How Long Does Rhinoplasty Last? A 6-Year Open Rhinoplasty Case With a Strong Structure
Choosing a clinic for surgery is not only about looking good for a short time, because “a good nose” should not only look good. It should also last over the long term.
Khun Ou, the CEO of S45 Clinic, has seen many patient cases and pays close attention to rhinoplasty results. This is her own experience of deciding to have her nose reshaped by Dr. Ty (นายแพทย์กิตติศักดิ์ วงค์เทียนชัย, ว.35602) at S45 Clinic. Although it was a complex structural revision, with careful analysis and suitable adjustment of the structure, 6 years later her nose shape is still strong and still looks soft and suits her face.
Why Can Rhinoplasty Results Last Over the Long Term?
It starts with building a stable structural foundation, especially for patients with a deviated, tilted or crooked septum. Open rhinoplasty lets the surgeon adjust the structure inside the nose precisely and use septal extension to make the septum straighter and stronger.
As well as addressing the shape of the nose, this can also help improve a blocked nose or difficulty breathing at the same time. The nose shape is therefore more stable and can help hold its shape over the long term, depending on each person.
Addressing a Drooping Nasal Tip (Nasal Tip Ptosis) and Caring for Long-Term Results


Many people who have had surgery before may have had a drooping nasal tip, where the tip moves lower than the level of the bridge. This reduces the angle between the nasal tip and the upper lip, which can make the face look unbalanced.
The main cause of this problem is usually a structural foundation that was not stable from the start, such as removing too much of the septum, using an unsuitable amount of cartilage, or placing the structure unsuitably. All of these depend heavily on the skill and experience of the operating surgeon.
The surgeons at S45 Clinic give high priority to long-term results. The S45 Original nose shape by Dr. Ty is designed not only to suit each person’s face but also to have a strong structure, to lower the chance of the tip drooping as time passes.
In Khun Ou’s case, about 6 years after surgery her nose shape still suits her face. This reflects the importance of a nose design that takes into account both appearance and each person’s existing structure.
The S45 Original Nose Shape by Dr. Ty and More Than 15 Years of Surgical Experience

Seeing this result for herself is an important reason why Khun Ou trusted S45 Clinic and chose to have her nasal structure cared for by Dr. Ty. A nasal structure that has stayed in shape and strong until today reflects the skill, understanding and more than 15 years of experience of the surgeon.
A key feature of the S45 Original nose shape by Dr. Ty is the use of open rhinoplasty, which focuses on the strength of the foundation from the start. The surgeon assesses the internal structure and uses septal extension to straighten the septum, with a grafting material such as “rib cartilage” as the main support for the septal extension. This adds strength, helps lock the structure in place and lowers the chance of the nose collapsing in the future.
Open rhinoplasty with rib cartilage also lets the surgeon address complex structural problems carefully and precisely, such as a deviated septum, a wide nasal base, or revision cases with a contracted, pulled-up nasal tip. This is combined with a personalised nose design adjusted to each person’s facial proportions, so the result blends with your face, has its own character and helps you live your life with confidence.
Features of the S45 Original Nose Shape by Dr. Ty
- Open rhinoplasty with septal extension: lets an experienced surgeon work on the internal structure in fine detail, straighten a foundation that was deviated or tilted, and add strength to the nasal tip.
- A personalised design for each person: the S45 Original nose shape by Dr. Ty is based on an assessment of your overall facial structure, including your forehead, eyes, chin and cheekbones, to design with attention to every proportion and bring out each patient’s own features. It does not simply follow trends, but focuses on a soft look that suits the shape of your face.
Who Is Open Structural Rhinoplasty Suitable For?
For people who have had rhinoplasty before and now have problems with the existing structure, or people planning a first rhinoplasty who hope for a result that lasts over the long term, open revision rhinoplasty or a new open rhinoplasty may be a suitable option. Results depend on each patient and their existing structure, so have an assessment by an experienced surgeon before you decide.
Frequently Asked Questions You May Not Know the Answers To
“Reveal the beauty within you” Reveal your hidden beauty
If you are concerned about your nasal tip or your existing nose shape, or want to know which technique suits your facial structure,
you can book a consultation and an initial assessment through the channels below.
Note: Revision rhinoplasty, which many people know as “nose reshaping”, is surgery for people who have had nose surgery before and need a further assessment by a surgeon. The approach to care depends on the original concern, the nasal structure and the surgeon’s judgement in each case.

