The bones and cartilage in the nose don't actually grow with time, but the cartilages that form the
tip of the nose release their grip on the upper regions of the nose and pull
down and away with gravity. That movement lowers the position of the tip,
making the nose look longer, and thus bigger. Changes in the skin can
also make a nose appear bigger.
She also had a mild convexity of a hump along
the dorsum of her nose.
You can see that the jowl, the droop of skin between her ear and her chin,
was pulled tighter.
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I'm 17 and 4 months post rhinoplasty. My nose hasn't changed. Will I need more surgery?
I just want to ask u about my nose and my chin !! Do I need to do my nose next year ? And do I need a chin injection or a silicon ? I really don't like my nose I wanted to shorter !!
(Questioner submitted photos)
Dr. Denenberg's answer: Yes, unfortunately it looks like you'll need more surgery
Your nose is very long, and there's still the hump on the bridge. Although your nose will continue to change some, most of the changes have already happened, and the tip of your nose will not rise with further healing.
Making a significant elevation of the tip of the nose involves advanced techniques on the tip cartilages, and most plastic surgeons can't handle it adequately, especially in a revision. Before you select your doctor, you must see before and after revision photos to see if he can make changes like that. See the attached video and Web reference link for an example.
I love the example nose that you submitted, too. Seems to me that you require a rather dramatic elevation of the tip of your nose, and a take-down of the hump, among other less obvious changes.
Link to this question on RealSelf.com