Symmetry of the facial structures are key elements in the perception of facial attractiveness. As the central structure of the face, the nose is of particular importance.1,2 A crooked nose will exacerbate pre-existing facial asymmetries and the nasal septum itself plays an important role in mid-face development.3-5 It is no surprise then, that rhinoplasty surgery remains in the top five most performed aesthetic surgical procedures worldwide.6
The majority of cosmetic rhinoplasty surgery takes place in the third decade of life, although increasingly, surgeons are reporting an older cohort of affluent patients seeking out cosmetic rhinoplasty surgery.7 Unlike their younger counterparts, older patients are more likely to present with a deterioration in nasal function as well as aesthetic concerns. This article will seek to describe some of these changes and the relative considerations prior…
