As a facial plastic surgeon with years of experience performing rhinoplasty procedures, I am often asked by my patients about the longevity of their results. It's a valid concern, as undergoing nose surgery is a big decision and patients want to ensure that their investment will last for years to come. The good news is that a well-performed rhinoplasty can provide long-lasting results that do not require any maintenance or revision procedures. One of the key factors to keep in mind is that after nose surgery, your nose will initially be swollen. However, over time, this swelling will subside and scar tissue will form.
These changes are signs of the underlying changes at the base of the nose, which is where the aging process begins. While most people are prepared for the initial inflammation and recovery period, they may not be aware of what could happen with their nose after 5 or 10 years. Unlike some other cosmetic surgeries, the results of a rhinoplasty should last a lifetime. While many surgeons may be able to create a well-looking nose in the first year, it takes a skilled surgeon to create a nose that will continue to look good over time. This is why getting rhinoplasty at an early stage can give you the best chance of enjoying your ideal nose for as long as possible. Traditionally, rhinoplasty has been considered a "reductive" procedure, meaning that surgeons use techniques to reduce the size of the nose.
However, as we age, our skin and soft tissues lose elasticity and can no longer support the reduced cartilage and bone left after a reduction rhinoplasty. This can result in a collapsed nose, which is why many people who had nose surgery early on may notice changes in their nose over time. Fortunately, there is a solution to this problem. As a facial plastic surgeon, I perform a technique known as "structural rhinoplasty" which not only reduces the size of the nose, but also reinforces its structure to ensure long-lasting results. This technique is especially beneficial for those who have had previous rhinoplasty procedures and are now experiencing changes in their nose. It's important to remember that the way your nose looks after years and decades is critical to your overall appearance and satisfaction with your rhinoplasty.
This is why it's crucial to choose a skilled and experienced surgeon who understands the complexities of the nose and can create results that will stand the test of time. A rhinoplasty can address a variety of aesthetic concerns related to the nose, and should only be performed once. Over time, as the reduced cartilage and soft tissue left after a reduction rhinoplasty begins to weaken, the nose can collapse without proper support. This is often seen in celebrities who had rhinoplasty in their 20s and are now in their 40s and 50s.