The human body continues to grow until adolescence is complete, usually 15-16 years in girls and 17-18 years in boys. If nasal surgery is undertaken at a point in time when substantial growth has yet to occur, then the remaining growth may adversely affect the outcome or worse yet, the surgery may stunt remaining growth. For these reasons, it is recommended that nasal surgery be postponed until after growth is completed. However in many young teens an unattractive nose can be the source of significant anxiety and self-consciousness. This is a time when their social networking is of paramount importance and they wish to look their best. Rhinoplasty for Adolescents is an option.
A closer look at facial growth relative to overall body growth shows that it proceeds at a more rapid rate than other areas. Specifically, growth in the midface region where the nose is located is usually 95% completed by age 12 in girls and age 14 in boys. IT IS THEREFORE POSSIBLE TO SAFELY PERFORM RHINOPLASTY IN GIRLS BY THE AGE OF 13-14 AND IN BOYS by 15-16 YEARS. Several controlled studies have demonstrated the safety and predictability of rhinoplasty in adolescent individuals. One safeguard is to wait until at least two years following a girl’s first menstrual period before performing surgery. Perhaps a more important factor to consider is that adolescents may not truly know what they want for an outcome. At such a young and impressionable age they might ask for a result that they later find to be unsuitable. For this reason adolescents should be compelled to sit with their desire for some time before embarking on surgery.
It is not uncommon in Dr. Frankel’s practice for a child or younger teen to be referred for possible surgery because of trauma that has resulted in a disfigured nose as well as a nasal airway obstruction. Each case is unique and many variables must be considered before determining if surgery is the most optimal solution. Often times these patients have been unable to breathe for years and have a long history of chronic sinus infections, throat infections and missed days of school. Even athletics and sleep can be affected by a severely obstructed nose. Self confidence can be adversely affected by ridicule related to their noses and this can have life-long consequences. Dr. Frankel feels strongly that sometimes surgery is the more conservative way to help these patients rather than with chronic antibiotics, steroid sprays and allergy testing.
The aging process results in predictable changes in the nose, and as with most signs of aging, these are generally undesirable. Such changes include a drooping tip due to a loss of bony support as well as the loss of elasticity in the soft tissue. The skin over the tip also becomes thicker with larger pores and this results in a more bulbous and less defined nasal tip. As the skin thins with age, underlying asymmetries and irregularities often become more noticeable as can even a subtle hump over the bridge of the nose. The goal of aging rhinoplasty is to reverse these time-related changes. Aging rhinoplasty can be combined with aging face surgery of the eyelids and face as well such as blepharoplasty and face lifting.