious performance as surgeon as well as for your...

Judi J.

Thank you for being my guardian angel! I am very lucky to have you in my life!

I was referred by my dermatologist. He gave me the names of other doctors but when I asked him who he would refer his wife to if she was in my position, he said, "Dr. Janjua". Dr. Janjua is certainly the best doctor I have ever had. I had basal skin cancer on my nose. My situation was very challenging and I was quite upset and concerned about my appearance. Dr. Janjua did an impeccable job and everyone I know tells me they cannot tell I had surgery! In addition to his expertise, Dr. Janjua was genuinely interested in me as an individual and was very sympathetic and supportive. I would be pleased to recommend him to anyone considering or requiring facial plastic surgery.

Sue Joe C.

December 16, 2011 (from RHINOPHYMA PATIENT) Dr. J Staff, Words cannot express the many thanks for what you have done for us. Just when we thought nobody could help Joe we found you. You and your staff have truly changed Joe back to the person he once was, not only in appearance but in personality. Many, Many Thanks Sue Joe C.

Karmjit S. Sidhu

Dear Dr. Janjua, I want to thank you for taking great care of me during my recent surgery. It was my first experience for surgery and you made it so simple and easy to understand the surgical procedures. I admire your professionalism and want to thank you for everything Regards, Karmjit S. Sidhu

Colette

May 29, 2007 Hi Dr. J! Sorry for the delayed response - our first house guest (our granddaughter) is here visiting us and we've been real busy playing. No, you didn't send any pictures, and I'd love to see them - for comparison purposes. I'll send you some new ones when Mike gets a chance to use his camera. Everything is going very, very well. I'm healing so nicely that I hardly ever think about it. The feeling is gradually returning to the sides of my face and my ears. The scars under my eyes are slowly fading, as well. I'm being very careful to stay out of the sun and yes, I'm diligent about applying sunscreen. I even got a big floppy hat that blocks UV rays. Thanks again for the great work - I just couldn't be any happier with the outcome. The results of the surgery are...

Mrs. Lori Moeck

October 18, 2001 Doctor Tanveer Janjua Dr. Janjua worked absolute miracles in my eyes, on my daughter Amber. He took a child that could barely hear and helped her to hear again. He also took her disfigured earlobes and made them new again. He made her feel and look beautiful again and gave her back the self-esteem and self-confidence that she had lost through all of these difficulties she endured. For this, Amber and myself are eternally grateful to Dr. Janjua. It took a long time to find a Doctor that is as wonderful as Dr. T.J. His professionalism as well as his personalism stands in uppermost excellence and I would highly recommend him to anyone. Mrs. Lori Moeck

25 Jan 2013 Dr. Janjua saved my face. I was terribly scared in an alarplasty gone wrong by another surgeon on NYC. My face was uneven, botched and scared so bad I had a hard time leaving my house. When I had an initial visit with Dr J we came up with a game plan that he also talked over with colleagues, I wasn't a typical case. We scheduled the procedure and the office helped me stay comfortable and at ease during the whole time. After the surgery I knew it was going to look good. Keep in mind I have had the doc prior to Dr. janjua do this on me 5 x, to keep trying to fix and re fix the damage.So I could tell right away it was aligned even and my suchers were placed evenly... 2 weeks after and I am so happy! I thought I...

Carlin D.

December 12, 2011 (from a 20 year old Rhinoplasty Patient) Dr. Janjua Thank you for doing such a great job on my nose. Although no one ever mentioned it to me, I had always felt uncomfortable with my appearance because of my nose. Since my surgery in May, I have been incredibly happy with how I look. Before I was never able to feel my best because my nose had always brought me down. I could not be happier with the fantastic job you’ve done, and I am forever grateful. Thank you. Carlin D.

Vicki Scerbo

Dear Dr Janjua, I just wanted to thank you for being a wonderful doctor and for maintaining my beauty. I recently had my upper eyelids done and I look more youthful and less tired! People have been complimenting me and asking if I have been working out more or going on more vacations! I recommend your services to my friends and family because you have been a caring, genuine professional who actively works with the person to obtain the most natural results! Thank you for everything! Vicki Scerbo March 11, 2009

Joanne Conroy

Dear Dr Janjua, We just wanted to thank you and your staff again for the superb medical attention we received for our daughter Alexandra. Being a physician’s daughter I’m very familiar with the medical world and your professionalism, bedside manner and overall attention and care to every detail were above superior! As I’ve mentioned on several occasions, I wish our future Residents could have the pleasure of learning under you, as they would be learning from one of the best. It is very rare for a patient to have the opportunity to recommend a physician and its office with absolutely no reservations and with total confidence…I welcome the opportunity to refer you to our friends and family. Respectfully yours, Maggie & Ron Chess Cc: Michael D Maves, MD, CEO, American Medical Association Joanne Conroy, MD, CEO, Morristown Memorial Hospital

