{"id":843706,"date":"2025-12-03T14:00:00","date_gmt":"2025-12-03T11:00:00","guid":{"rendered":"https:\/\/analyse.optim.biz\/?p=843706"},"modified":"2025-12-03T14:00:00","modified_gmt":"2025-12-03T11:00:00","slug":"why-more-people-over-40-are-getting-nose-jobs","status":"publish","type":"post","link":"https:\/\/analyse.optim.biz\/?p=843706","title":{"rendered":"Why More People Over 40 Are Getting Nose Jobs"},"content":{"rendered":"<article class=\"article main-content\" lang=\"en-US\">\n<div class=\"ArticlePageLedeBackground-JMVDp bIwRjk\">\n<header class=\"ContentHeaderWrapper-cqMZiN hWsVgb content-header article__content-header inset\">\n<div data-testid=\"ContentHeaderContainer\" class=\"ContentHeaderContainer-cMdHiZ eFZJeG\">\n<div class=\"ContentHeaderHedAccreditationWrapper-WaWBW fTkfBu\">\n<div data-testid=\"ContentHeaderTitleBlockWrapper\" class=\"ContentHeaderTitleBlockWrapper-cyIGwg dMceKV\">\n<div data-testid=\"ContentHeaderRubric\" class=\"ContentHeaderRubricBlock-aIcNK eDSQnM\">\n<div data-testid=\"ContentHeaderRubricDateBlock\" class=\"ContentHeaderRubricDateBlock-kvxmSu jVyBWg\">\n<div class=\"RubricWrapper-dZIqzO ghbJG ContentHeaderRubricContainer-fiPRfk fRUoUz\"><span class=\"RubricName-gkORYq fCauaT rubric__name rubric\"><span>PROFILE UPDATES<\/span><\/span><\/div>\n<\/div>\n<\/div>\n<h1 data-testid=\"ContentHeaderHed\" class=\"BaseWrap-sc-gzmcOU BaseText-eqOrNE ContentHeaderHed-SVoJX deqABF iHBUaf dyRzMH\">The Rise of the Over-40 Nose Job<\/h1>\n<\/div>\n<div class=\"ContentHeaderAccreditation-fcyiw bhgqZY content-header__accreditation\" data-testid=\"ContentHeaderAccreditation\">\n<div class=\"ContentHeaderDek-bCXPyE hNoQnF\">New patients are far closer to menopause than puberty. A look inside the midlife rhinoplasty phenomenon.<\/div>\n<div class=\"ContentHeaderByline-jXtKQj jgXynP\">\n<div class=\"ContentHeaderBylineContent-dkwwFS fRKSvg\">\n<div data-testid=\"BylinesWrapper\" class=\"BylinesWrapper-vmGrt cZzmZD bylines ContentHeaderBylines-cTXqro ljGzhW\"><span class=\"BylineWrapper-jRoBEm dflWou byline bylines__byline\" data-testid=\"BylineWrapper\"><span class=\"BylineNamesWrapper-jrdaOa fXeqQN\"><span data-testid=\"BylineName\" class=\"BylineName-kqTBDS dDLLkB byline__name\"><span class=\"BaseWrap-sc-gzmcOU BaseText-eqOrNE BylinePreamble-itSxDZ deqABF cFJkIM jcgMlx byline__preamble\">By <\/span>Jolene Edgar<\/span><\/span><\/span><\/div>\n<p><time data-testid=\"ContentHeaderPublishDate\" datetime=\"2025-12-03T09:00:00-05:00\" class=\"BaseWrap-sc-gzmcOU BaseText-eqOrNE ContentHeaderPublishDate-eNTYkb deqABF lnzeTN eFanim\">December 3, 2025<\/time><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"ContentHeaderLeadAsset-hVxhYG cWpFgv lead-asset ContentHeaderLeadAssetWrapper-gQBTSl cEiYjd lead-asset--width-small\" data-testid=\"ContentHeaderLeadAsset\">\n<figure class=\"ContentHeaderLeadAssetContent-kyKlgP eGZaQl\">\n<div class=\"ContentHeaderLeadAssetContentMedia-bwiUDr keSRCn lead-asset__content__photo\"><span class=\"SpanWrapper-zEXFr koTknX responsive-asset ContentHeaderResponsiveAsset-cgZUtS eHMjwb\"><\/p>\n<div data-testid=\"aspect-ratio-container\" class=\"AspectRatioContainer-bEozCe gBbeIJ\">\n<div class=\"aspect-ratio--overlay-container\"><source media=\"(max-width: 767px)\" srcset=\"https:\/\/media.allure.com\/photos\/68e3f560f283c78a3c39ded0\/1:1\/w_120,c_limit\/Allure_Plastic_Surgery_Nose_Job.jpg 120w, https:\/\/media.allure.com\/photos\/68e3f560f283c78a3c39ded0\/1:1\/w_240,c_limit\/Allure_Plastic_Surgery_Nose_Job.jpg 240w, https:\/\/media.allure.com\/photos\/68e3f560f283c78a3c39ded0\/1:1\/w_320,c_limit\/Allure_Plastic_Surgery_Nose_Job.jpg 320w, https:\/\/media.allure.com\/photos\/68e3f560f283c78a3c39ded0\/1:1\/w_640,c_limit\/Allure_Plastic_Surgery_Nose_Job.jpg 