Is Late 40s Too Late for Rhinoplasty?

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.

Doctor Answers 37

Late 40s is not too late for Rhinoplasty

Rhinoplasty can be done at any age.  Removal of a hump can also be done while preserving the other characteristics of the nose as well as maintaining the same contour from the front.  This may require several more steps than you would think, in order to keep the structures in balance.  The only consideration is to be certain a change is what you want.  Patients over the age of 30 do seem to have more dissatisfaction after rhinoplasty if the changes are too drastic.  However, good communication with your surgeon should lead to a result that pleases you, especially if it is a change you have always wanted.

Beverly Hills Plastic Surgeon
4.7 out of 5 stars 26 reviews

What is the right age for rhinoplasty?

Dear rhinoplasty patient from San Francisco,
Any age after 18 is appropriate for rhinoplasty. If you’re not happy with your nasal profile, find a board certified surgeon specializing in rhinoplasty. Having a good nose job requires a nose specialist and a skilled surgeon. You also want to take into account whether you feel comfortable with the surgeon, as well as the doctor's experience and other qualifications. Always choose a board certified facial plastic surgeon or a plastic surgeon with experience in rhinoplasty. Be sure to check his before and after pictures to get a feel for the results the doctor has previously produced for other patients.

Kevin Sadati, DO
Orange County Facial Plastic Surgeon
4.9 out of 5 stars 204 reviews

Age for rhinoplasty

As long as you are medically healthy, rhinoplasty is great for a woman of any age.  Removing the bump will improve your profile and garner more attention to features like your cheeks and eyes.  The term "mature rhinoplasty" was developed to acknowledge that frequently when a rhinoplasty is performed, the patient frequently appears younger.  Many women in my practice in their 40s and up are very pleased to see this improvement!  In your case, you sound fortunate to be happy with your nasal tip.  Many patients lack tip support which can worsen as they age.  Your physician can test your tip support at your consultation.  If necessary, tip support techniques can be employed during your surgery.  Find a doctor with whom you feel comfortable and good luck!

Yael Halaas, MD
Manhattan Facial Plastic Surgeon
4.8 out of 5 stars 42 reviews

Patients over 40 are great candidates for Rhinoplasty Surgery!

While rhinoplasty surgery is more common for individuals in their 20's and early 30's, those over 40 may find they are even happier with their rhinoplasty experience.  Patients over 40 have matured and generally have more realistic expectations for their nose.  Instead of thinking, "I just hate my nose and want a new one", they think, "I would like my hump or tip to be smaller", and they frequently don't want a completely different looking nose, rather they are interested in a positive improvement with the nose they have.

It is important in women over 40 not to make the nose too small and cute, instead the goal should be for a more mature, elegant shape.

My patients over 40 have generally been very happy with their rhinoplasty results.

For more info on Rhinoplasty, please click the link below.

David C. Mabrie, MD
Bay Area Facial Plastic Surgeon
4.7 out of 5 stars 105 reviews

You can enjoy the benefit of rhinoplasty in your 40's

Generally, rhinoplasty has been considered the 'right of passage' type of procedure which is performed at about age 16 as one is planning life, school and future. Adults now though are just as common seeking nasal shaping, just as is the trend of adults with braces on their teeth. If you are committed, rhinoplasty is a safe and effective procedure at any age. Be meticulous in your planning, and change only what you feel will reflect the real you inside.

Best of luck,


Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 42 reviews

How old is too old for rhinoplasty?

In your late 40s, you are not even in the prime of your life yet! You are far too young to be thinking about being too old for most anything. In fact, rhinoplasty can be helpful in correcting aesthetic and breathing concerns at any age considering you are in good health.

It is possible to reduce a bump without touching the tip. However, depending on the size of the bump, it is sometimes necessary to narrow the nasal bones in order not to leave an unnaturally wide or flat appearance to the bridge. It is also important to make sure you have adequate tip support so that your tip will not droop as you age and cause an apparent bump to reappear. Remember also that your body image is a little more well established in your 40s than it was in your teens. So, it sometimes takes a week or two longer to get used to a change. Since you're looking for something fairly conservative, that shouldn't be a problem.


Jason Litner, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 51 reviews

Appropriate age for rhinoplasty

Hello Grace, 

Thanks for the question. In my practice, I have performed both cosmetic and functional rhinoplasty in patients in their late 60's who are in good health. There is really no age restriction, as long as the patient is healthy enough to undergo anesthesia. For patients over 50, we typically ask for medical clearance from the primary care physician as well as an EKG and blood tests, to ensure patient safety. Overall, rhinoplasty can be rejuvenating for some patients in the sense that as people age, noses tend to droop due to a loss of support, making them appear more hooked. 

As for your question about hump removal without changing the rest of the nose, this is absolutely possible. In cases such as yours, I frequently perform an endonasal (closed) rhinoplasty without any external incisions. During the consultation, I use computer imaging to give the patients an opportunity to express their aesthetic sense and for me to show them what is realistic and achievable, given their particular anatomy. I then use these computer-generated images as a guide during surgery, to create a nasal shape which is as close as possible to our mutual aesthetic goals. 


Dr. Mehta

Umang Mehta, MD
Bay Area Facial Plastic Surgeon
4.6 out of 5 stars 48 reviews

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

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
4.9 out of 5 stars 418 reviews

The Best Age For Rhinoplasty

 The only real rules to follow when considering undergoing a rhinoplasty is to make sure that the patient has reached some degree of physical maturity. Besides this, there are no guidelines that indicate what is too “late” to have your nose operated on. In my opinion, if a rhinoplasty can boost a person’s confidence and can make you feel good about yourself, there should be no age limit on having the surgery. If you are in good overall health and want to make the appropriate changes, I would advise that you find a surgeon in your area and schedule a consultation appointment for an in person evaluation of your condition. 

Sam Rizk, MD
New York Facial Plastic Surgeon
4.7 out of 5 stars 73 reviews

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!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 26 reviews

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.