Beverly Hills Revision Rhinoplasty For Aging Noses
 

Some patients had a rhinoplasty when they were young. Although the nose ages less in terms of drooping, it still may have some elongation with age.  For that reason, generally, a relatively straightforward and uncomplicated “lift” is performed for senior citizens.  Since the general outline of the nose is satisfactory after the original rhinoplasty, this is a matter of shoring up the tip which has tended to droop.  If the patient has an overactive muscle which depresses the tip with smiling, then that needs to be released from the tip of the nose so that there is no constant downward pull by this depressor septi-muscle that originates in the upper lip.  

Typically there is a stretching of the internal tissues of the nose with age and by removing some of the internal tissues, this will raise the tip, and make the face look less elderly.

It is interesting to observe Leonardo da Vinci’s anatomical and facial sketches.  He very clearly and accurately depicted the changes in facial structure that occur with age including lengthening and drooping of the nose, the drooping of the cheeks and the chin.