Correlation of Age Related Changes of Nasal Tip Support Mechanisms with Anthropometric Measurements

Abstract

he facial skeleton and overlying soft tissue undergo a gradual transformation throughout the aging process, and there are several consistent age-associated changes of the nose. Rhinoplasty in the elderly requires a different surgical approach due to the morphological and structural changes of the nose. Thorough understanding of aging facial anatomy combined with surgical techniques designed to resist these ubiquitous remodeling forces over time. The study evaluated the age related cellular and architectural changes of nasal tip support mechanisms, in correlation to its anthropometric measurements. This prospective study included 40 patients. They had undergone aesthetic rhinoplasty for different indications. All patients were subjected to preoperative assessment including full medical history, drug history for anticoagulant drugs, general and targeted examination to evaluate the nasal deformity, routine laboratory investigations including P.T, P.T.T, CBC, kidney and liver function tests and standard endonasal examination by nasal speculum to detect excessive hypertrophied inferior turbinates, any intra nasal masses and anterior end enlargement of middle turbinate.