Diane Taggart

October 16, 2001 In as much as I want to write this letter I find it very difficult to do so. We the community is loosing a wonderful doctor, as well as a friend to all he comes in contact with. I’ve never met a doctor with such a comforting bedside manner and words always to soothe. His first concern is of course his patients. Always with a smile he would greet us. My first encounter with Dr. Janjua was November 23, 1999. His diagnosis for my husband was squamous cell carcinoma, cancer of the neck and throat stage 4. Needless to say no one wants to hear that, although Jim my husband took it better than I. After Doctor Janjua completed all tests needed the date was set Dec 23, 1999. Knowing we had no insurance he gave Jim his surgery ‘8 hours’ for a Christmas present. For that...

29 Sep 2013 - 2 months post Dr. Janjua did a fabulous job on my eyelid surgery! He explained the procedure, set my expectations, and followed up. Staff was also excellent! Dr. and his staff spent time with me explaining what I can expect and they lived up to it! Healing was scary, not painful but ugly! I was ok to return to work in a week.

Lucia

November 2011 Dear Dr. Janjua, I just can't say it enough, Thank you. Thank you for making me feel special and beautiful again. I feel like a brand new person. Love, Lucia

Sue Yates

Dear Dr. Janjua, I cannot thank you enough for your expert care in removing the skin cancer and putting my face back together again afterwards. When you first removed the cancer, I felt like the hole in my face was a big as the Grand Canyon and that I would never look the same again. However, since our very first meeting, I felt comfortable and confident in your care and that's what kept me fairly calm. I knew that you were skilled and passionate about your work and that you would do everything possible for me. Your patience and kindness as I went through five different surgeries gave me a great deal of comfort during a very difficult time. Not only did you totally remove the cancer, but you worked magic in getting me to a point where I was photogenic enough for my daughter's wedding. My face is well...

Joanne

May 21, 2007 Dear Dr Janjua, How can I thank you? I can’t express how great my eyes look, so much better than I expected. My confidence has risen. You are truly an artist and more. Most sincerely, Joanne

Christopher Busacco

October 10, 2001 Dr. Janjua I would like to take a moment of your time, to thank you for making my quality of life better. Your professionalism was apparent from my first consultation through my last visit. Your leaving will be a considerable loss to this community. I wish you and your wife all the best. And of course continued success with your new practice. Sincerely, Christopher Busacco

11 Dec 2013 - 3 months post Due to my impaired vision I had eyelid surgery. I also had a droopy eyelid that was corrected. The procedure was completed exactly as they explained it to me. The Dr. and staff were professional, caring and accessible throughout all stages of my surgery. Today I am seeing better and looking better because of their care and superb skill in performing the surgery. From the first appointment with Dr. Janjua his compassion, caring and professionalism were outstanding. His skill as a surgeon was phenomenal. He always made time for any questions or concerns I expressed.

Dr.A

Blepharoplasty testimonial from a physician May 2011 Dear Dr. J and Staff: Thank you very much for all the care with me. The surgery was a complete success and I feel much better now!! You did a great job. Your team is also the best. With all my regards. Dr.A

Justin A.

Dr. Janjua, First off I would like to thank you and your staff for the professionalism shown with each visit. I would also like to say how pleased I am with the results of my rhinoplasty. I commend you on the great job that you did. I was hesitant at first to have this procedure done but after speaking with you and seeing how knowledgeable you were and caring you are with your patients, I knew that I wanted you to perform this surgery. I would definitely recommend you to anyone who is considering plastic surgery, specifically rhinoplasty. I was very comfortable with the entire experience and would have never guessed that it would go that smoothly. You said it at the initial visit that you treat your patients like family and that's exactly how I felt. I thank you again for the great results and welcome the pportunity to...

Nancy Sherwin

May 15, 2007 Dear Dr Janjua, A few months ago, I started looking at myself and thinking I look older than I feel. I mentioned to my physician, Dr Joseph Morandi, that after losing weight, my neck and chin looked terrible. He told me he knew a wonderful plastic surgeon if I was interested. I started to think about it and decided to call your office. LUCKY ME! You suggested what I needed and calmed my fears. I decided to proceed with the mini facelift and now look like I feel. Dr Janjua, THANK YOU, THANK YOU, THANK YOU. You are a truly gifted and wonderful surgeon. The surgery was a big step for me but I new I was in excellent hands. Because of your great care, I had a fast recovery and was back at work in a week. I love having people look and ask me if...