640w, https:\/\/media.allure.com\/photos\/68e3f560f283c78a3c39ded0\/1:1\/w_960,c_limit\/Allure_Plastic_Surgery_Nose_Job.jpg 960w\" sizes=\"100vw\" \/><\/div>\n<\/div>\n<p><\/span><\/p>\n<div class=\"CaptionWrapper-jYrTxZ gVBkjw caption ContentHeaderLeadAssetCaption-ifsaEE cMqZYv\" data-testid=\"caption-wrapper\"><span class=\"BaseWrap-sc-gzmcOU BaseText-eqOrNE CaptionCredit-eowWKH deqABF lnzeTN gxwcqg caption__credit\">Huy Luong<\/span><\/div>\n<\/div>\n<\/figure>\n<\/div>\n<\/div>\n<\/header>\n<\/div>\n<div data-attribute-verso-pattern=\"article-body\" class=\"ArticlePageContentBackGround-dcEtzE kUtTlG article-body__content\">\n<div class=\"ArticlePageChunksContent-enJWmu ilcJfn\">\n<div data-testid=\"ArticlePageChunks\" class=\"ArticlePageChunks-fwcPjP cAlDKu\">\n<div class=\"GridWrapper-cFSKbf cxzKYj grid grid-margins grid-items-2 ArticlePageChunksGrid-hkPQhP lnoYVP grid-layout--adrail narrow wide-adrail\" data-journey-hook=\"grid-wrapper\">\n<div class=\"GridItem-beYvyV kCPYUp grid--item grid-layout__content\">\n<div class=\"BodyWrapper-kzyFNv HDJd body body__container article__body\" data-journey-hook=\"client-content\" data-testid=\"BodyWrapper\">\n<div class=\"body__inner-container\">\n<p class=\"has-dropcap\">With toddlers wearing sheet masks, tweens buying wrinkle serums, and 30-somethings booking facelifts, it may seem like the beauty industry itself is aging backwards\u2014its rituals and treatments getting younger along with its consumers. But there\u2019s one procedure that\u2019s flipping the script on the trend, appealing to a far older crowd than it has in the past. Rhinoplasty, long viewed as an operation for high-schoolers and college kids, is gaining popularity among midlifers. For the past two years, 40- to 54-year-olds have gotten roughly as many nose jobs as patients in their 20s, according to the American Society of Plastic Surgeons, with each age group accounting for 26% of the total number of nose jobs performed in both 2023 and 2024.<\/p>\n<p>In Beverly Hills, half of the patients who see board-certified plastic surgeon Catherine Chang, MD, for rhinoplasties are over 40. Linda N. Lee, MD, a double board-certified facial plastic surgeon in Boston, says more than 50% of the nose jobs she performs are on middle-aged women and men, noting that, in her case, there may be some selection bias in play; she tends to avoid operating on patients who are still growing, physically and emotionally, which limits the number of teens she treats. Some of the other surgeons I spoke with estimate that the 40-plus set comprises closer to 15% or 20% of rhinoplasty cases, but \u201cthat\u2019s definitely more than I did five years ago,\u201d says Adam Kolker, MD, a board-certified plastic surgeon in New York City.<\/p>\n<div class=\"GenericCalloutWrapper-IJXIe hQwqiB callout--has-top-border\" data-testid=\"GenericCallout\">\n<div class=\"GroupCalloutWrapper-cfrXZg iaIQYt callout callout--group callout--group-2\" data-testid=\"GroupCalloutWrapper\">\n<figure class=\"AssetEmbedWrapper-fkZDUs kHRAYC asset-embed callout--group-item callout--group-item-1\">\n<div class=\"AssetEmbedAssetContainer-eEeytc eRSvCP asset-embed__asset-container\"><span class=\"SpanWrapper-zEXFr koTknX responsive-asset AssetEmbedResponsiveAsset-cIfZLr fHIkTW asset-embed__responsive-asset\"><img decoding=\"async\" alt=\"Image may contain Woman Head Person Face Adult Photography Portrait Skin Body Part and Jaw\" loading=\"lazy\" class=\"ResponsiveImageContainer-eNxvmU cfBbTk