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Restoring Balance and Symmetry to the Aging Nose
Samit N Unadkat1, Hesham A Saleh2,3
1Department of Rhinology & Facial Plastic Surgery, Royal National ENT & University College Hospital, London, United Kingdom.
Facial Plastic Surgery : FPS
|February 26, 2021
Summary
Facial and nasal asymmetry are common in rhinoplasty patients. Addressing these during surgery can improve outcomes, especially in aging noses with unique challenges.
Area of Science:
- Plastic Surgery
- Facial Aesthetics
- Aging Face Research
Background:
- Facial symmetry assessment is crucial for rhinoplasty success but often neglected.
- Significant nasal deviation frequently coexists with marked facial asymmetry.
- Aging alters facial structures, impacting nasal aesthetics and function.
Purpose of the Study:
- To review the challenges of rhinoplasty in aging patients with facial and nasal asymmetry.
- To outline evidence-based management strategies for this patient group.
- To highlight the interplay between aging, facial asymmetry, and nasal deformities.
Main Methods:
- Review of existing literature on facial and nasal asymmetry in rhinoplasty.
- Analysis of surgical considerations for the aging nose.
- Discussion of patient assessment and expectation management.
Main Results:
- Rhinoplasty can improve perceived facial asymmetry when nasal deformities are corrected.
- Aging presents specific challenges: tip ptosis, columellar drooping, brittle bone, thin skin, and weakened nasal valves.
- Standard rhinoplasty techniques may be inadequate for aging noses.
Conclusions:
- Comprehensive assessment of facial and nasal symmetry is vital for rhinoplasty.
- Tailored surgical approaches are necessary for the aging nose to manage asymmetry and functional deficits.
- Realistic patient expectations are key for satisfactory outcomes in aging rhinoplasty patients.
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