A septoplasty generally won't change the shape of your nose, it may in your situation, but generally it doesn't. My nose still looks the same on the outside. As for swelling and bruising, there won't be much, if any at all. Bruising generally doesn't occur at all, and any swelling should go down within 48 hours. I has some minor swelling the first day, but it was really only noticeable to me.