Val Lambros m.d., f.a.c.s.

cosmetic and reconstructive surgery

Noses

The findings that I’m presenting here were new to me, and I have not seen them published elsewhere. There is the popular conception that the nose grows longer with age. Like any other facial feature, in order to say this, one has to see noses, (faces, too), when they are young and old. If you only see old, you can’t draw conclusions.

In my research, I have not seen the nose grow longer. What seems to happen is that the tip of the nose dips with age, paralleling the upper lip thinning. The base of the nostrils recedes and the ala (the base of the nostrils where they meet the cheek) move backwards and sometimes elevate. Here are some pictures of that happening. It is also visible in some of the images on the other pages in this section.

This man is seen at 42 and at 73 years of age. The head tilts up a little in the older image. There is much to see. Thin faces tend not to have much positional change of the skin as they age. Though it looks like the pigmented border of the lower lids drops, in fact it remains stable. There are several moles on his left cheek that don’t move. Look at what happens to the nose and lips: there is not just thinning of the lips, but the entire area between the nasolabial folds seems to recede into the face carrying the base of the nose with it.

The young picture shows the pilot in Vietnam at 27. The older image is at 65. There is a lot to look at. Note how the brows drop slightly. The cheek hollows, the area between the nasolabial folds recedes, and the base of the nose moves back and upwards following the lip, which thins profoundly. He has seen some sunlight in his time.

This woman is seen in her 30’s and at 73. Look at the changes in the lips. Look how the nose seems to recede into the face. The evidence of these images shows that the nasolabial fold does not arise from just the cheeks "falling."