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04-08-2011 | Article

Rhinoplasty alone does not restore youthful looks in mature women

Abstract

Free abstract

MedWire News: Caucasian women aged over 55 years are unlikely to achieve a younger-looking face simply by having a rhinoplasty, study findings indicate.

"The current study introduces a method of objectively evaluating the rejuvenative effects of rhinoplasty that can be applied more widely to a variety of facial operations," say the authors.

They suggest that assessing the impact of changing other features of the aging face may help cosmetic surgeons to "better target those features most likely to be recognized by the layperson as a rejuvenated appearance."

The study, which appears in the American Journal of Otolaryngology- Head and Neck Medicine and Surgery, involved 48 Caucasian females aged at least 56 years.

A team of 48 assessors viewed a photograph of each participant's facial profile either before or after a computer-simulated rhinoplasty. They were then asked to guess the age of the participant.

To determine if the age of the assessor influenced how accurately they judged other people's ages, the assessors were grouped into a younger (18-25 years; n=24) and older (45-75 years; n=24) cohort.

Kian Karimi and Robert Adelson (University of Florida, Gainesville, USA) report that no significant difference was observed in the estimated ages of the participants before and after rhinoplasty, irrespective of the age of the assessor.

Karimi and Adelson say that the aging face and neck changes in many ways. For example, lower eyelid drooping, appearance of age spots and wrinkles, jowling, and the loss of the well-defined cervicomental angle all grow increasingly prominent with age.

The authors therefore conclude that "the importance of these individual facial changes may overpower the "rejuvenative" changes in the appearance of the nose."

By Lauretta Ihonor