responsive-image__image\" src=\"https:\/\/analyse.optim.biz\/wp-content\/uploads\/2025\/12\/before_dr-2520adam2520r-2520kolker2520double2520board2520certified2520plastic2520surgeon2c2520md2c2520facs.jpeg\" title=\"before_dr-2520adam2520r-2520kolker2520double2520board2520certified2520plastic2520surgeon2c2520md2c2520facs\"><\/span><\/div>\n<div class=\"CaptionWrapper-jYrTxZ gVBkjw caption AssetEmbedCaption-fyuOdR gAYTTS asset-embed__caption\" data-testid=\"caption-wrapper\"><span class=\"BaseWrap-sc-gzmcOU BaseText-eqOrNE CaptionText-brNLzD deqABF kyfflk fGraOh caption__text\"><\/p>\n<p>A 46-year-old patient before her rhinoplasty\u2026<\/p>\n<p><\/span><span class=\"BaseWrap-sc-gzmcOU BaseText-eqOrNE CaptionCredit-eowWKH deqABF lnzeTN gxwcqg caption__credit\">Courtesy of Dr. Adam R. Kolker<\/span><\/div>\n<\/figure>\n<figure class=\"AssetEmbedWrapper-fkZDUs kHRAYC asset-embed callout--group-item callout--group-item-2\">\n<div class=\"AssetEmbedAssetContainer-eEeytc eRSvCP asset-embed__asset-container\"><span class=\"SpanWrapper-zEXFr koTknX responsive-asset AssetEmbedResponsiveAsset-cIfZLr fHIkTW asset-embed__responsive-asset\"><img decoding=\"async\" alt=\"Image may contain Woman Head Person Face Adult Photography Portrait Skin Body Part and Jaw\" loading=\"lazy\" class=\"ResponsiveImageContainer-eNxvmU cfBbTk responsive-image__image\" src=\"https:\/\/analyse.optim.biz\/wp-content\/uploads\/2025\/12\/after_dr-2520adam2520r-2520kolker2520double2520board2520certified2520plastic2520surgeon2c2520md2c2520facs.jpeg\" title=\"after_dr-2520adam2520r-2520kolker2520double2520board2520certified2520plastic2520surgeon2c2520md2c2520facs\"><\/span><\/div>\n<div class=\"CaptionWrapper-jYrTxZ gVBkjw caption AssetEmbedCaption-fyuOdR gAYTTS asset-embed__caption\" data-testid=\"caption-wrapper\"><span class=\"BaseWrap-sc-gzmcOU BaseText-eqOrNE CaptionText-brNLzD deqABF kyfflk fGraOh caption__text\"><\/p>\n<p>\u2026 and after surgery.<\/p>\n<p><\/span><span class=\"BaseWrap-sc-gzmcOU BaseText-eqOrNE CaptionCredit-eowWKH deqABF lnzeTN gxwcqg caption__credit\">Courtesy of Dr. Adam R. Kolker<\/span><\/div>\n<\/figure>\n<\/div>\n<\/div>\n<p>Oren Tepper, MD, a board-certified plastic surgeon in New York City, says that when he first started his practice, he\u2019d almost have to \u201ctake pause initially\u201d when an older person came in wanting their nose done. He\u2019d wonder why they didn\u2019t consider surgery during a more conventional phase of life. (Prime time for rhinoplasty still generally falls into the transitional zones between high school and college or college graduation and a first job, he says, when the physical transformation can be \u201cless jarring and more acceptable.\u201d) He\u2019s since come to realize that patients have all sorts of reasons for delaying nose jobs\u2014and that some people want to tweak their nose at 40 or 50 even if it never bothered them before.<\/p>\n<p>Still, some of those approaching rhinoplasty later in life do so with trepidation, notes Melissa Doft, MD, a board-certified plastic surgeon in New York City. They\u2019ll commonly say, <em>I should have done this when I was younger.<\/em> Or ask, <em>Is it ridiculous that I\u2019m thinking about doing this now?<\/em> While the stigma around plastic surgery has faded in certain circles, nose jobs are still strongly associated with the awkward toll of puberty. Dr. Doft puts patients at ease by explaining that midlife rhinoplasty \u201cis actually more common than you think,\u201d as a lot of adults are now pairing it with other procedures, like facelifts and eyelid lifts, in the name of facial rejuvenation. In fact, a study out of UCLA, which used an age-estimating AI tech to compare before and after photos, found that women appeared three years younger following rhinoplasty alone.