Thank you for previous help/advice on previous question. Interestingly, I heard noses do not stop growing...is this true? Would this not affect future results of a rhinoplasty? ie, the new nose could slightly fall back into its original state pre-surgery? Thank you all.
Does Your Nose Keep Growing? Would This Affect Outcome of Rhinoplasty?
Doctor Answers (8)
Despite popular beliefs, the nose does not continue growing, it ages
Many patients and non-patients comment that the nose is one of the few areas of the body that continues growing. That is completely false. The nose does change however. Noses get longer with age from stretching of the ligaments holding the nasal tip cartilages up to the rest of the nose. Tip cartilages may get weaker. Also the skin stretches. These aging changes may make the nose look longer from a drooping tip. The hump may also look larger. In reality the bump stays the same but the rest of the nose is falling away from it.
Rhinoplasty should be directed at the nose as it currently is. Modern techniques often includes adding cartilage grafts for strength to withstand the healing process.
Noses don't keep growing: they fall with age.
Noses don't keep growing: they fall with age and therefore appear to be larger. It does not affect your rhinoplasty.
Growth of the nose
Dear Ms Funny Face,
Noses are considered fully grown in most females by age 16-17, and by ages 17-18 in males. The nose continues to change as we age but does not continue to grow, rather the ligaments holding the nasal cartialge weaken and the nasal tip tends to widen and droop with age.
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Nasal Changes with Age
The nose changes as we age and these changes depend on our genetics, environment and anatomy. Starting with the skin - the skin gradually loses collagen, accumulates sun damage and thins out as we age. The thin nasal fatty layer also thins with age. The piriform aperture (the boney opening for the nose) gradually increases in size with age. The fibrous connections between the upper lateral cartialge/caudal septum and the lower lateral cartilage/medial crura also slowly lose there integrity with age and result in the appearance of the nose getting bigger or longer. Some of these changes will be halted with rhinoplasty others will not.
Do Noses Keep Growing
Noses do not keep growing after puberty. Like all parts of the body, they will change secondary to gravity and aging later in life.The nose will always look better after rhinoplasty and will never revert to it's pre-surgical appearance.
Does the nose continue to grow with time?
The nose doesn't continually grow with time. It can appear to do this as the tip to droops with aging.
This can be due to a combination of decrease ligamentous support of the nasal cartilages and also from less boney support at the base of the nose. Also, one's nasal tip skin can become thicker as we get older.
Regardless, these changes shouldn't affect one's rhinoplasty results appreciably. I typically augment the nasal support mechanisms during rhinoplasty to ensure stable results as the nose heals.
Most growth of the nose ends by about 17 to 18 in boys and a bit younger in women. There can be small changes iin the cartilage with life, but nothing too significant.
Unless You are made of Cherry Wood and your father's name is Geppetto your nose is UNLIKELY to constantly grow
Regarding: "Does Your Nose Keep Growing? Would This Affect Outcome of Rhinoplasty?
Thank you for previous help/advice on previous question. Interestingly, I heard noses do not stop growing...is this true? Would this not affect future results of a rhinoplasty? ie, the new nose could slightly fall back into its original state pre-surgery? Thank you all."
I have answered another of your questions today. Nasal growth after surgery is an urban myth. With age, there is tissue relaxation and sagging but there is no growth. As a result, there would be no reversion into the old nose. The exception of course being Pinocchio's situation with lying associated nose growth spurts...
Dr. Peter Aldea
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.