Abstract

Purpose: The main goal of this article is to review the literature of general health and nasal anatomical-physiological profile of the elderly, prior to considering them as a candidate for primary cosmetic rhinoplasty (PCR). Rhinoplasty is the cosmetic nose’s surgical alteration. Materials and Methods: We extracted the information from internet search engines and the End Note software version X7. Criteria were applied to the most appropriate clinical messages related to the elderly. We focused on their general health status and their nasal anatomicalphysiological considerations prior to consider them for undergoing PCR. Research links were mostly from the Pub Med and the Medline databases. Results: the literature review showed that as people age, their health status and anatomical-physiological components of their nose alter. Their nasal anatomical supports get weaker, and their nasal internal and external physiology undergoes modifications. Functions related to the nasal supports, normal physiology of smell, airway passage, humidification mechanism and their general appearances are affected by age. Conclusion: Cosmetic surgeons must be aware of the aforementioned changes of the patients’ past and present health. Considering performing a complete systemic evaluation and the nasal anatomical-physical examination to assess the degrees of alterations, are crucial pre-operatively.

Highlights

  • primary cosmetic rhinoplasty (PCR) is defined as a type of the cosmetic nasal surgery which the patients undergo for the first time

  • This review of outcome shows the facts of the elderly cosmetic alterations in their nose’s anatomy, may not attain their desired outcome and is not always feasible. During their initial consultations with the cosmetic surgeon, all possible limitations must be discussed for a better result

  • As they be well informed, their expectations and decisions may be based on their nature of the aging process and reconsider their verdict before undergoing a PCR

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Summary

Introduction

Rapid growth of the aging population in the world is an inevitable phenomenon As this population gets involved in different social activities, he or she is willing to find ways to shape themselves in a better look [3,4]. Searching an esthetic nasal surgery may be considered as one the possible choices amongst other esthetic alternatives .Restoration of their nose into a better shape, can make them to think of undergoing PCR. Patients who make this decision usually are logical, but in other instances they may not be rational [5,6]. They would wish to look more impressive for their followers as a spiritual figure [8,9]

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