Hi Jeremiah, thanks for the question... When a patient suffers a broken nose, there is a period of around 2-3 weeks after the fracture during which time the nasal bones can be "popped back into place", what we call a closed reduction of a nasal fracture. Once this initial period has passed, the nasal bones heal in the new position, typically 6-8 weeks after the fracture.
If you are having persistent difficulty breathing and your nose is crooked 5 years later, a reconstructive rhinoplasty, sometimes called a functional rhinoplasty or nasal reconstruction, may be appropriate. The difficulty breathing can be related to a deviated septum, enlarged turbinates, or collapse of the internal valves of the nose, what we call vestibular stenosis. Procedures such as a septoplasty, turbinate reduction, or spreader graft placement could help your breathing. Refracturing your nasal bones with osteotomies can help bring everything back into alignment, improving both the form and function of your nose.
Typically, insurance coverage can be obtained for cases like yours so do your homework and find a rhinoplasty specialist who is in-network with your insurance company. Also, you may want to consider medical treatment such as nasal steroid sprays (Flonase, Nasonex, Rhinocort, etc.) as these can help reduce the swelling of the inner lining of the nose, in case you have nasal allergies.
Best regards,
Dr. Mehta