Abstract
Ageing implies a process of irreversible deterioration following a peak in function. However, this deterioration affects different organ systems and tissues at different rates in the same person. Age-related changes in the nose affect all three layers and are predictable, although the extent to which they will affect a particular individual is not. There is loss of support from the soft tissues due to muscle atrophy and fatty infiltration into the superficial musculo-aponeurotic system (SMAS) layer. This causes sagging of the tip complex, while the thinner areas of skin show up any underlying structural irregularities. The end result of the changes is a long nose with an under-projected rotated tip, a dorsal pseudo-hump, and functional internal and/or external valve obstruction. These are the issues that should be considered and addressed during rhinoplasty in the older patient.
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Rainsbury, J.W., Hodgkinson, D.J. (2013). Rhinoplasty in the Ageing Face. In: Shiffman, M., Di Giuseppe, A. (eds) Advanced Aesthetic Rhinoplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-28053-5_5
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DOI: https://doi.org/10.1007/978-3-642-28053-5_5
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