The short answer is yes, you should see immediate improvement when the cast and tape are removed after rhinoplasty when major changes have been made. HOWEVER, depending on such factors as skin thickness and degree of swelling, which are quite different from patient to patient, the results can still be far from the final result. There's a reason we state that it takes about a YEAR to fully heal after a rhinoplasty. During that time the swelling is resolving and the skin and soft-tissue envelope of the nose is contracting down onto the new framework of the nose.I generally tell my patients that by two weeks post-op they'll be able to go though a checkout line at the grocery store and no one will be aware that they've had surgery (i.e., bruising and the acute evidence of trauma will be gone), that they're about 60% healed by six weeks, about 85-90% healed by three months, and fully healed by one year. Again, these are averages.Hope this helps,--DCPPearson Facial Plastic Surgery