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The place of rhinoplasty in the ageing face

Published online by Cambridge University Press:  18 September 2009

J W Rainsbury*
Affiliation:
ENT Department, Royal Shrewsbury Hospital, UK
*
Address for correspondence: Mr J W Rainsbury, ENT Department, Royal Shrewsbury Hospital, Mytton Oak Road, Shrewsbury SY3 8XQ, UK. E-mail: j_rainsbury@yahoo.co.uk

Abstract

Age-related changes in the skin and underlying tissues of the nose may lead to nasal obstruction or an unsatisfactory cosmetic appearance. As the UK population ages, the number of older patients seeking advice from an otolaryngologist about these problems is increasing, and many of these patients may benefit from a rhinoplasty. Quite apart from the practical considerations of operating on more delicate ageing tissues, there are a number of psychological, motivational and social issues specific to rhinoplasty in the older patient. This review discusses these issues, and aims to define the place of rhinoplasty in the ageing face.

Type
Review Articles
Copyright
Copyright © JLO (1984) Limited 2009

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Footnotes

Winner of the 2008/9 Royal Society of Medicine Ian Mackay Essay Prize.

References

1Pathy, M, ed. Principles and Practice of Geriatric Medicine, 3rd edn. Chichester: Wiley, 1998Google Scholar
2Bond, J, Briggs, R, Coleman, P, eds. Ageing in Society: an Introduction to Social Gerontology, 2nd edn. London: Sage, 1993Google Scholar
3Patterson, CN. The aging nose: characteristics and correction. Otolaryngol Clin North Am 1980;13:275–88CrossRefGoogle ScholarPubMed
4Moody, M, Ross, AT. Rhinoplasty in the aging patient. Facial Plast Surg 2006;22:112–19Google Scholar
5Rohrich, RJ, Hollier, LH. Rhinoplasty with advancing age: characteristics and management. Otolaryngol Clin North Am 1999;32:755–73CrossRefGoogle ScholarPubMed
6Cochran, CS, Ducic, Y, DeFatta, RJ. Restorative rhinoplasty in the aging patient. Laryngoscope 2007;117:803–7CrossRefGoogle ScholarPubMed
7Richter, I. The Notebooks of Leonardo da Vinci. Oxford: Oxford University Press, 1998Google Scholar
8Goin, MK. Psychological understanding and management of rhinoplasty patients. Clin Plast Surg 1977;4:37CrossRefGoogle ScholarPubMed
9Thomson, JA Jr, Knorr, NJ, Edgerton, MT Jr.Cosmetic surgery: the psychiatric perspective. Psychosomatics 1978;19:715CrossRefGoogle ScholarPubMed
10Knorr, NJ. Feminine loss of identity in rhinoplasty. Arch Otolaryngol 1972;96:1115CrossRefGoogle ScholarPubMed
11Thomson, HS. Preoperative selection and counseling of patients for rhinoplasty. Plast Reconstr Surg 1972;50:174–7CrossRefGoogle ScholarPubMed
12Shulman, O, Westreich, M, Shulman, J. Motivation for rhinoplasty: changes in 5970 cases, in three groups, 1964 to 1997. Aesthetic Plast Surg 1998;22:420–4CrossRefGoogle ScholarPubMed
13McKiernan, DC, Banfield, G, Kumar, R, Hinton, AE. Patient benefit from functional and cosmetic rhinoplasty. Clin Otolaryngol Allied Sci 2001;26:50–2CrossRefGoogle ScholarPubMed
14Robinson, K, Gatehouse, S, Browning, GG. Measuring patient benefit from otorhinolaryngological surgery and therapy. Ann Otol Rhinol Laryngol 1996;105:415–22CrossRefGoogle ScholarPubMed
15Litner, JA, Rotenberg, BW, Dennis, M, Adamson, PA. Impact of cosmetic facial surgery on satisfaction with appearance and quality of life. Arch Facial Plast Surg 2008;10:7983CrossRefGoogle ScholarPubMed