An adjunctive technique to rhinoplasty of the aging nose

This report presents a simple, valuable adjunct to rhinoplasty in the specific case of senile elastosis. This type of skin will not contract as in younger individuals, and tip ptosis is quite often a problem in the senile nose. Described is a semilunar skin excision of the nasal dorsum in a large nose undergoing primary or revisionary rhinoplasty. Correction of tip ptosis occurring many years after rhinoplasty or its prevention in large elderly noses undergoing rhinoplasty is presented.