Rhinoplasty After Recent Closed Reduction?

Hi Jotex,
Although rhinoplasty surgery may be necessary after a closed reduction for nasal fracture, one week is way to early to tell.
Generally, the stages of healing in the nasal bone involove swelling, and "callus" that is necessary to get the bone to stick toghether again. This results in the appearance of a bump in the bridge that will generally go away after a remodeling period of a few months.
There are occasions, however, when a rhinion deformity or a permanent bump on the bridge can develop after nasal fracture reduction. This type of deformity, along with some others that may develop after nasal fracture may require surgery to correct.
I generally have patients wait for 6 months to ensure that remodelling has begun and almost resolved. The healed bones will never reach their full 100% strength. For this reason, reshaping of the bridge using controlled fractures may be diffucult during surgery. The waiting period of 6 months also helps to ensure that sufficient strength has been attained in the bones prior to attempting re-shaping.
Good luck, and be patient -- you may not need surgery in the end.
Dr. T

It is impossible to tell without an examination whether the hump will be permanent or whether it is due to swelling at this point. You should wait at least 3 months after the closed reduction to assess the situation. If it is getting better at that point then wait longer. If it is not then you can consider rhinoplasty. Rhinoplasty is not more difficult after closed reduction from a scarring point of view, but if the nose is now crooked it will be more difficult that if it were straight.

But it doesn't have to be 6 months if the deformity is obvious and a clear answer to treating it is apparent. The bump of your nose if soft could be swelling that will go down. If it is hard, it will probably be less likely go down.
The nasal bridge is an area that I believe will need less waiting time than compared to the nasal tip and the area around it and a little more superior to it. This is something that can more easily be approached and treated so don't worry. You are going to do great!!