As a plastic surgeon with years of experience in performing rhinoplasty, I have seen firsthand the long-term effects of this popular cosmetic procedure. While many patients are thrilled with their results immediately after surgery, it's important to consider what may happen to your nose in the years to come. One of the most common concerns I hear from patients is whether their nose will collapse over time. And unfortunately, this is a valid concern for some individuals who have undergone rhinoplasty. While the changes may not be noticeable right away, over time, the nose can begin to show signs of collapse. This can happen as soon as five years after a strictly reductive rhinoplasty, but it's more common for these changes to manifest after 10, 15, or even 20 years. So why does this happen? In many cases, it's due to the initial surgical technique used.
A strictly reductive rhinoplasty involves removing excess tissue and cartilage from the nose to create a smaller and more refined appearance. While this may look great initially, it can lead to long-term problems as the nose loses its structural support. But don't worry - not all rhinoplasty results will end in collapse. In fact, the majority of patients will see their results hold up very well over time. Once all of the remaining swelling has subsided (usually within a year after surgery), the nose should remain stable and maintain its appearance for many years to come. However, it's important to note that there may be some minimal changes that occur after 20 years or more.
This is completely normal and should not significantly alter the overall appearance of the nose. So what can you do to ensure the best long-term results from your rhinoplasty? First and foremost, it's crucial to choose a skilled and experienced plastic surgeon who understands the importance of maintaining structural support in the nose. This may involve using techniques such as cartilage grafting to provide additional support and prevent collapse. Additionally, it's important to follow all post-operative instructions and attend all follow-up appointments with your surgeon. This will allow them to monitor your healing process and address any potential issues before they become bigger problems. In conclusion, while there may be some changes that occur after 10 or 20 years, the results of rhinoplasty should hold up very well over time. By choosing a qualified surgeon and following all post-operative care instructions, you can ensure that your nose will maintain its appearance for a lifetime.