Ellie Bedrosian

Dear Dr Janjua, When I am with my daughter, people assume we are sisters. Poor Christine! People do not call me “Maam” or “young lady” nor do they move aside so the “old lady” can pass. When I mumble about “having a senior moment”, people give me strange looks. This is all due to your help. How can mere words express the thanks that are sent your way. God made you a gifted surgeon and then he blessed me by showing me the way to your practice. Thank you, Ellie Bedrosian PS – Your staff is wonderful, too!

27 Sep 2013 - 7 days post The entire experience with Dr. Janjua and his staff was wonderful. From the consultation to the removal of stitches, I felt my son was in great hands. A week after the procedure, his stitches were removed and the incision was barely visible. I would highly recommend Dr. Janjua to anyone in need of a cosmetic surgeon.

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Jill

September 17, 2008 Dear Dr. Janjua, I want to thank you for such a wonderful job with my rhinoplasty and upper and lower blepharoplasty. Whenever I used to look in the mirror, my nose was all I saw. I am now thrilled to see there is more to my face than just my nose! Furthermore, while I hadn't originally planned on blepharoplasty at the same time, I am so glad I had that done as well. My eyelids were so swollen and the bags under my eyes as well made me look so tired all of the time. Now, my face feels fresh and I look well-rested and younger. I get many compliments without anyone knowing my little “secret”. I also want to compliment you on your commitment to your patients. You had told me that if I was unsatisfied in any way, you would correct it until I was...

Gregory Berkin

January 23, 2007 Dear Dr Janjua, My wife and I wanted to take a moment to personally thank you for the manner in which you treated our 3 year old daughter Nicole. Her constantly inflamed tonsils caused you to make a professional decision to have them and her adenoids removed. Your bedside manner and personal attention far surpasses what a parent receives from other physicians these days. You are truly an icon to your profession and all the kids you treat are extremely fortunate. Sincerely, Gregory Berkin

Katie Bergen

Dear Dr Janjua, Words cannot express how happy and thankful I am to you. You did a fantastic job on my ears. I now can wear my hair up after 25 years, long years. Thank you again. Katie Bergen

6 Jan 2013 I've had Laser hair removal as well as Botox. Dr. Janjua is very professional and kind.. He is conservative and doesn't feel the need to go overboard with Botox so you can maintain a natural look. I've received tons of compliments on my skin. I've also had great results with the hair removal as well. I recommended him to all my friends.

February 2011 Dear Dr. Janjua, I'm writing this letter for two reasons; in appreciation of the person and the surgeon you are, and for those who follow in my shoes scared and confused. Read full letter...

Lily S.

August 2008 Dear Dr. Janjua, Thank you so much for fixing my nose. You did a really good job. Now it looks even better than it did before I broke it. I was really nervous about the surgery but you did a great job. It did not hurt at all. It did not even hurt when you took the packing out. Thank you so much. Sincerely, Lily S. (A 13 year old patient)

Sonia Kuhfahl

April 14, 2006 Dear Dr Janjua, Six months ago, when you did the eye tuck on me, I was quite nervous and apprehensive. Remember before the surgery you had to calm me down and assure me that everything will be fine? Well, everything is fine and I am very happy with the outcome. On several occasions friends asked me if I had a facelift. How much more can I ask for? Thank you, thank you, thank you! Best wishes and who knows, I might come back for the next "improvement". Sonia Kuhfahl

Lou Raimondi

Dear Dr Janjua, I would like to thank you again for the treatment and wonderful care you provided me for my upper eyelid surgery. The procedure and recovery were painless and I regained my peripheral vision plus an improved appearance. Yours Truly, Lou Raimondi

February 3, 2013 6 weeks ago I went to Dr. Janjua for laser hair removal for my chin and mustache. As I age the hair is getting thicker and causing me to be more insecure. I have attempted laser hair removal about 5 other times by different cosmetic and laser doctors only to be disappointed at the result. I have thick stubborn hair and whiskers that I have to pluck every single day until NOW! I had only one session and am so amazed and surprised at the difference. I expected and prepared myself for results after 4 sessions to really notice anything but I am so happy to see the change that has happened already. I have another appointment already scheduled for my legs to also get done. Dr. Janjua never ceases to amaze me.

28 Apr 2013 - 24 days post Dr. Janua is great. I had one treatment for my chin and all the hair is gone! I was amazed I thought I would need 4-5 treatments. I am definately going back for bikini area and under arms soon. I HIGHLY recommend him. His staff is also very friendly and efficient smooth process from start to finish.