<\/p>\n<h2>Why now? Behind the rise of midlife rhinoplasties<\/h2>\n<p>For younger generations, it\u2019s hard to imagine a world without iPhones and Instagram. But the Gen Xers exploring rhinoplasty in 2025 grew up without these modern staples\u2014and the extreme self-consciousness they tend to promote. \u201cWhen we were 18 or 20, we looked in the mirror while brushing our teeth in the morning and mentally carried that image with us for the whole day,\u201d Dr. Doft says. Photos were typically taken with us smiling at the camera, capturing that same straight-on reflection and rarely revealing our profiles. But now \u201cwe\u2019re exposed in a way that we\u2019ve never been exposed before\u2014our every angle is out there,\u201d Dr. Doft says. \u201cIt\u2019s just a totally different level of pressure.\u201d<\/p>\n<p>Back in the day, rhinoplasty\u2014plastic surgery, in general\u2014had certain geographic strongholds, like Los Angeles and New York City, but it wasn\u2019t nearly as ubiquitous as it is today. Even if someone was embarrassed by their nose\u2014because bullying, unlike selfies, is not a 21st-century invention\u2014the idea of cosmetic surgery may have felt foreign, scary, or extravagant. And, so, \u201cthey put it off for years,\u201d Dr. Kolker says.<\/p>\n<aside aria-hidden=\"true\" class=\"PullQuoteEmbedWrapper-sc-TKIUW kKNLCl\" data-testid=\"pullquote-embed-center\">\n<div class=\"PullQuoteEmbedContent-sc-lixSTo cQciWx\">\n<p>While the stigma around plastic surgery has faded, nose jobs are still strongly associated with the awkward toll of puberty.<\/p>\n<\/div>\n<\/aside>\n<p>\u201cI\u2019d wanted to get my nose done since I was 16, but my parents were absolutely not going to pay for a nose job. And where I grew up, in central Florida, plastic surgery wasn\u2019t a thing that people did, especially in the \u201890s,\u201d says Margot*, who got a rhinoplasty along with a facelift in her 40s. It wasn\u2019t until her late 30s that she felt she was in a place, career-wise, where she could devote the necessary resources to surgery and recovery. Around the same time, she\u2019d begun contemplating a facelift to address some early laxity along her jawline. The surgery presented an opportunity to address two insecurities in one fell swoop. She asked Dr. Doft to remove the small bump from her nose and narrow the tip. Now, she says, \u201cI still look like myself, but my nose is sleeker and just fits my face a lot better.\u201d<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"GridWrapper-cFSKbf cxzKYj grid grid-margins grid-items-2 ArticlePageChunksGrid-hkPQhP lnoYVP grid-layout--adrail narrow wide-adrail\" data-journey-hook=\"grid-wrapper\">\n<div class=\"GridItem-beYvyV kCPYUp grid--item grid-layout__content\">\n<div class=\"BodyWrapper-kzyFNv HDJd body body__container article__body\" data-journey-hook=\"client-content\" data-testid=\"BodyWrapper\">\n<div class=\"body__inner-container\">\n<p>For some patients, their nose is a new insecurity. \u201cThe nose changes as we get older,\u201d says Dr. Doft. What was once a perfectly-fine feature can suddenly start \u201clooking a little longer, wider, or droopier\u201d due to age-related facial shifts. Yes, even the nose can show its age. Dr. Chang tells me that the majority of older patients who come in for rhinoplasty feel that time has accentuated the aspects of their nose that only low-key bugged them when they were younger. How so? The nose has a tendency not to grow, per se\u2014that\u2019s a common misconception\u2014but to morph slightly, over decades, in ways that make it more conspicuous. (An \u201cideal\u201d nose, surgeons say, is one that goes unnoticed.) As aging skin thins out, the nose can appear longer, the tip can curve downwards, and bumps and asymmetries (once concealed by a blanket of soft tissue) may reveal themselves. \u201cYou can have a really minor dorsal hump all your life, and then as your tip gets a little bit droopier, that hump becomes more obvious,\u201d Dr. Lee explains. In other cases, the skin of the nose can get thicker and more sebaceous, making a defined tip look \u201cbulbous.