Future Tense

Let This Be a Reminder Not to Leave Your Traumatic Nose Injury Untreated

A new nose, grown by surgeons on Xiaolian's forehead, is pictured before being transplanted to replace the original nose, which is infected and deformed, at a hospital in Fuzhou, Fujian province September 24, 2013.
Xiaolian’s new nose is pictured at a hospital in Fuzhou, Fujian province on Sept. 24.

Photo by China Stringer Network/Reuters

Citing local media, Reuters and the BBC report that doctors in China’s Fujian province have helped a young man grow a second nose on his forehead.

The 22-year-old man, identified by Reuters only as Xiaolian, apparently had his first nose disfigured in a traffic accident last year, but didn’t get it treated. Over time it became infected, inflicting irreparable damage. Doctors responded with the obvious workaround.

“The new nose is grown by placing a skin tissue expander onto Xiaolian’s forehead, cutting it into the shape of a nose and planting a cartilage taken from his ribs,” Reuters explains. The idea is to eventually transplant the new nose to the traditional spot in the middle of the patient’s face.

Some have questioned the authenticity of the photos, but the BBC has some pretty convincing-looking video. And a Johns Hopkins expert told ABC News the treatment sounds plausible, if unorthodox. Usually doctors regrow noses in the place where the old ones were before, Johns Hopkins’ Patrick Byrne told the network. “My guess would be that they felt that the tissue in the nose was so damaged they had to use the forehead skin on the interior part of the nose.”

There’s a lot that could go wrong, Byrne said. But if all goes well, Xiaolian’s new nose should work nearly as well as its predecessor. In the future, he added, doctors may be able to grow noses and ears in a laboratory before transplanting them onto people’s faces, which sounds far more practical for patients who’d prefer not to look like a Picasso portrait incarnate.

This story should also serve as a public-service announcement to go ahead and get that traumatic nose injury treated if you’ve been putting it off for some reason.