Closed Reduction Performed at 7 Days but I Still Have a Deviated Septum, What Can Be Done?

Without a photo or face to face examination it is impossible to say whether a septoplasty alone will suffice to straighten your nose. Sometimes there is remaining asymmetry in the bones despite the reduction at 7 days. You will have to wait for all of the swelling to resolve and then you can check for nasal bone symmetry by placing a finger along each side of the nose just under each eyebrow. If the fingers are not in symmetric positions relative to the midline and the back of the head then a septoplasty alone will not suffice. Something will also have to be done to the nasal bones.

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In general, a closed reduction is a relatively simple procedure which allows a return of the nasal bones to their original (or straight) position) after acute trauma.  Although some would advocate immediate surgery for an acutely fractured septum, I think it is better to allow a period of healing before Septoplasty is attempted.  The nasal septum provides support for the dorsal height of the nose and overaggressive intervention can lead to nasal collapse.  Whether or not a Septoplasty will address the appearance of the bottom of your nose is a question that only a physical examination will answer.

It is challenging to answer this question without seeing a picture, however if the septum which is normally nestled on a boney projection on the floor of the nose (the maxillary crest) is displaced off by the injury, then the nostril will appear uneven. This can be corrected by a comprehensive septoplasty that involves repositioning of the septum and securing it back onto the maxillary crest.