\u201d<\/p>\n<p>Sometimes the nose itself doesn\u2019t fluctuate all that much, but it can appear more prominent as the cheeks deflate and sag, and the chin begins to recede. (Nose jobs and chin implants have long gone hand-in-hand for this very reason.) For women, the hormonal shifts of menopause can \u201cvery significantly affect skin elasticity and soft tissue quality as well as bone density, to an extent,\u201d notes Dr. Kolker, all of which \u201ccan change how the nose sits in the context of the face.\u201d<\/p>\n<p>Throughout early adulthood, Lisa*, a patient of Dr. Tepper, had never loved her nose, but it wasn\u2019t until her 30s that it started to really bother her. \u201cI watched my face change and get more structured as I got older, and my nose seemed to stand out more,\u201d she says. \u201cThe tip was more rounded than I liked and I wanted the bridge to be slightly thinner, but it was very important to me that [the change] wasn\u2019t too drastic.\u201d At 40, after having two kids, she made time to invest in herself, booking a rhinoplasty and a tummy tuck. \u201cThis was a big part of me reclaiming myself, feeling great in my skin again,\u201d she says.<\/p>\n<aside aria-hidden=\"true\" class=\"PullQuoteEmbedWrapper-sc-TKIUW kKNLCl\" data-testid=\"pullquote-embed-center\">\n<div class=\"PullQuoteEmbedContent-sc-lixSTo cQciWx\">\n<p>One study found that women appeared three years younger following rhinoplasty alone.<\/p>\n<\/div>\n<\/aside>\n<p>In New York City, double board-certified facial plastic surgeon Sam Rizk, MD, frequently tweaks the nose at the time of a facelift. \u201cI must do at least 100 facelifts with rhinoplasty a year,\u201d he says. During facelift consultations, patients \u201cusually talk about the fact that their nose has drooped.\u201d In the past, when Dr. Rizk more commonly performed facelifts separate from rhinoplasties, patients would come back post-lift complaining that their nose didn\u2019t fit their new face. Now, when desired and appropriate, he encourages patients to combine the two operations for the most harmonious result.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"GridWrapper-cFSKbf cxzKYj grid grid-margins grid-items-2 ArticlePageChunksGrid-hkPQhP lnoYVP grid-layout--adrail narrow wide-adrail\" data-journey-hook=\"grid-wrapper\">\n<div class=\"GridItem-beYvyV kCPYUp grid--item grid-layout__content\">\n<div class=\"BodyWrapper-kzyFNv HDJd body body__container article__body\" data-journey-hook=\"client-content\" data-testid=\"BodyWrapper\">\n<div class=\"body__inner-container\">\n<p>Such was the case with Jennifer Fessler of <em>The Real Housewives of New Jersey<\/em>. She saw Dr. Rizk for a deep plane facelift and a rhinoplasty in 2023 at the age of 54. Fessler says her nose had always been somewhat prominent, but it fit her face and looked proportional to her other features. Something changed as she entered her 50s, though: \u201cI felt like my nose was spreading across my face, with these nostrils flaring out, and I just couldn\u2019t get a good picture,\u201d she says. In photos, \u201call I could see was jowls, neck, and nose.