When will the cast be taken off and does this hurt?

The cast is removed approximately 7 days post-operatively.  You may feel a slight stiffness in the upper lift as the swelling moves downward.  This will subside in a matter of hours. you must be very careful not to bump it as it is vulnerable to breakage.  It isn't a bone china figurine but it isn't as strong as your nose was before the rhinoplasty either.  Don't worry, the bones will completely mend within 2 months.

If you had a rhinoplasty where the nostrils were narrowed (in the case of flared nostrils) you will have your sutures removed.  This may sting a bit, especially since it is in a sensitive area.  Although most patients still feel numb in the tip area and report only minor discomfort.