Does Your Nose Grow After a Rhinoplasty?

I have read that your nose can grow back after a rhinoplasty. Is this true? I don't want to get a rhinoplasty only to have my nose return to the way it was. 

4Ease24

F, 25, Massachusetts

It seems there are few different things being asked here, so let me unpack this question a little for you.

Can your nose be larger after surgery? Yes, it's not uncommon for the normal swelling and inflammation to make your nose seem temporarily larger than it was before the surgery. But this swelling will subside during your postoperative recovery, and the final shape of your nose will gradually become visible.

Do our noses every stop growing? No, they don’t. Our noses continue to grow throughout our lifetimes.

The bony parts of our noses stop growing after puberty, but the cartilage in our nose and ears don’t stop until we die. This "growth" is not actually growth in terms of numbers of cells, but rather a loosening of the natural elasticity of the cartilage, which allows the tissue to expand.

With or without rhinoplasty, as we go through life we’re all going to have bigger noses and ears than we have now.

This lifelong expansion of the cartilage will eventually change the shape of our noses somewhat as well. It's common to see elderly people with drooping noses as gravity takes its toll over the decades.

Keep in mind that these age-related changes to the size and shape of the nose are not the same as your rhinoplasty procedure somehow 'reversing' over time.

The bone and tissue removed during your rhinoplasty procedure cannot "grow back".

If any bones in your nose were repositioned, that repositioning is permanent. There's no reason to worry about your nose somehow returning to its original shape.

The most important first step in any rhinoplasty procedure is finding a talented plastic surgeon with a good sense of aesthetics and facial balance. Remember to only consult with board-certified plastic surgeons for both safety and the best final results.

No, it isn't true. Once removed, bone, cartilage and tissue removed during a rhinoplasty is gone forever.

The reason some people believe that the nose can grow back is because nose cartilage continually grows larger throughout our lives and never stops growing. During a rhinoplasty your plastic surgeon permanently removes cartilage, bone, soft tissue and fat cells, but the cartilage that's left behind will continue to grow slightly over the years as the natural elastic qualities of the skin and cartilage diminish.

The older you get, the bigger your nose will get. There's no way around it for any of us. But that doesn't mean your rhinoplasty will be “reversed”. Cartilage growth will happen with or without rhinoplasty. Any re-shaping, aesthetic contouring, or surgical tapering performed to fix a bulbous nose is at no risk of growing back at a later date.

If you are unhappy with the appearance of your nose, I encourage you to meet with a board-certified plastic surgeon to discuss which options make the most sense for you. Post-rhinoplasty there's no need to worry about waking up one morning and finding your nose has returned to its original shape.

Dr. Kimberly Henry has 5 Nose job before & afters:

Nose job before image performed by Dr. Kimberly HenryNose job after image performed by Dr. Kimberly HenryNose job before image performed by Dr. Kimberly HenryNose job after image performed by Dr. Kimberly HenryNose job, Chin implant before image performed by Dr. Kimberly HenryNose job, Chin implant after image performed by Dr. Kimberly HenryNose job before image performed by Dr. Kimberly HenryNose job after image performed by Dr. Kimberly Henry

» View Dr. Kimberly Henry's full profile

No, your nose will not grow back after a rhinoplasty.

The reason why many people think nose jobs grow back is that our noses continue to grow slightly throughout our entire lives. While the bone stops growing when we reach physical maturity, cartilage is different. Cartilage is the plastic-like material that our nose, ears and joints are made of. It grows (in terms of size, not the number of cells) for the rest of our lives, and since our noses are mostly made from cartilage and not bone, it continues to grow larger with age.

The same holds true for our ears. Since our ears are also made from cartilage, they too continue to grow larger throughout our entire lives. This is why young people and children tend to have tiny noses and ears, while older people tend to have larger noses and big ears.

It’s also common to see aging noses sag or droop as gravity causes the tip to fall slightly over time.

The extra cartilage, bone and tissue that is removed during a rhinoplasty cannot grow back. But because everyone's nose continues to grow larger over the years, a post-rhinoplasty nose may appear to regain a small amount of the fullness it had prior to surgery.

In any case, this age-related growth is a very slow process that takes place over many decades. To put it simply, there's no way to make our noses stop growing. If you're concerned about having a large nose by the time you reach your eighties, the only consolation I can give you is that everyone else your age will have one too.

Dr. Alexander Ovchinsky has 10 Revision Rhinoplasty before & afters:

Revision Rhinoplasty before image performed by Dr. Alexander OvchinskyRevision Rhinoplasty after image performed by Dr. Alexander OvchinskyRevision Rhinoplasty before image performed by Dr. Alexander OvchinskyRevision Rhinoplasty after image performed by Dr. Alexander OvchinskyRevision Rhinoplasty before image performed by Dr. Alexander OvchinskyRevision Rhinoplasty after image performed by Dr. Alexander OvchinskyRhinoplasty (nose job) before image performed by Dr. Alexander OvchinskyRhinoplasty (nose job) after image performed by Dr. Alexander Ovchinsky

» View Dr. Alexander Ovchinsky's full profile

The nose changes somewhat as we age and does continue to grow. But no tissue or bone that is removed during your nose surgery will grow back. As we get older, the nose droops slightly and becomes somewhat longer. This nasal growth is a normal part of aging and is not related to rhinoplasty.

There is no danger of your new nose "growing back" into the shape of your old nose.

Choosing a plastic surgeon is one of the most important steps when pursuing any cosmetic surgery. I encourage you to come in for a consultation to review rhinoplasty photographs and discuss which options are best for you. Always be sure to consult with a board-certified plastic surgeon to make sure you receive the best results.

Dr. Robert Brueck has 1 Nose job before & after:

Nose job before image performed by Dr. Robert BrueckNose job after image performed by Dr. Robert Brueck

» View Dr. Robert Brueck's full profile

The short answer is "no." Your nose will not grow after a rhinoplasty.

As with any other facial plastic surgery, there is a considerable amount of swelling that that results from a rhinoplasty procedure. During the post-op period, this swelling may give the appearance that the nose is larger. As the healing process continues, the swelling and bruising will subside and the results of the rhinoplasty surgery will become more apparent.

Will your nose keep growing normally as a result of aging? Yes, your nose will continue to grow slightly with age, along with the rest of your face. But you will not "re-grow" removed soft tissue or bone removed during nasal surgery.

Your nose will not return to the way it was prior to a rhinoplasty. Tissue that gets removed to shape the nose does not regrow. Bones that are repositioned to narrow the upper nose might take a few months to heal fully and you are likely to have swelling of the tip of the nose for even up to a year depending on technique. If you gain weight, your nose may look bigger but this is not the same as the "nose growing back."


For further information you can reach out to us at 858-24SAYED or email info@drsayedmd.com

Hi- 

   It is not that your nose grows, but it does age like the rest of your face and will change with time. The areas that are corrected with your rhinoplasty, will not "come back" but the shape of your nose (skin, cartilage, bone) will change over time with or without the surgery. 

I never have seen that happen in my 40 years in PS>>>>>