\u201d She trusted Dr. Rizk to rectify the situation without giving her \u201ca little button nose,\u201d which would\u2019ve clashed with her personal aesthetic. Now, when she sees herself in the mirror or on a screen, she says she doesn\u2019t notice her nose, which is precisely the goal of a good nose job. And even though she paired the procedure with a facelift, she says she \u201cbreezed through\u201d the recovery and \u201cwas out a week and a half later at a Super Bowl party.\u201d<\/p>\n<div class=\"GenericCalloutWrapper-IJXIe hQwqiB callout--has-top-border\" data-testid=\"GenericCallout\">\n<div class=\"GroupCalloutWrapper-cfrXZg iaIQYt callout callout--group callout--group-2\" data-testid=\"GroupCalloutWrapper\">\n<figure class=\"AssetEmbedWrapper-fkZDUs kHRAYC asset-embed callout--group-item callout--group-item-1\">\n<div class=\"AssetEmbedAssetContainer-eEeytc eRSvCP asset-embed__asset-container\"><span class=\"SpanWrapper-zEXFr koTknX responsive-asset AssetEmbedResponsiveAsset-cIfZLr fHIkTW asset-embed__responsive-asset\"><img decoding=\"async\" alt=\"Image may contain Head Person Face Skin Adult Body Part Jaw Cosmetics and Lipstick Woman.\" loading=\"lazy\" class=\"ResponsiveImageContainer-eNxvmU cfBbTk responsive-image__image\" src=\"https:\/\/analyse.optim.biz\/wp-content\/uploads\/2025\/12\/pre2520surgery2520jennifer2520fessler.jpg\" title=\"pre2520surgery2520jennifer2520fessler\"><\/span><\/div>\n<div class=\"CaptionWrapper-jYrTxZ gVBkjw caption AssetEmbedCaption-fyuOdR gAYTTS asset-embed__caption\" data-testid=\"caption-wrapper\"><span class=\"BaseWrap-sc-gzmcOU BaseText-eqOrNE CaptionText-brNLzD deqABF kyfflk fGraOh caption__text\"><\/p>\n<p>Jennifer Fessler, 55, before rhinoplasty and a facelift in 2023\u2026<\/p>\n<p><\/span><\/div>\n<\/figure>\n<figure class=\"AssetEmbedWrapper-fkZDUs kHRAYC asset-embed callout--group-item callout--group-item-2\">\n<div class=\"AssetEmbedAssetContainer-eEeytc eRSvCP asset-embed__asset-container\"><span class=\"SpanWrapper-zEXFr koTknX responsive-asset AssetEmbedResponsiveAsset-cIfZLr fHIkTW asset-embed__responsive-asset\"><img decoding=\"async\" alt=\"Image may contain Head Person Face Skin Adult Body Part Jaw Cosmetics and Lipstick Woman.\" loading=\"lazy\" class=\"ResponsiveImageContainer-eNxvmU cfBbTk responsive-image__image\" src=\"https:\/\/analyse.optim.biz\/wp-content\/uploads\/2025\/12\/post2520surgery2520jennifer2520fessler.jpg\" title=\"post2520surgery2520jennifer2520fessler\"><\/span><\/div>\n<div class=\"CaptionWrapper-jYrTxZ gVBkjw caption AssetEmbedCaption-fyuOdR gAYTTS asset-embed__caption\" data-testid=\"caption-wrapper\"><span class=\"BaseWrap-sc-gzmcOU BaseText-eqOrNE CaptionText-brNLzD deqABF kyfflk fGraOh caption__text\"><\/p>\n<p>\u2026 and after the surgeries.<\/p>\n<p><\/span><span class=\"BaseWrap-sc-gzmcOU BaseText-eqOrNE CaptionCredit-eowWKH deqABF lnzeTN gxwcqg caption__credit\">Courtesy of Dr. Sam Rizk<\/span><\/div>\n<\/figure>\n<\/div>\n<\/div>\n<p>Not all surgeons like to bundle a facelift with rhinoplasty, though. \u201cI like to do the nose all-in, obsessing over every millimeter, and then let you heal,\u201d says Dr. Lee. \u201cWhen that\u2019s done, we can go back and do another part of the face.\u201d Likewise, Dr. Kolker does rhinoplasty as a standalone procedure, since he feels it demands his \u201cundivided attention.\u201d In select cases, Dr. Chang finds that \u201cthe nose can actually look more balanced after a facelift,\u201d once the midface is elevated and volume restored, so she may suggest doing the lift first and reassessing the need for a nose job months later.