Is my nose still swollen 5 months after broken nose realignment surgery? (photo)

At five months there can definitely be swelling that is making the nose look wider than it will ultimately be.  I would expect there to be more change, although it is impossible to say how much more, and that if only a closed reduction of the fracture was performed I would not expect your nose to be wider after surgery.  As for the crooked appearance, when a fracture has recently occurred the nose is swollen which hides asymmetries.  As swelling subsides residual asymmetries from the fracture can become apparent.  A closed reduction involves pushing the bones back into position, and is often worth doing in the acute period following the injury.  But it is not uncommon that as the nose heals it may still be crooked because the bone did not heal in a straight fashion or the cartilage (which is often not adequately treated with a closed reduction) is contributing to the deviation.  In these circumstances a more formal open reduction of the nasal fracture can be required to better address the nasal bones and cartilage asymmetry. 

Mahalo for the pictures.  Your result is in the last phase of swelling resolution, but there is an irregularity of the midnasal junction where the bone meets cartilage.  By the sixth month, inflammation should be resolved to the point where you may be a candidate for a revision rhinoplasty to correct these changes.  Sadly, the nasal bones will have to be rebroken and moved into position again.

Broken nose repair at 5 months and will it change. Probably not. Unfortunately you will need a revision to get the nose you would like. 

No not swollen the result is less than desirable. Unfortunately you need revision rhinoplasty to correct these issues... 

At 5 months after a broken nose re-alignment, most of the swelling has subsided and is acceptable to undergo a rhinoplasty. The rhinoplasty procedure could address the cosmetic issues that are bothering you by shaving down irregularities across the bridge line and osteotomies to and narrow and straighten the bridge.

It certainly looks like you have a lot of swelling in the tip and dorsumm at this point. It may take up to a year for it to resolve.

Hello,It is impossible to say for sure not knowing exactly what was done, but I will outline the 2 possibilities.Generally, after a broken nose and closed reduction (numbing it and "popping" it back), swelling is short lived.  This is because the soft tissues weren't separated.  For the most part, there is just the actual fracture site that needs to heal and most all of the small blood vessels and lymphatics are still connected allowing for quick resolution of swelling.If you had an actual rhinoplasty, then the surgeon would have separated the skin from the underlying bone and cartilage in addition to whatever work was done on the bone and cartilage.  This produces a lot of area that has to heal and divides the lymphatic vessels which are responsible from removing swelling fluid from tissues.  It takes at least a year to comfortably say that type of swelling is resolved and sometimes several years.It sounds like you had the latter, so it would be more like a one year process.