Can Glasses Cause Nose Bridge Dents or Fractures? Expert Insights - Plastic Surgery

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Nasal issues?


Wearing glasses or protective goggles for an extended period can potentially lead to nasal bridge indentation or even fractures.
Recently, I switched to a new pair of goggles, and I noticed bruising and pain on one side, while the other side feels fine but has slight superficial pus, which I'm unsure if it's acne.
I haven't experienced nosebleeds before while wearing goggles, but I had similar issues in the past that resolved on their own.
I would like to know if there is a possibility of a fracture.

Niming, 30~39 year old female. Ask Date: 2023/06/02

Dr. Zhou Hongzhang reply Plastic Surgery


1.
A nasal bone fracture typically occurs due to an immediate traumatic impact, which is necessary for the fracture to happen.
It will almost certainly result in epistaxis, and the skin may exhibit redness and swelling as a sign of external injury.

2.
It appears more like a skin infection caused by prolonged moisture exposure; it is advisable to consult a dermatologist.

Reply Date: 2023/06/02

More Info


Wearing glasses or protective eyewear, such as goggles, can indeed lead to discomfort and even physical changes in the nasal bridge over time. This is particularly true if the eyewear is not properly fitted or if it exerts excessive pressure on specific areas of the face. Here’s a detailed exploration of the potential issues related to prolonged use of glasses and protective eyewear, including the possibility of causing dents or fractures in the nasal bridge.


1. Pressure and Dents on the Nose Bridge
When glasses or goggles are worn for extended periods, they can create pressure points on the nasal bridge. This pressure can lead to temporary indentations or "dents" in the skin and underlying tissue. In most cases, these indentations are not permanent and will resolve once the eyewear is removed. However, if the eyewear is consistently too tight or poorly fitted, it can lead to more significant issues, including skin irritation or even changes in the shape of the nasal bridge over time.


2. Bruising and Pain
The symptoms you describe, such as bruising and pain on one side of the nose, could be indicative of excessive pressure from the eyewear. Bruising occurs when small blood vessels break under the skin due to trauma or pressure. If the eyewear is pressing too hard against the skin, it can cause localized bruising. The presence of pain and bruising suggests that there may be some degree of soft tissue injury, but it does not necessarily indicate a fracture.


3. Infection and Skin Issues
The mention of "micro-pus" or skin irritation could be a sign of an infection or an inflammatory response, possibly exacerbated by the pressure from the eyewear. It’s essential to keep the area clean and monitor for any signs of worsening infection, such as increased redness, swelling, or discharge. If you suspect that the skin issue is related to the eyewear, consider consulting a healthcare professional for an evaluation.


4. Fractures of the Nasal Bone
While it is less common, it is possible for the nasal bone to fracture due to significant trauma or excessive pressure from ill-fitting eyewear. A fracture would typically be accompanied by more severe symptoms, such as significant pain, swelling, deformity of the nose, or difficulty breathing through the nose. If you suspect a fracture, it is crucial to seek medical attention promptly. A healthcare provider can perform a physical examination and, if necessary, imaging studies (like X-rays) to assess for any fractures.


5. Preventive Measures
To prevent issues related to wearing glasses or goggles, consider the following tips:
- Proper Fit: Ensure that your eyewear is properly fitted to your face. Visit an optician to adjust the frames if they feel too tight or uncomfortable.

- Regular Breaks: Take regular breaks from wearing eyewear to relieve pressure on the nasal bridge and surrounding areas.

- Skin Care: Maintain good skin hygiene around the nose to prevent irritation and infection. If you notice any persistent skin issues, consult a dermatologist.

- Alternative Options: If you frequently experience discomfort, consider exploring alternative eyewear options, such as lighter frames or different styles that distribute pressure more evenly.


Conclusion
In summary, while wearing glasses or protective eyewear can lead to temporary indentations and bruising on the nose bridge, it is less likely to cause fractures unless there is significant trauma involved. If you are experiencing persistent pain, bruising, or skin issues, it is advisable to consult a healthcare professional for a thorough evaluation and appropriate management. Taking preventive measures can help mitigate discomfort and maintain the health of your skin and nasal structure.

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