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How Long Does a Nose Job Last and Does It Need Up Keep?

If you have a nose job, will you need an additional rhinoplasty at some point in your life?

Doctor Answers 23

Rhinoplasty results last a lifetime

If a rhinoplasty is done properly and carefully, with thought to how it will hold up over time it should last a lifetime. Having said that, there is a lot of change during the first year after the rhinoplasty where the swelling goes down and scar contracture takes over. The first 3-4 years after a rhinoplasty is the time of maximal healing and change. After about 4 years it will stabilize and should pretty much look the same for many years.

If there are any problems with twisting, collapse, or irregularities that may show through the skin you will start seeing it usually after the several months. These issues may require a second surgery to correct. This is why you have to be very careful about who you have work on your nose as fixing a rhinoplasty is much harder than doing it well the first time.


Oklahoma City Facial Plastic Surgeon
5.0 out of 5 stars 39 reviews

A rhinoplasty should last a lifetime, but will continue to change

Your rhinoplasty will show an immediate change of your nose and that change will be permanent, but like other parts of your face, your nose will show changes associated with aging:  the skin will become blemished from sun damage, the pores might enlarge, the small blood vessels at the corner of the nose may increase in size or number and the tip may lose it's projection slightly.   But the overall shape of the nose should not change. 

Philip Miller, MD
New York Facial Plastic Surgeon
4.5 out of 5 stars 53 reviews

Rhinoplasty longevity

You should really only need one rhinoplasty, ever. There is no upkeep required on the part of the patient. Occasionally we do revision rhinoplasties to address a minor issue from the first surgery, but this occurs less than 5% of the time for most surgeons. You may have some minor changes as you age, but this almost never requires another surgery. Best wishes, /nsn.

Nina S. Naidu, MD, FACS
New York Plastic Surgeon
4.5 out of 5 stars 6 reviews

Nose jobs are for life

Ideally, you will need only one rhinoplasty. Secondary or revision rhinoplasties are significantly more challenging and less likely to succeed when compared to the first one. Your nose will age and there may be some changes over time, but with newer techniques, the structural support of the nose is much better preserved than in the old days.

Nose Job Results

Unlike dermal fillers and facelifts which both need upkeep, the results of a nose job are intended to last a lifetime. If all goes according to plan, a single nose job will be sufficient in obtaining the results you want. Still, as the natural aging process takes a toll on your body, your nose may also conform accordingly. At this point you may consider getting a revision, or second, rhinoplasty to maintain your appearance.

Sam Rizk, MD
New York Facial Plastic Surgeon
4.5 out of 5 stars 26 reviews

Lasts forever

Rhinoplasty results last forever, although the natural aging process may affect the shape and size of the nose mildly.

Longevity of Rhinoplasty

A well done rhinoplasty will last for life. There is really not much upkeep if done properly. The key is to have your rhinoplasty performed to obtain a natural result that matches your face. Always choose a Board Certified Plastic Surgeon or a surgeon that has significant experience and expertise in rhinoplasty.

Rod J. Rohrich, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 28 reviews

Rhinoplasty is permanent

Results of rhinoplasty are permanent but as stated there can be subtle changes over time.  It is important that the new nose has strong structure so that it keeps it shape over time.  Some of the older techniques of rhinoplasty left nose with little support which made them collapse over time.

Sam Naficy, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 166 reviews

Duration of Rhinoplasty Results

Rhinoplasty results last a lifetime. However, with aging later in life, gravity will have a visible effect on your nose as it does on all body structures. If you visit a senior citizens' home you might think all people born 75 years ago had long noses. If that bothers you, the nose can be revised and shortened at that time.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 22 reviews

Rhinoplasty Should Be A One-Time Surgery

The goal of any rhinoplasty is to produce a nose that looks good and functions well -- the FIRST TIME! When performed correctly, rhinoplasty should not need to be touched up, tuned up, tweeked, or redone. Unfortunately, that's not always the case. Rhinoplasty is considered the most difficult procedure in plastic surgery. A conservative estimate of the revision rate is 20%.

You can decrease the chances of needing a revision by selecting an experienced rhinoplasty surgeon. Visit with more than one. Look at their results. Ask lots of questions. Good Luck!

C. Spencer Cochran, MD
Dallas Facial Plastic Surgeon
5.0 out of 5 stars 114 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.