Crooked nose 6 weeks after closed reduction. Is it swelling and will it improve? (Photo)

At 6 weeks after a closed reduction, the nasal bones are set in a permanent position. An open reduction nasal fracture through closed rhinoplasty techniques can narrow and straighten the nasal bones more effectively due to the medial and lateral osteotomies that are performed.  A closed rhinoplasty procedure involves placement of all incisions on the inside of the nose.  No external incisions are required. In closed reduction, osteotomies are not performed. For many examples of crooked noses repaired in our practice, please see the link below

Hi,I see your pictures.  Closed nasal reduction is not a rhinoplasty.  It is a very limited procedure with the goal of trying to reduce the deformity of a recently broken nose.  Sometimes the nasal fracture fragments go back into place and you get a result very close to the original nose and many times the fragments are too shattered and damaged including the internal septum so the results of the closed nasal reduction may be very little to no significant improvements making a full septorhinoplasty in the future necessary and the next step.  More importantly we need to look at your picture before you broke your nose.  Many patients are surprised to find out their noses were never perfectly straight so you need to compare BEFORE trauma to AFTER trauma to AFTER closed nasal reduction to get an honest assessment of your nose.  Your current result may be as good as its going to get but with time and reduction of swelling it can improve or even look worse.  

At 6 weeks following rhinoplasty, you are early in your recovery and there is still swelling present. However, it sounds that you feel that your nose is still deviated to the left. This was something that was present prior to surgery and seems to have been one of your main motives for having rhinoplasty. In some cases, early postoperative asymmetries will improve while in other cases they do not. Regardless of how good a rhinoplasty surgeon is, it is difficult if not impossible to completely straighten out a nose-the goal is to make it significantly better so that any remaining deviation is subtle and imperceptible. Digital pressure to the nose in the direction opposite to the deviation can help to resist intrinsic forces in the cartilage that will try to return the cartilage to its original shape-this is especially the case in the first few months. After this point, scar tissue has set the cartilages in their position. It is worthwhile to perform these maneuvers at 6 weeks as it can still reduce the degree of deviation that will occur. You should continue to follow-up with your surgeon until you are completely healed if you continue to have concerns-it will take about 1 year to see the final result after rhinoplasty surgery.