Rhinoplasty is one of the most challenging procedures performed in plastic surgery. Its complexity, to a great deal, stems from the perplexing dynamics that govern rhinoplasty. Numerous factors come into play when the frame and soft tissue of the nose are altered.<sup>2 Guyuron B. Dynamic interplays during rhinoplasty Clin Plast Surg 1996 ;  23 : 263-270

Cliccare qui per andare alla sezione Riferimenti, 3 Guyuron B. Dynamics of rhinoplasty Plast Reconstr Surg 1991 ;  88 : 970-978 979.  [cross-ref]

Cliccare qui per andare alla sezione Riferimenti</sup> Aging introduces new variables to rhinoplasty, elevating the challenge of this procedure to a new level (Table 1).

Mere correction of the aging effects on the nose can restore roughly 5 years to the aging face, independent of any other procedures that are performed. Therefore, correction of the aging nose becomes an integral part of facial rejuvenation and restoration of the harmony that once implied a youthful appearance.

Some facial disharmonies become less noticeable as the patient matures. For instance, in the long face deformity the maxilla becomes shorter and the upper lip becomes longer because of aging, thereby improving a preexisting excess show of tooth and gum. This is, however, an exception to the rule. Most pleasing faces do lose their harmony and become less attractive with age, and the nose is a major culprit in this course (Figure 1).