Do you need to wear a cast for a tip rhinoplasty?

Great question!  Generally, if only tip work is done, many surgeons will probably use tape only; however every surgeon is different.  A cast is generally needed to hold the nasal bones in place if they were broken, for instance in this situation where the bridge is narrowed or straightened.  However, I would go on a few consultations to see exactly what is needed to get you to the goals you desire.Best of luck and hope this information helps!- Dr. Roger Tsai  @DrRogerTsaiBoard Certified Plastic Surgeon

Every surgeon has their own preference.  I like to place a cast after rhinoplasty even if it's just the tip to minimize swelling.  Usually the nasal skin needs to be elevated to see the cartilage underneath.  This will lead to swelling which can travel up the nose. 

Thank you for the great question. When only the tip of the nose is modified, a cast can sometimes be avoided. The nose will still need to be taped, however, so the benefit of not placing a cast (in terms of being less conspicuous) is minimal. In my practice, I still place a cast because I find that this reminds the patients to be extra careful with the nose. In addition, the cast can help manage the swelling to some extent. Recovery after a tip-only rhinoplasty is generally pretty easy. Most patients take a week off from work; there is certainly some swelling but there is minimal bruising for most patients. Best of luck and take care!