Fondly Aunt Mimi

November 2010 Dear Dr. Janjua, How I hated looking in the mirror every morning at this ugly turkey neck. With your gentle T.L.C. you performed a miracle, you turned this old turkey into a young chick, well at least that’s how I feel. How can I ever thank you enough. Fondly Aunt Mimi

Florence Turano

Dear Dr. Janjua, Forgive my delay in not writing to you sooner. I am so grateful to have met you. Considering the many procedures I endured in New York and Florida, I cannot believe how well everything turned out. The slight scars are fading, and I'm extremely pleased with my appearance. Your professional manner and expertise is to be highly commended. From the very beginning I felt confident and comfortable in your care. My children couldn't believe my calm acceptance of everything you suggested, but once they met and talked with you, they understood why I had such faith in you. You have a friendly and sincere approach which helped me trust and believe in your ability. My trust proved well founded; you are a skilled and talented surgeon. Thank you most sincerely, Florence Turano (A skin cancer patient)

Deborah Yorke

April 2006 Dear Dr Janjua, I cannot thank you enough for your kindness and great work. My dad re-pierced my ears last week and they look great!! Thanks again! Love, Deborah Yorke

Mary Ann Iuso-Browne

Dear Dr Janjua, There are no words to thank you enough for helping me & certainly for believing I had a problem and you didn’t give up until you found my problem which turned out to be a CSF leak of the right temporal lobe. In a time when the patient has to take control and be very involved in their medical care you give a special meaning to the definition of “Doctor” and bedside manner. You are certainly the best and at the top of your profession. I am certainly thankful everyday that you are my doctor!! Thank you Mary Ann Iuso-Browne

Norrine S.

May 12, 2014 Dear Dr. Janjua, Thank you to you and your staff for very positive surgery experience. The skill you bring to facial surgery issues is excellent. That, of course, is extremely important, but I also thank you for your calm, reassuring manner and taking the time to answer my questions and reassure me that all would be well. This is my first surgery experience since the c-section birth of my youngest child 28 years ago! So, needless to say, I was a little nervous about the whole idea of plastic surgery for the basal cell cancer on my lip and neck. I knew it needed to be done but couldn’t help but wish it would all go away. However, both you and Lilly prepared me so well for the procedure that I felt ready on Monday morning. When Morristown Medial Center called to let me know what to...

Highly experienced and intelligent physician who observes closely and helps guide you in making the best decision. He notices subtle things in your appearance, and is genius in determining next steps, with the aim of making you look your best, yet totally natural. Highly recommended. He administered Sculptra and Dysport, which made an enormous difference. No facelift necessary!

Debbie T. xoxo

September 29, 2010 Dear Dr. Janjua and Susie, Ken and I would like to thank you for your hospitality in having us at your Wine & Cheese Party/Sculptra demo last night. We had a nice evening , and found the demo and lecture to be very interesting. I believe I'm seeing Sculptra in my near future - can't speak for Ken, though Also, I just came out of a "Service Anniversary" celebration at my company and I was one of 30 recipients, celebrating 15 years at my company. When I got back to my table, someone said to me, "15 Years! So...you started here when you were 5?" What a compliment, huh? So between genetics, how I try to take care of myself with diet, exercise, and supplements, and Dr. Janjua...it's all good and must be working for me :o) P.S. to Susie...the alarm that went off at our house...

Elise G.

August 28, 2008 Dr. Janjua, I would like to say that it was my pleasure having you take care of my surgery. Everything went well during the procedure and the recovery outcome was better than expected. If I had to do it over again I would choose you, Dr. Janjua. I hope that many more have the same experience with you. Thank you again for all that you have done for me. With best regards Elise G. (A skin cancer patient)

KL

LETTER FROM A PHYSICIAN March 30, 2006 Dear TJ, I am glad I was able to find the time to thank you in writing. There is no question that as patients, we expect answers to our problems. What was totally unexpected and most appreciated was the extensive research and several professional opinions you pursued without hesitation. All these to deliver not just a satisfactory solution but a near-perfect approach to a very complicated problem. You have my utmost respect as an individual. The high value you place on delivering care for your patients underlines your work and character ethics. With warmest personal regards, your lifelong friend and colleague. A.D.N To Whom It May Concern, Dr Janjua did a beautiful repair on my split under-eye ER repair. I don't even have a scar showing. He then went on to even out my upper eyelids at a future date. One was lower...

Bob

TJ, Many thanks for taking care of my “little” brother. All the stress and strain of who would repair Chris’ injuries and when would it be done – were put to rest when you agreed to help us out. I cannot thank you enough for promptly aiding Chris with your kills. Respectfully & gratefully, Bob

The Best experience I have had with a cosmetic surgeon. I found Dr. Janjua after a Juvaderm overfill in my top lip left me grossly distorted and he was the only cosmetic surgeon that would touch me in the Tri State area. Dr. Janjua completely fixed the overfill in one simple office visit and refused to charge me anything. That was 4 years ago and I have continued to trust Dr. Janjua with Botox and fillers to keep my face looking refreshed.

I have been a patient of Dr. J's for over 3 years. I have always been satisfied with the results.