RhinoplastyUnited States5 min read
Did NeNe Leakes have a rhinoplasty? Yes — twice, and she said so herself
NeNe Leakes, the Real Housewives of Atlanta original, has never hidden her plastic surgery — and when a second rhinoplasty set the internet talking in 2016, she confirmed it herself on live television, with the medical reason included. Here is what she said and what rhinoplasty involves.
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Key facts about the procedure
- Operation time1.5–3 hours
- Stay in clinic1 day
- AnaesthesiaGeneral
- Price
$6,000from $4,200
Profile
NeNe Leakes
- Country
- United States
- Who
- American TV personality, Real Housewives of Atlanta
- Year of operation
- 2016
- Quote source
- Page Six, 17 June 2016
What did NeNe Leakes say about her nose jobs?
NeNe Leakes had her first rhinoplasty in 2010, narrowing her nostrils — and in June 2016, when a second nose job set social media talking, she confirmed it herself on Watch What Happens Live. As Page Six reported on 17 June 2016, her answer was pure Leakes: “I got my nose done because first of all, I can. I will. And I'll get it done again if I want to. OK?”
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WhatsAppThe second operation, she explained, was not purely cosmetic: “There was a real medical reason why I had to get it done again,” she said — “my cartilage was growing in my nose, my tip was touching the top of my lip.” She was still swollen 13 days after the surgery when she appeared on air, and noted that this procedure involved more cartilage adjustment than the first one.
That is what this article relies on: her quoted words in the report. Everything below describes rhinoplasty in general, not her treatment.
Why her story matters
NeNe Leakes's two rhinoplasties show the full range of reasons noses come back to the operating room. The first was aesthetic — narrowing the nostrils that had “bothered” her, as she described the 2010 work. The second was functional and corrective: cartilage that kept growing can distort the tip and interfere with breathing, and a revision rhinoplasty is the standard answer.
More on this topic: Rhinoplasty in one day, Open Rhinoplasty, Closed Rhinoplasty, Rhinoplasty for Patients from Singapore, Rhinoplasty in Melbourne.
Revision work is more delicate than a first operation — the tissue has already been operated on — and her account of extra cartilage adjustment reflects that reality.
Her openness is the third lesson. She confirmed the surgery while still swollen, on camera, with the words “I can. I will.” Patients who see a star at 13 days post-op — swollen, not airbrushed — get a far more realistic picture of recovery than the polished reveals most celebrity coverage offers.

How rhinoplasty is done today
Rhinoplasty reshapes the nose: the bridge, the tip, the nostrils and, in septorhinoplasty, the deviated septum inside that blocks breathing. The operation is done under general anaesthesia or TIVA, with open technique (a small incision on the columella) or closed technique (incisions inside the nostrils), and ultrasonic piezo instruments for precise bone work. Cartilage — from the septum, ear or rib — is used where the framework needs support or reshaping, as in Leakes's cartilage-related case.
Closed rhinoplasty
- What it does
- Reshaping through incisions inside the nostrils
- Typically for
- Moderate reshaping, no external scar
Open rhinoplasty
- What it does
- Full view through a small incision on the columella
- Typically for
- Complex tip and bridge work
Septorhinoplasty
- What it does
- Reshaping plus straightening the septum
- Typically for
- Deviated septum, breathing problems
Revision rhinoplasty
- What it does
- Correcting or improving a previous operation
- Typically for
- Cartilage growth, asymmetry, unsatisfactory result
Which option fits is decided at the consultation after examination, not from a celebrity story.
Who is a candidate and how to prepare
Candidates are adults, typically aged 18–45 with marked concerns, in stable health; older patients are assessed individually. Contraindications include acute infection, uncontrolled chronic disease and anything that rules out safe general anaesthesia. Patients considering a revision, as in NeNe Leakes's case, should bring the full history of the first operation — what was done, and what changed since.
- Start preparing 21 days ahead: blood tests, biochemistry, coagulation, infection screening, ECG and chest/sinus imaging.
