Rhinoplasty and aging?
Doctor Answers 10
The aging nose
Rhinoplasty and aging?
Individual factors including genetics, weight gain and loss, tissue quality, post operative healing, trauma and medical conditions can all influence the results of the surgery over a lifetime. Specifically, in regards to the nose the more subtle surgical changes and less restructuring of the nose will be associated with a higher degree of longevity. Bony changes also tend to be more stable over time but cartilaginous change particularly to the tip will be less stable over time. Although cartilage re-shaping is a powerful tool and ideal for the nasal tip, over time cartilage is the least predictable of all nasal tissues.
When undergoing rhinoplasty a more conservative approach and natural change is encouraged. All patients should be aware that some change over time is almost guaranteed and in part is a normal ageing process.
Dr Guy Watts
#rhinoplasty changes over the years
Great question! So lets get to the truth:
1) All noses and face will change with time and age. Your nose is not the same at 70 as it was at 17 regardless of a rhinoplasty or no rhinoplasty. Same goes for the entire body. So reasonable expectations is important
2) After rhinoplasty, scar tissue forms everywhere in the nose under the skin and scar tissue takes years (many years) to mature and shrink. The skin envelope also undergoes a process called "shrink wrapping" that puts pressure on the nose. So all this will put push and pull pressure on the cartilages and grafts and possibly shift them around a bit.
3) Even if the nosejob is done perfectly and looks perfect initially, over time some subtle shifting and changes and asymmetries can occur.
4)But most often the nosejob is NOT done perfectly and in the beginning swelling is covering up many of these surgical errors and as swelling subsides the asymmetries and mistakes reveal themselves and are subject to move movement and drop or shifting due to lack of support
5)So if you want a better nose then see a good surgeon and get a better nose and dont expect it to be perfect or the exact same for the rest of your life. But you have to choose the best possible surgeon and then keep your fingers crossed and hope you heal well.
6)But if any of this scares you then dont bother wasting the money and downtime because you may be disappointed afterwards and the heartache is not worth it.
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This is a very good question. Your nose will continue to change as you age just like any other organ in your body or face. However, an operated nose (if done correctly) should not change into an unnatural looking nose. It is vitally important that the surgeon do not over-resect your nasal cartilages. This is done everyday unfortunately. In fact many times we add cartilages to strengthen the tip or columella. I would seek a board certified facial plastic surgeon in your area who understands the anatomy and physiology well before jumping into your surgery.
Stability in Rhinoplasty
The way that rhinoplasty has been performed has changed over the decades. Long-term follow-up on patients revealed that older rhinoplasty techniques, many of which relied on aggressive cartilage excision, could weaken and destabilize the nose over years. Modern techniques including cartilage repositioning and reshaping, as well as placement of non-anatomic supportive grafts, help to provide a durable result over decades.
Certain ethnicities are also predisposed to cartilage "sagging" following a rhinoplasty due to the inherent softness of their cartilage. This aspect should be part of the pre-operative consultation for ethnic rhinoplasty, and techniques to support the desired result must be employed.
Best wishes! Harry V. Wright MD, Sarasota, Florida
Rhinoplasty and Aging
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.