<\/p>\n<p>Also contributing to the uptick in midlife rhinoplasties are people who <em>did<\/em> have nose jobs in the past, but are no longer happy with the results. About half of the over-40 nose jobs that Dr. Rizk performs are revisions of surgeries done years ago, when the desired aesthetic was small and scooped, and the techniques for creating it were reductive and unrefined. In the \u201880s and \u201890s, especially, the goal was cuteness at all costs. \u201cIn going for something very small, surgeons were taking away a lot of cartilage,\u201d Dr. Doft explains. Since they\u2019d routinely downsize noses without adding supportive cartilage grafts, noses tended to collapse over time, leaving patients with deformities and breathing issues. Overdone noses often developed a pointy and severe look\u2014an angularity that added years to the face, notes Dr. Doft\u2014compelling some patients to eventually seek second or third surgeries. Many revision rhinoplasty patients have simply outgrown the \u201cpinched, upturned nose\u201d of their teens, says Dr. Rizk, and are hoping for a \u201cmore elegant, age-appropriate look.\u201d<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"GridWrapper-cFSKbf cxzKYj grid grid-margins grid-items-2 ArticlePageChunksGrid-hkPQhP lnoYVP grid-layout--adrail narrow wide-adrail\" data-journey-hook=\"grid-wrapper\">\n<div class=\"GridItem-beYvyV kCPYUp grid--item grid-layout__content\">\n<div class=\"BodyWrapper-kzyFNv HDJd body body__container article__body\" data-journey-hook=\"client-content\" data-testid=\"BodyWrapper\">\n<div class=\"body__inner-container\">\n<p>For first-time patients and repeat customers alike, the promise of unobstructed breathing may be leading them to surgery. Dr. Lee sees the virality of breathwork, nasal breathing, and mouth taping\u2014wellness trends focused on the potential health and relaxation benefits of proper breathing\u2014pushing people to correct long-ignored deviated septums and other anatomical abnormalities that impair breathing. And oftentimes what starts out as a purely functional procedure, to help improve airflow, becomes what Dr. Lee calls a \u201cwhile-you\u2019re-in-there surgery,\u201d as in: <em>While you\u2019re in there<\/em> fixing my crooked septum, why not smooth out that bump that I\u2019ve forever been self-conscious about.<\/p>\n<h2>The \u201cnon nose-job nose job\u201d<\/h2>\n<p>For older patients, the nose job of the moment isn\u2019t trending on TikTok. It\u2019s not the hashtag <em>Hollywood nose<\/em> or <em>Barbie nose<\/em> or <em>Turkish nose<\/em>. It is, rather, the \u201cnon nose-job nose job,\u201d to borrow a phrase from Dr. Doft. What midlifers are typically going for, she says, \u201cis a straight, sophisticated nose, not too much of an upturn, with maybe a little bit of a break between the nasal bridge and the tip,\u201d she says. \u201cThey want something conservative that\u2019s in proportion with the rest of their face.\u201d It\u2019s a classic shape that \u201ctranscends time,\u201d she adds. It\u2019s not something that looks adorable at 16, but silly at 47.<\/p>\n<p>Bolstering an aging nose and enhancing breathing generally means \u201cdeploying more cartilage grafts for structural support, especially to reinforce weakened areas of cartilage,\u201d notes Dr. Kolker. It means augmenting rather than reducing the nose. But my sources say more patients, men and women both, are comfortable with stronger noses\u2014profiles that have some presence\u2014particularly when they align with their personal or cultural identity. \u201cMy nose is still, you know, when I say <em>big<\/em>, I don&#8217;t mean it in a bad way. It just is\u2014I have big features, so it fits,&#8221; says Fessler.