How can I fix the swelling in the nose bridge? (Photo)

I agree with your doctor, as you may need some type of radiographic examination.  Persistent swelling after 1-2 weeks may mean that you have a fracture of the nasal bones.  I would consult with a Board-Certified plastic surgeon who will evaluate your nose and develop a plan tailored to your needs.  Good luck!

First, see someone who knows the business, meaning ENT, Facial Plastics, or Plastic Surgery. Your primary care doc or an ER doc is not experienced enough in this to give you best council.If that doc examines the area and determines that the bones have shifted, then you need a limited procedure to reset the bones.  Could be done in the clinic, could be done under short IV anesthesia.  After about two weeks, that manipulation is not as effective, and a more formal rebreaking and repositioning is required.If the bones are not shifted, you could just have soft tissue swelling and /or periosteal thickening.  Surgery is not immediately indicated here.  In this case you might just need more time or even a steroid injection to limit the swelling/thickening to hasten recovery.  However this situation would still require followup to ensure the appropriate endpoint.

Trauma to the nose can cause a displaced or non--displaced nasal fracture. The upper lateral cartilages in the mid third of the nose can also be fractured inward as well, creating valve collapse. It's important to seek out an ENT/ facial plastic surgeon for in internal and external evaluation of the nose and the x-ray to document the extent of the trauma.  To straighten a crooked nose requires reduction of the nasal fracture with osteotomies and sometimes a cartilaginous spreader graft placed underneath the concave, inwardly fractured upper lateral cartilage In the mid vault area.

If after one week you still have residual deformity of your nose as visible in the frontal view I would do as as a first line of management a manipulation of your nasal bones under local or general anaesthetics which is usually successful. If left beyond 2 weeks the procedure becomes diffucul and later on you may need a formal rhinoplasty!in my experience imaging would not alter the management and may may only medico legal value!best wishesJawed TaheryConsultant ENT/Facial Plastuc SurgeonChester,UK

You may have sustained a nasal fracture from the trauma that you had a week ago. Some of the deformity may be due to swelling, some may be due to a fractured nasal bone that is displaced. An X-Ray is not a bad idea to definitively say if the nasal bones are fractured. If they are, the best approach is to get a closed reduction to move the nasal bones back into place. The best time to do so is within a 14 day time period.Hope this helps and best of luck.