Can your nose shape change over the years after rhinoplasty?

Hi. I Wondering if you get rhinoplasty, will the result last forever, or will your nose start to change shape as years go on. For example, in 30 years will your nose look the same as it did when you first got rhinoplasty or will it droop, get bumpy...? I'm just wondering what the normal long term outcome is. Thanks!

Doctor Answers 15

Can your nose shape change over the years after rhinoplasty?

Thank you for your question. Your nose will change over time, just as your nose would change in shape if you did not have any surgery over the course of your life as a result of ageing of the tissues. Modern day rhinoplasty is directed towards adding structural support and longevity to results. It is unlikely that if you had a large dorsal hump removed that it would return after 30 years but there would be other subtle changes in the appearance of the nose as it ages. Human tissue is dynamic and there are many factors that can affect long term results.
Best of luck!
Dr Guy Watts

Nose changing shape over time

Noses do change shape over time as one grows older on ones that have had Rhinoplasty or not. Overall, the operated nose will retain the shape achieved at about a year or two after the rhinoplasty as a general rule. However there is always a possibility of  bone  and cartilage resorption or warpage that can occur over the years that are unpredictable in a smaller portion of cases that in no way reflect a less than desirable rhinoplasty procedure but more so on how your particular body has responding to the surgery.

David Liland, MD
Dallas Plastic Surgeon
4.5 out of 5 stars 26 reviews

Your nose changes, naturally

As you age, your nose will change. This is a natural process that anyone experiences, and is attributed to the loss of collagen in the skin, disintegration and descent of fat pads and changes in your craniofacial skeleton. You may find that the tip starts to drop and your nose may look larger. However, with a properly performed nose job, your results will provide satisfying results long term. 

Nasal Shape Change After Rhinoplasty

Nasal tips and dorsum change gradually as the years go on. You can see the final result on a nose in 3 to 5 years, especially on a secondary nose. If you have functional and structure loss it may change and gradually collapse nose long term.

Rod J. Rohrich, MD
Dallas Plastic Surgeon
4.9 out of 5 stars 50 reviews

Post rhinoplasty changes

Generally speaking, your nose should not change appreciably after a rhinoplasty. This assumes that tip support was maintained and that other areas of possible structural weakness were corrected. As one ages, the ligaments holding the tip cartilages in position tend to weaken. Since the tip cartilages rest on the upper lip and since there is atrophy with aging in the upper lip, we see the tip gradually fall down somewhat. This is mistakenly thought of as "continued growth" is not. And if the rhinoplasty is performed correctly, the support that was placed and the scarring that has formed should prevent this. However, we do see occasional skin changes that may look like the nose is getting fuller, "bumpy" or "droopy" if the skin thickens or thinner and more defined if it thins out.

Stephen J. Pincus, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 2 reviews

Changes after rhinoplasty

Although our noses do change with age, you should not see a signficant difference in the dorsal hump and tip cartilages once treated with rhinoplasty simply as a result of changes due to aging. 

Your nose will age

Your nose will change whether you have a rhinoplasty or not. the nose lengthens and may enlarge. A skin condition may even cause the skin to get thicker. Modern rhinoplasty techniques should hold up over time. Modern day rhinoplasty is done with anatomy in mind, so structural support is left in place. This ensurers that the nose does not collapse over time.

Stephan Finical, MD
Charlotte Plastic Surgeon
5.0 out of 5 stars 12 reviews


Thank you for your question and just as your face will change over time so will your nose but the basic adjustments made to your nose with a rhinoplasty should not change. Dr. Corbin

Frederic H. Corbin, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 58 reviews

Can your nose shape change over the years after rhinoplasty?

Great question. In my opinion, subtle changes can occur with time following a rhinoplasty. The skin and soft tissue will adhere to the underlying nasal skeleton and contract. The contraction can exert effects years after a rhinoplasty. The force of the contraction can be considerable and can lead to changes in how your nose looks and functions. Modern rhinoplasty techniques that emphasize grafting techniques were developed to help correct or prevent these problems.
Of course, your nose will also age along with the rest of your face, but this happens regardless of having nasal surgery!

Robert S. Schmidt, MD
College Station Facial Plastic Surgeon
5.0 out of 5 stars 7 reviews

Changes will occur after rhinoplasty

Dear Fiftyfive,

The final result of your rhinoplasty will take shape about a year after the surgery. However, there will be changes to your nose as you get older. Your nose, like other organs, will change. These changes are due to the aging process and not necessarily due to the surgery if done correctly. You should not have a droopy tip, bumps, or difficulty breathing even many years later.

Kyle S. Choe, MD
Virginia Beach Facial Plastic Surgeon
4.7 out of 5 stars 35 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.