Are there many rhinoplasty complications in older patients?

There is no age limit for having a rhinoplasty, what is most important is your general health. I have completed rhinoplasty for patients in their 60s and 70s, safety is paramount, and a thorough evaluation of all underlying health conditions is important.
There are physiological changes in the nose that occur as we age, including changes of the cartilage and a decrease in skin elasticity that can affect the long-term results.
General anaesthesia presents another risk in older patients. In the UK, we perform rhinoplasty under sedation anaesthesia that avoids these issues. Local anaesthesia with sedation is a safer option, known as “twilight anaesthesia” or “conscious sedation”, it is more commonly used in the US.
I recommend you consult with an experienced facial cosmetic and plastic surgeon who specialises in rhinoplasty, they can make a full assessment of the best options for your needs.

There is no age limit for rhinoplasty.

Skin quality, elasticity is not the same as when one is in her/his 20s.
The other consideration is medical problems and the risk of general anaesthetic. Those in good health, like yourself should not have any concern. Anaesthetist always review and examin patients and discuss the risks with the patients.

Medications may affect healing or increase risk of bleeding and your surgeon will discuss this with you.

I would suggest that you consult with an expert rhinoplasty surgeon and discuss what you do and do not like about your nose.

You should expect a full detailed examination of your nose is required to assess your nasal skin, cartilage, bony structures, and your nasal airway/ breathing. This will allow the surgeon to evaluate your nasal appearance and its relation to your facial features. Your past medical history and medications will be reviewed.

The use of manipulated (morphed) digital clinical photography provides a platform for discussion as to your desires and expectations. Such images are not a guarantee of exact results, but a great tool to ensure that you and your surgeon are on the same wavelength.

Finally, there will be a discussion about possible outcome, risks and benefits. Only then you can make an informed decision about having a rhinoplasty.

Best wishes,