ABSTRACT
The aging nose presents a difficult challenge for the rhinoplastic surgeon. To best
address the patient's wishes, the surgeon must possess a sound understanding of the
atrophic changes associated with the aging nose, including tip ptosis, increased nasal
bulbosity, a lengthened nasal appearance, and altered nasal airflow patterns. Surgical
emphasis is placed on conservative structured reduction to address functional concerns.
Overresection risks destabilizing the nasal tip and altering the patient's concrete
self-image. This article outlines our approach to rhinoplasty in the aging nose with
a special emphasis on the use of porous polyethylene alloimplants to provide added
structural support.
KEYWORDS
Rhinoplasty - aging nose - alloimplants - porous polyethylene