By Dr. Philip Solomon and Nancie Heiber

Whether it’s boosting a teenager’s confidence, refining the aesthetic of a young professional or addressing age-related changes later in life, rhinoplasty offers something different at each stage of life. The nose is the centre of the face, and when done well, rhinoplasty blends medicine and art to create something that harmoniously fits the patient. But timing can also have a big impact. So, what’s the perfect time to get a nose job? Can it still be worth it to opt for rhinoplasty in mid-life? Dr. Philip Solomon MD, FRCSC, Otolaryngology, Head and Neck Surgeon, practising Facial Plastic Surgery in Toronto, answers our questions about the benefits of rhinoplasty surgery later in life.

What is the best age to have rhinoplasty surgery?

While there is no such thing as the “best” age to have a nose job, the general rule is that if you are in good health, you are likely a candidate for rhinoplasty. Still, there are some factors to consider that can impact your candidacy, including anatomy, skin thickness, previous rhinoplasty, age and the desired goal.

What’s great about rhinoplasty is that it can be carried out on patients as young as 15 and those well into their 70s.  Patients choosing to undergo rhinoplasty in mid-life—in their 40s to 60s—have often been bothered by the appearance of their nose for most of their life and now have the financial resources and the time to do the procedure. This demographic may also want to enter mid-life looking more youthful and refreshed. There is a maturity among this age group that allows them to embrace the surgical journey and the healing process. 

What are the advantages of doing it later in life?

Undergoing rhinoplasty over the age of 40 may be a dream come true for people who have long been self-conscious about their noses. They may now feel well-established in their careers and want to take care of themselves as they enter the next chapter of life.  The cost of a nose job may be more attainable at this age, and cosmetic surgery is more accepted and mainstream nowadays. The nose can also change with aging, sometimes drooping and appearing longer as one gets into mid-life. 

What are the benefits of doing rhinoplasty in each decade of life?

Each decade has its benefits when considering rhinoplasty surgery and it’s a very personal decision as to when the time is right. The teenage years are often appealing because younger patients have the rest of their lives to enjoy the result; it can also give a boost of self-confidence to a teenager who may be struggling with their nasal appearance. Patients in their 20s may be more confident and emotionally equipped to endure the surgical process, and they may want to enter the workforce with a new aesthetic appearance. The 30s are a time when people may have their careers in place and can afford a nose job or they have started a family and are off work and have the time for surgery. The 40s are the beginning of mid-life, when people start noticing signs of aging and have more disposable income. They may want to enjoy looking their best. Those 55 and older may see changes to their nasal shape due to aging and may also want to combine other anti-aging facial procedures while under anesthesia for rhinoplasty.

Are there differences in the rhinoplasty procedure with men versus women as we age?

Men tend to have thicker skin that can become more bulbous with age and start to droop.

Breathing issues and snoring can develop as they get older and can be addressed with septorhinoplasty. Women on the other hand may be more open to cosmetic and self-improvement procedures. We often see women in their 50s requesting rhinoplasty surgery when they come in to discuss facelift surgery. 

Rhinoplasty is an interesting procedure because the range of people who are candidates for the surgery is so broad, extending to all genders and generations. This is what makes it one of my most popular and rewarding procedures as it combines medicine with artistry, and each face is a unique canvas.

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