Broken nose still looks crooked after closed Nasal Reduction. Is this normal? (photo)

Nasal fractures can present a significant challenge for treating surgeons. The nasal anatomy is very complex and involves not only bone but cartilage. Diagnosing the exact underlying problem and the areas affected by the traumatic injury are necessary to correct the problem. Treatment can be as simple as a close reduction, which means that the surgeon simply moves the bone back into the original position, to complex surgical repair that involves the bone, nasal and septal cartilage. Often, if the closed reduction fails to correct the problem, then a more complex surgical reconstruction is necessary. 

Early intervention in the cases of acute nasal trauma is often the best way to avoid the need for significant corrections in the future. Unlike planned, elective rhinoplasty, the degree of correction that can be achieved is often dictated by the nature of the injury or fracture pattern. The goal in a closed reduction is to reduce the fracture as best as possible and then follow along to see if future correction is warranted. In your case, it seems your surgeon has reduced the fracture to some degree. I would recommend continued observation for now.