The 2011 Great East Japan earthquake and tsunami caused significant damage along the coastal region in Miyagi Prefecture. In the Natori River of Miyagi Prefecture, the recovery process of the estuarine morphology has been observed since the tsunami arrived. In this study, detailed analyses of collected aerial photographs and beach topography in front of the river mouth were conducted to evaluate whether the river mouth has reached a new equilibrium. The shoreline analysis suggests that the river mouth has obtained an equilibrium state after 2014 in which the sediment volume can be preserved within the littoral system. In addition, the convergence process to the stable topography was detected by the first spatial and temporal eigenfunctions obtained from the empirical orthogonal function (EOF) analysis of the beach profiles. From the results, it can be concluded that the river mouth has obtained a new equilibrium of morphology after the tsunami. As the recurrence of the tsunami can be expected in the next several centuries, the findings of this study can be useful for long-term coastal and riverine management against future disasters in this river mouth, and other coastal regions that are prone to large-scale disasters in the near future.