In rhinoplasty jargon, the term "Tip Rhinoplasty" or "Tip Refinement" simply means reshaping the nasal tip to improve its appearance. This can involve making the tip narrower, smaller, less bulbous, less boxy, more/less upturned -- depending on the goals of the surgery. The "downtime" following rhinoplasty is variable depending on what rhinoplasty techniques are used such as whether the surgery was performed open or closed, whether any tip work was performed, and whether the nasal bones were broken (osteotomies). Patients who undergo open rhinoplasty typically have more edema (swelling) that persists longer compared to patients in whom closed rhinoplasty techniques were used. If the nose was surgically broken by performing osteotomies then there is usually more swelling and bruising. Patients are generally encouraged to take a week of from work or school. After two weeks, most patients can gradually return to strenuous activities such as exercising. The swelling gradually dissipates over the first several months and thus the appearance of the nose changes gradually. When the cast is removed after one week, the nose will look swollen. Usually by the end of the second week, the swelling and bruising have subsided enough that the casual observer will not readily notice that the nose has been operated on. However, to the patient, the nose will look swollen or "puffy" for several months. By about 3-4 months, the majority of the swelling will be gone but will look larger in photographs. It can take as long as a year for the final shape to become apparent. You should give yourself several months if if there are any work or social engagements that would cause concern.The nose undergoes significant changes in the first 2 to 12 weeks following rhinoplasty. The swelling gradually dissipates over the first several months, and thus the appearance of the nose changes gradually.