The Aging Nose

Today, with so much discussion of facelifts, mid face lifts and other facial rejuvenation procedures, it is easy to forget the impact aging has on the appearance of one’s nose.   Even subtle changes to the nose can have profound, rejuvenating effects.

What are the most common changes to the nose that come with age? 

The most frequent noticeable change is the tip of the nose dropping down toward the floor and often inwards towards the face.  This drooping of the tip causes a relative hump on the bridge but can also begin to cover up part of the upper lip, especially on smile.  Some interpret this as “growth of the nose” but it actually stems from a weakening and loss of support.  Restoring the tip to a more youthful position is a nice way to rejuvenate the nose with a somewhat subtle change.  Many observers will not even recognize the nose has changed at all but the face appears more youthful and rested.

Sometimes there is a loss of bone or soft tissue at the area of the base of the nostrils that causes the highest aspect of the upper lip to draw inwards.  This contributes to the appearance of the tip of the nose dropping.  Implants or grafts nicely rejuvenate this area for an even better result.

Some individuals show profound affects of aging in their nasal skin.  Surprisingly this area can become thin with age but occasionally a thickening will occur as evidenced with Rosacea.  Evaluation of the skin is a necessary part of the evaluation of the aging nose and will play a role in the discussion about surgical options.

Many other characteristics of the nose can be changed at the same time the aging changes are addressed to make the nose not only more youthful but more attractive.   This can also improve breathing ability.  Please refer to the long or droopy nose for more information on these changes and photographic examples.