Rhinoplasty in the aging patient

Creighton, Erin Weatherford; Boyette, Jennings R.

doi:10.1016/j.otot.2020.07.009

Cited by 2 publications

(1 citation statement)

References 28 publications

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“…Nasal obstruction is not always successfully managed by septoplasty alone in the elderly [29] due to the impact of nasal valve compromise [30]. This is as a consequence of the separation and down migration of the upper and lower lateral cartilages.…”

Section: Nasal Valve Collapsementioning

confidence: 99%

The Ageing Nose: Challenges and Solutions

Navaratnam

Stoenchev

Acharya

et al. 2022

Curr Otorhinolaryngol Rep

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Purpose of Review Rhinoplasty has traditionally been considered an elective procedure for younger patients. However, increasingly older patients are undergoing nasal surgery for both functional and aesthetic indications. We provide an overview of the common problems with rhinoplasty in the elderly and the surgical techniques that can be reliably utilised to address them to produce predictable and longstanding results. Recent Findings Outcomes from studies of older rhinoplasty patients emphasise the need for a tailored approach that preserves natural structures. However, if reinforced structural support is required, especially in functional cases, grafting techniques such as septal extension grafts, spreader grafts and alar strut grafts are required. Furthermore, special consideration must be made for the nasal skin in older patients, and utilisation of dorsal onlay grafts is often necessary. Summary Surgery for the ageing nose is a complex challenge for the rhinoplasty surgeon. Preoperative assessment is critical and must include detailed facial analysis that considers the amplification of facial asymmetry due to the ageing process and an appreciation that expectations in this population may differ from younger patients. A comprehensive understanding of the age-related anatomical changes in the nasal structure and the wide repertoire of operative techniques are required to restore form and function.

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Section: Nasal Valve Collapsementioning

confidence: 99%