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

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.

It’s important to realize that the nose undergoes significant change in the first year following rhinoplasty surgery. These changes are related to swelling, inflammation, and the would healing process. Once these change have occurred the appearance of the nose should be more or less stable with the exception of changes associated with normal aging.
                For this reason, revisional maintenance rhinoplasty surgery isn’t indicated. Occasionally, patients may not be totally happy with the result of their rhinoplasty. Under these circumstances, secondary revisional rhinoplasty may be indicated.

                For these reasons, it’s important to consult a board certified plastic surgeon. This surgeon should be able to formulate a treatment plan that addresses your concerns and minimizes the potential for secondary surgery. 

When performed expertly, a nose job will last a lifetime. A typical natural nose will afe overtime.   During the  aging process, the nose tends to droop and elongate overtime.  During a properly executed rhinoplasty, the nose is strengthened and will age better than the unoperated nose.  A properly performed rhinoplasty should not require any maintenance overtime. I hope this helps.