Rhinoplasty and aging? What determines that the nose will stay “stable” as years go by?

Your questions are good ones. Typically as we age so does the skin of the face including the nose. Nasal cartilages can weaken with time whether one has a rhinoplasty or not. In addition, edges of cartilage can be visible as we age due to thinning of the skin. People with thicker skin on their nose have less problems with visible cartilage edges but can lose some support due to the heaviness of the skin on the reshaped or repositioned cartilage structures. That being said I have had more patients than not maintain their same noses over 20 plus years with the exception of changes in the skin. However, other factors such as changes in skin texture and composition, illness, sun exposure, minor trauma, can increase the likelihood of changes occurring over time.

Thank you for your question. It is important to understand that with the normal ageing process the facial structures along with the nose will change dramatically in size and shape over a life time. Often when someone undergoes surgery they assume that the associated change is a permanent one and will be stable over a lifetime. Although the results of surgery can last a lifetime patients should be aware that there are many factors that will influence post operative change that extend far beyond the surgery itself. 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. RegardsDr Guy Watts

Thank you for your questions! All faces and bodies will age and change over time; it’s inevitable! In the years and decades after a rhinoplasty there are subtle tissue contracture forces that act on the nose.  If the structure of the nose was not appropriately supported during the surgery these forces was shift the shape of the nose and can result in asymmetries.  The key is to provide excellent structure to the nose during the surgery and allow the nose to resist long-term contractile forces.  If this is done a nose that has undergone surgery will not necessarily age or change more than a nose that has not been operated on.