Let's Be Honest Here....Long-Term Results of Rhinoplasty Operations? Should A Rhinoplasty Result Not Be Permanent?

Great question. Yes, one should expect to have a rhinoplasty surgery only once. Here's the issue though - any rhinoplasty requiring grafts, particularly for tip refining may be subject to change for a variety of factors ie. Quality of soft tissue envelop, cartilage warping, cartilage resorption esp, when rib cartilage used as a cantilever graft, lack of structural support when needed ie. Strut graft etc. As surgeons, most of us, if not all, have a small percentage of revision surgeries and I believe, that should be discussed with patients, dictated by the situation. Thank you.

Once a rhinoplasty has healed and the tissues have finally settled down, the nose shape result should be stable. Autologous cartilage grafts do not resorb in my experience. Rhinoplasty is not an operation,like a facelift, that needs to be redone because the result is 'lost'. Revisions in rhinoplasty are not rare but these are done in the pursuit of achieving a better result or to address somer residual nasal asymmetry.