Would Not Taping Nose Cause This Permanently? Will It Go Down or Would I Need a Revision Rhinoplasty? (photo)

There is no large study that shows whether or not taping the nose for a prolonged period after rhinoplasty produces either a short term or long term difference. Most surgeons don't use it long term because the skin often becomes irritated.

If your skin feels soft, perhaps loose, at 5 months after rhinoplasty, there is a strong likelihood that further contraction, or shrinking, of the skin will still occur. The end result for most rhinoplasties is about 18 months after the procedure. In fact many men have thicker skin that will take longer to fully contract.

Your nose does have some fullness above the tip that may represent the so-called pollybeak deformity, but this may represent swelling and skin looseness that can improve with time.

Although it is possible that you will ultimately need a revision (about 15% of all primary rhinoplasty surgeries do in large studies), you should be patient. Discuss your concerns with your surgeon and see if further observation is appropriate. Good luck.

Although I do feel that use of tape and a splint are important for the 1st week postop, I do not feel that further taping is essential.  Swelling, particularly in the nasal tip, takes at least a year to subside whether the nose is taped or not.

Unfortunately, you have a polly beak deformity named for the resemblance to a parrot's beak on side view.  There are a number of causes for this.  Occasionally this can be improved with the injection of steroid but almost always requires revision surgery.  I would recommend starting with your original surgeon and if you do not get a satisfactory response, seek out a revision rhinoplasty specialist.  Taping the nose will have no benefit.