Abstract
Background
The age at which nasal tip support changes start to occur is unknown. Evaluation of nasal tip support is difficult, especially as the ideal nasal tip support pressure remains elusive. The aim of this study is to determine the nasal tip support pressure alterations relative to age and sex.
Objectives
The aim of this study is to determine the changers in resistance of the nasal tip support in relation to age and sex.
Methods
This prospective clinical study was conducted between January and April 2019 at a tertiary health facility. Nasal tip resistances were measured in four different age-groups (20–29, 30–39, 40–64, and > 65 years) with a digital Newton meter. A total of 159 patients with a minimum of 36 patients per group were included in the study. Nasal tip resistance measurements were compared among nasal tip displacement distances of 2, 3, and 4 mm, focusing on age and sex.
Results
The nasal tip resistance of the 20–29 age-group was significantly higher at 2, 3, and 4 mm nasal tip displacement distances, when compared with the 30–39 and 40–64 age-groups, whereas compared to the > 65 years group, it was significantly higher at 3 and 4 mm nasal tip displacement distances (p < 0.005). Nasal tip resistance of males was found to be significantly higher than that of females, at 3 and 4 mm nasal tip displacement distances (p < 0.001).
Conclusions
Nasal tip resistance is higher in males and universally decreases significantly after 30 years of age while remaining constant at later ages. Therefore, surgeons should prefer nasal tip resistance increasing techniques in the rhinoplasty operations that are performed on patients even from early years of age, in order to maintain and strengthen the nasal tip resistance.
Level of Evidence IV
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Acknowledgments
We would like to extend our sincere thanks to Hatice Gökcen Tasdogan, Irfan Efe Boztepe, Yigit Alp Sahin, Asyanur Coruhlu, Aylin Caygur, who are second-year students of the school of medicine for their time and effort. We would like to thank Editage (www.editage.com) for English language editing.
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The study protocol was approved by the Baskent University Medical and Health Sciences Research Council and Ethics Committee (Project No. KA18/431) and supported by Baskent University Research Fund.
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Informed consent was obtained from all patients.
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Koycu, A., Erol, O., Buyuklu, F.A. et al. Age- and Gender-Related Variability in Nasal Tip Support. Aesth Plast Surg 44, 910–916 (2020). https://doi.org/10.1007/s00266-019-01578-0
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DOI: https://doi.org/10.1007/s00266-019-01578-0