I don't have a straight profile and I'd like to finally take care of it. My nose is elegant from the front - thin nostrils and it's probably just the right length for my face. Can one remove the 'bump' but keep the rest of the nose - & is it okay at this age to do so? Thanks.
Answer: Rhinoplasty after 40 Being in your 40s should not inhibit you from having surgery. I would not perform rhinoplasty in patients in their 60s because, especially in men, the tip is unforgiving and the change is insufficient to warrant surgery. The disappointment rate is high in this age group and I generally dissuade them from undergoing surgery.
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CONTACT NOW Answer: Rhinoplasty after 40 Being in your 40s should not inhibit you from having surgery. I would not perform rhinoplasty in patients in their 60s because, especially in men, the tip is unforgiving and the change is insufficient to warrant surgery. The disappointment rate is high in this age group and I generally dissuade them from undergoing surgery.
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CONTACT NOW Answer: Rhinoplasty surgery may be considered for patients in their seventh decade of life. Your age does not preclude rhinoplasty surgery provided you are otherwise healthy. In our experience, if a dorsal hump is removed, the ligaments that span from your bridge to your tip may be lost, and this may lead to droopiness of your tip. In most patients requesting hump removal, tip work may be necessary to add structural support to avoid a droopy nasal tip postoperatively. Hope this helps. Dr Joseph
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CONTACT NOW Answer: Rhinoplasty surgery may be considered for patients in their seventh decade of life. Your age does not preclude rhinoplasty surgery provided you are otherwise healthy. In our experience, if a dorsal hump is removed, the ligaments that span from your bridge to your tip may be lost, and this may lead to droopiness of your tip. In most patients requesting hump removal, tip work may be necessary to add structural support to avoid a droopy nasal tip postoperatively. Hope this helps. Dr Joseph
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September 6, 2014
Answer: Is late 40's too late for rhinoplasty? Hello! Thank you for your question! Age alone is not a contraindication to a surgical procedure. There are a few medical comorbidities that contribute to a higher risk during any surgical procedure including infections, wound complications, delayed wound healing, bleeding, anesthetic risks, etc. Factors such as diabetes, hypertension, coronary artery disease, heart problems, lung problems, etc are more common in the elderly. However, if you are healthy, or these conditions are well-controlled, you would certainly still be a candidate for a surgical procedure. If your complaints or desires are great enough to consider the surgical option, I would seek a consultation with a plastic surgeon to discuss your complaints and go over the options as well as risks and benefits of the procedure.You should obtain medical clearance from your primary care physician that you are at an acceptable risk for undergoing a surgical procedure. For elective or aesthetic procedures, your surgeon may want to get you to a reasonable health status prior to consideration for a procedure. Discuss all of your medical comorbidities and medication with your surgeon prior and discuss these risks. Also, discuss this with your anesthesiologist as proper monitoring and medications will be watched closely. This procedure should still be very safe for you and hope for an uncomplicated course with an excellent result! Hope that this helps! Best wishes!
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Answer: Is late 40's too late for rhinoplasty? Hello! Thank you for your question! Age alone is not a contraindication to a surgical procedure. There are a few medical comorbidities that contribute to a higher risk during any surgical procedure including infections, wound complications, delayed wound healing, bleeding, anesthetic risks, etc. Factors such as diabetes, hypertension, coronary artery disease, heart problems, lung problems, etc are more common in the elderly. However, if you are healthy, or these conditions are well-controlled, you would certainly still be a candidate for a surgical procedure. If your complaints or desires are great enough to consider the surgical option, I would seek a consultation with a plastic surgeon to discuss your complaints and go over the options as well as risks and benefits of the procedure.You should obtain medical clearance from your primary care physician that you are at an acceptable risk for undergoing a surgical procedure. For elective or aesthetic procedures, your surgeon may want to get you to a reasonable health status prior to consideration for a procedure. Discuss all of your medical comorbidities and medication with your surgeon prior and discuss these risks. Also, discuss this with your anesthesiologist as proper monitoring and medications will be watched closely. This procedure should still be very safe for you and hope for an uncomplicated course with an excellent result! Hope that this helps! Best wishes!
