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Updated: Jul 15, 2026
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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Restorative rhinoplasty in the aging patient
C Spencer Cochran1, Yadranko Ducic, Robert J DeFatta
1Department of Otolaryngology-Head & Neck Surgery, University of Texas Southwestern Medical Center at Dallas, Dallas, Texas, USA.
The Laryngoscope
|May 3, 2007
Summary
Rhinoplasty in aging patients presents unique challenges. A comprehensive approach using grafts and struts can achieve good functional and aesthetic outcomes, potentially reducing revision rates.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Facial Plastic Surgery
Background:
- Aging affects nasal structures, posing unique challenges for rhinoplasty.
- Restoring nasal valve competency and tip support is crucial in older patients.
Purpose of the Study:
- To review the senior author's experience with rhinoplasty in patients aged 65 and older.
- To evaluate the outcomes and technical considerations for this patient group.
Main Methods:
- Retrospective review of 51 patients (age ≥ 65) who underwent rhinoplasty.
- Analysis of surgical techniques, including grafts and osteotomies, and follow-up data.
Main Results:
- Open rhinoplasty was performed in most patients.
- Columellar struts, internal valve grafts, and external valve grafts were frequently used.
- Revision surgery was needed in only 5.8% of patients, primarily for external valve issues.
Conclusions:
- Aging patients require a comprehensive rhinoplasty approach addressing valve competency and tip support.
- Prophylactic external valve grafts may decrease revision rates.
- Good functional and aesthetic results are achievable in the aging rhinoplasty patient.
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