- Stop blood-thinning medicines, alcohol and smoking a week before; no food or drink for six hours before surgery.
- Buy class 2 compression stockings and plan the first week as complete rest.
What recovery looks like
The first 24 hours are spent in the inpatient unit. For the first days, breathing goes through the mouth and splints sit in the nostrils; swelling and bruising around the eyes are normal. Nasal splints come out around day 7, the external splint stays up to 14 days, and stitches are removed on day 14 — the stage at which NeNe Leakes appeared on television, still swollen.
For a month there is no exercise, sauna, pool, hot baths or sun. Congestion can linger for a month or two, the first improvements appear after two to three weeks, healing completes over about four months, and the final shape settles over one to one and a half years.

How recovery after rhinoplasty usually goes
- Day of surgeryGeneral anaesthesia or TIVA; the first 24 hours in the inpatient unit under monitoring.
- Days 1–3Mouth breathing with splints in the nostrils; swelling and bruising around the eyes are normal.
- Day 7Nasal splints come out; the external splint stays up to 14 days.
- Day 13–14Stitches removed; still visibly swollen at this stage, as NeNe Leakes showed on air.
- Weeks 2–4No exercise, sauna, pool, hot baths or sun for a month after surgery.
- Months 1–18Congestion eases, healing completes by about four months, final shape settles over 1–1.5 years.
Rhinoplasty at City Medical Centre
City Medical Centre performs primary, revision and reconstructive rhinoplasty for international patients, including patients from New York. Primary rhinoplasty costs $4,200 (currently reduced from $6,000), revision rhinoplasty $5,400, rhinoseptoplasty $5,000, reconstructive rhinoseptoplasty $4,700 and rib-cartilage reconstruction from $5,400. The first consultation is free; the final cost is confirmed after an in-person examination.
The price includes anaesthesia, the inpatient stay and a lifetime guarantee on the result with a free post-operative check-up. More details are on the rhinoplasty page and the page for patients from New York.
To be clear: City Medical Centre has no connection with NeNe Leakes or her treatment. Her story is quoted here only because she chose to talk about her operations openly.
Frequently asked questions
Did NeNe Leakes have a rhinoplasty?
Yes — twice. Her first was in 2010, narrowing her nostrils, and in June 2016 she confirmed a second nose job herself on Watch What Happens Live, as Page Six reported.
Why did NeNe Leakes have a second nose job?
She said "there was a real medical reason" — cartilage growing in her nose, with the tip touching the top of her lip — and added with a laugh: "I got my nose done because first of all, I can. I will. And I'll get it done again if I want to."
What is a revision rhinoplasty?
An operation that corrects or improves a previous nose surgery — for example when cartilage shifts or grows. It is more delicate than a first rhinoplasty because the tissue has already been operated on.
How swollen will I be two weeks after rhinoplasty?
Visibly — stitches come out around day 14 and swelling declines gradually, as NeNe Leakes showed on air. The final shape settles over one to one and a half years.
How much does rhinoplasty cost at City Medical Centre?
Primary rhinoplasty is $4,200 (reduced from $6,000), revision $5,400, rhinoseptoplasty $5,000, reconstructive rhinoseptoplasty $4,700 and rib-cartilage reconstruction from $5,400. The final price is confirmed after the free consultation.
Sources
What the article says about the celebrity is based only on these public statements.
- Page Six, 17 June 2016
Medical background and further reading
General information about the procedure from health authorities and medical societies. It is not advice for any individual patient.
- PubMed / NCBI — Reporting Outcomes and Outcome Measures in Open Rhinoplasty: A Systematic Review (Aesthet Surg J, 2020)
- PubMed / NCBI — Systematic Review and Meta-analysis of Functional Rhinoplasty Outcomes with the NOSE Score (2017)
- American Society of Plastic Surgeons — Rhinoplasty
- World Health Organization — Safe surgery
How we prepare and review medical content · Medical disclaimer
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