Rhinoplasty in the aging nose.
The aging nose presents a difficult challenge for the rhinoplastic surgeon. To best address the patient's wishes, the surgeon must possess a sound understanding of the atrophic changes associated with the aging nose, including tip ptosis, increased nasal bulbosity, a lengthened nasal appearance, and altered nasal airflow patterns. Surgical emphasis is placed on conservative structured reduction to address functional concerns. Overresection risks destabilizing the nasal tip and altering the patient's concrete self-image. This article outlines our approach to rhinoplasty in the aging nose with a special emphasis on the use of porous polyethylene alloimplants to provide added structural support.
Romo
Thomas
T
Department of Otolaryngology-Head and Neck Surgery, The New York Eye and Ear Infirmary, New York, NY, USA. docromo@aol.com
Soliemanzadeh
Peyman
P
Litner
Jason A
JA
Sclafani
Anthony P
AP
D000375:Aging / Q000473:pathology* / Q000502:physiology; D001284:Atrophy; D001672:Biocompatible Materials; D002356:Cartilage / Q000601:surgery; D006801:Humans; D008297:Male; D015508:Nasal Obstruction / Q000601:surgery; D009300:Nasal Septum / Q000601:surgery; D009666:Nose / Q000473:pathology* / Q000503:physiopathology / Q000601:surgery; D020959:Polyethylene; D011391:Prolapse; D019736:Prostheses and Implants; D012225:Rhinoplasty / Q000379:methods* / Q000523:psychology
D001672:Biocompatible Materials; D020959:Polyethylene