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February 2, 2011
Answer: Rhinoplasty in your late 40's
The rhinoplasty procedure is performed on many folks in their 20s, 30s, 40s, and 50s. It is never too late for a rhinoplasty. A bump can be taken out of the bridge. However, a small bump can only be filed down, while a large bump would require narrowing of the nasal bones through osteotomies.
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Answer: Rhinoplasty in your late 40's
The rhinoplasty procedure is performed on many folks in their 20s, 30s, 40s, and 50s. It is never too late for a rhinoplasty. A bump can be taken out of the bridge. However, a small bump can only be filed down, while a large bump would require narrowing of the nasal bones through osteotomies.
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May 30, 2012
Answer: Decision should not be based on age, but on anticipated results
In my opinion, there is no absolute age limitation for rhinoplasty. When I select a patient who is an appropriate candidate for the procedure - I base my decision on the following: is the patient healthy enough to undergo few hours of general anesthesia; is there a change I can make in a positive direction that I can achieve reliability, predictably, and safely; and are the expectations of the patient realistic?
Those are the most important considerations whether or not rhinoplasty is feasible for any individual, not an absolute age requirement. That being said, I’ve preformed surgery on several patients, who were in good health, into their late 60s – even early 70s who’ve met the previous criteria.
As far as part 2 of the question:
Can the profile be improved while preserving the rest of the nose?
A bump on the nose can be smoothed in most cases without a significant change to the rest of the nose. What can happen, however, is that the nose may appear slightly wider along the bridge from the front view of the nose. This is because the nose sits on the face like a triangular pyramid - taking the bump down is removing the narrowest part of the pyramid. While the nasal bones can be repositioned to close at the widest part of that pyramid, the overall geometry of the nose changes to a lower point along that pyramid, causing the nose to appear a little wider from the front view. The other issue is that if there is a significant reduction of a bump this can result in a relative excess of skin. If the skin envelope on a nose is very thick the skin may have trouble settling down on the lower structure of the nose this may manifest as persistent soft tissue swelling or skin thickening which may also cause the appearance of some widening. Also note, reduction of a bump on the bridge will not change the width or appearance of the nostrils and will have minimum affect on the nasal tip.
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Answer: Decision should not be based on age, but on anticipated results
In my opinion, there is no absolute age limitation for rhinoplasty. When I select a patient who is an appropriate candidate for the procedure - I base my decision on the following: is the patient healthy enough to undergo few hours of general anesthesia; is there a change I can make in a positive direction that I can achieve reliability, predictably, and safely; and are the expectations of the patient realistic?
Those are the most important considerations whether or not rhinoplasty is feasible for any individual, not an absolute age requirement. That being said, I’ve preformed surgery on several patients, who were in good health, into their late 60s – even early 70s who’ve met the previous criteria.
As far as part 2 of the question:
Can the profile be improved while preserving the rest of the nose?
A bump on the nose can be smoothed in most cases without a significant change to the rest of the nose. What can happen, however, is that the nose may appear slightly wider along the bridge from the front view of the nose. This is because the nose sits on the face like a triangular pyramid - taking the bump down is removing the narrowest part of the pyramid. While the nasal bones can be repositioned to close at the widest part of that pyramid, the overall geometry of the nose changes to a lower point along that pyramid, causing the nose to appear a little wider from the front view. The other issue is that if there is a significant reduction of a bump this can result in a relative excess of skin. If the skin envelope on a nose is very thick the skin may have trouble settling down on the lower structure of the nose this may manifest as persistent soft tissue swelling or skin thickening which may also cause the appearance of some widening. Also note, reduction of a bump on the bridge will not change the width or appearance of the nostrils and will have minimum affect on the nasal tip.
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