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Because of altered physical and psychological patterns, patients requesting rhinoplasty in midlife must be managed and treated with specific goals and limitations in mind. Subtle and conservative nasal appearance changes generally suit this category of patient best, avoiding a dramatic metamorphosis. When performed in conjunction with other age diminishing operative procedures, rhinoplasty plays a critical role in overall facial appearance improvement. By keeping in mind the principles and limitations discussed in this article, the surgeon can find exceeding satisfaction in performing conservative rhinoplasty in patients who find themselves in the middle stages of life.
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