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Robert Kotler, MD, FACS, is here to share the secrets of a Beverly Hills cosmetic surgeon. He has tips and information about aging well, skin care, facelifts, rhinoplasty and more.

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WebMD Health News

Tuesday, October 9, 2007

As You Grow Older, the Nose Grows?
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Not really, but it does appear that way. It does not grow; but, it drops, droops and elongates.

Here's why. The nose is subjected to two "downward forces" over one's lifetime.

First, gravity. Not unlike other body structures, particularly those that may be deemed "attached", e.g. earlobes, breasts and men's genitals, the nose is another victim of gravity. By the fifth or sixth decade of life, the skin and soft tissue underneath the skin will have naturally stretched and thinned. Under the unrelenting force of gravity, the nose hangs down, looks longer and is misinterpreted as having grown.

The second influence is one particular smile muscle that, when contracting, visibly pulls the tip of the nose downward. That depressor septi muscle runs vertically from the upper lip to the front part of the nose. In a good percentage of men and women, such involuntary depression of the tip of the nose will occur with every smile. One cannot deliberately prevent that specific muscle from contracting. Thus, the years of smiling take their toll as the nose, subjected to innumerable smiles over decades, suffers from the same stretching and lengthening that gravity fosters.

Because some seniors are perturbed by the eldernose's longer, larger appearance, it is appropriate to perform very conservative elevation of the droopy nose to its original and more youthful location in conjunction with facelift and eyelid surgery.

Only those who have had rhinoplasty or cosmetic nasal surgery escape their nose's downward journey. As Nature heals the nose after such surgery, a thin layer of internal scar tissue is created. This tissue, stronger than the natural internal tissue resists the forces of smiling and gravity and prevents the nose from being seen as "growing".

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Posted by: Robert Kotler, MD, FACS at 10/09/2007 06:12:00 AM

4 Comments:

Anonymous Anonymous said...

aging is just too much! big noses, smaller breasts...gawk!

November 16, 2007 4:40 PM  
Blogger Bob Conway said...

I am certain something--perhaps similar to what is happening with "aged' noses--also is happening with the post-50 age group regarding ears. Unlike noses, however, the ears seem to "grow" top and bottom. Comments? Am I imagining this?
-Bob Conway

November 18, 2007 2:40 PM  
Anonymous Anonymous said...

Hey Bob

You are right about ears. I have noticed it also and I've read a couple of times that it is the case.

Maybe our eyes are growing too--since we have both noticed the same thing--ha ha.

David's dad

November 22, 2007 8:40 PM  
Anonymous Anonymous said...

You are both right. And it's not just men who are afflicted with this aging process. I used to have very small, dainty ears which my husband always teased me about. He passed away last year, but if he were still here, believe me, he could no long tease me about that. My ears have grown to at least 1/2 again their original size.
granny

November 23, 2007 3:41 PM  

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