1nose job at 24yo. At 26yo my doctor made a revision. The result was natural, but the nostrils weren't symetric. I had a little accident and I small hump appeared. I went to see my doctor when I was 31 and he performed a 3 nose job. He asked me to correct with a 4 one ...one month ago (I'm 33). No difference between the last 2 surgeries. He didn't correct the little hump nor the nostrils. He told me that I need a 5 nosejob. BTW,he didn't remove the cartilage and my nose still looks natural.