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"GridWrapper-cFSKbf cxzKYj grid grid-margins grid-items-2 ArticlePageChunksGrid-hkPQhP lnoYVP grid-layout--adrail narrow wide-adrail\" data-journey-hook=\"grid-wrapper\">\n<div class=\"GridItem-beYvyV kCPYUp grid--item grid-layout__content\">\n<div class=\"BodyWrapper-kzyFNv HDJd body body__container article__body\" data-journey-hook=\"client-content\" data-testid=\"BodyWrapper\">\n<div class=\"body__inner-container\">\n<p>Those who\u2019ve seen time leave its mark often \u201cjust want their nose to look a little more youthful,\u201d says Dr. Rizk. They\u2019re not asking for an overhaul or expecting perfection. Since even minor refinements can have a profoundly rejuvenating effect, rhinoplasty on an older patient may entail \u201crelatively easy\u201d adjustments, says Dr. Lee, like \u201csoftening the hump and slightly lifting the tip.\u201d In many cases, surgeons are modifying only the tip of the nose, Dr. Doft adds, raising it, slimming it, defining it, or, especially with revisions, \u201cgiving it a little more volume and covering by adding a layer of tissue to the tip, so it looks softer and not quite as pointy.\u201d<\/p>\n<aside aria-hidden=\"true\" class=\"PullQuoteEmbedWrapper-sc-TKIUW kKNLCl\" data-testid=\"pullquote-embed-center\">\n<div class=\"PullQuoteEmbedContent-sc-lixSTo cQciWx\">\n<p>\u201cI watched my face get more structured as I got older, and my nose seemed to stand out more.\u201d<\/p>\n<\/div>\n<\/aside>\n<p>Such modest changes can sometimes curtail downtime. Dr. Tepper recently did a rhinoplasty on a woman in her 50s who wanted only a slight reshaping of the cartilage, but no bony work. \u201cWe did it on a Thursday, and she was back in the office on Monday,\u201d he says. However, when the nasal bones are fractured and moved\u2014to narrow a bridge, for instance, for a more dramatic transformation\u2014patients have considerably more bruising and swelling. The bones take about four weeks to heal and final results won&#8217;t come until one year.<\/p>\n<p>Above all, older rhinoplasty patients are bound by their intense desire for subtlety. \u201cThey\u2019ve had this nose for decades and they\u2019re less tolerant of big changes,\u201d Dr. Chang says. Many are actually \u201cterrified of looking like someone else,\u201d adds Dr. Kolker. This rings especially true for those who have children. (With the latest 3D imaging, surgeons can give patients a good sense of what they might look like after surgery, says Dr. Tepper, to prevent unwanted surprises.) Before 46-year-old Lori got a rhinoplasty with Dr. Kolker she told him, \u201cI&#8217;m only looking for a subtle refinement. Nothing dramatic. Just my nose, only better.\u201d He understood the assignment. \u201cI&#8217;m not sure my parents even noticed when I saw them a few months [after the surgery],\u201d she says. (She&#8217;d kept them in the dark because \u201cthey&#8217;re not really open-minded about cosmetic procedures.\u201d)<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"GridWrapper-cFSKbf cxzKYj grid grid-margins grid-items-2 ArticlePageChunksGrid-hkPQhP lnoYVP grid-layout--adrail narrow wide-adrail\" data-journey-hook=\"grid-wrapper\">\n<div class=\"GridItem-beYvyV kCPYUp grid--item grid-layout__content\">\n<div class=\"BodyWrapper-kzyFNv HDJd body body__container article__body\" data-journey-hook=\"client-content\" data-testid=\"BodyWrapper\">\n<div class=\"body__inner-container\">\n<p>The best rhinoplasty surgeons will actually insist on conservative, less-is-more adjustments for older patients, whose sense of self is fully formed. \u201cAt an emotional level, an overdone nose can mean an identity crisis,\u201d Dr. Kolker warns.<\/p>\n<h2>Upsides of an over-40 nose job<\/h2>\n<p>Once patients are on the other side of plastic surgery, they often say they wish they\u2019d done it sooner\u2014if only to have freed themselves, years earlier, from the burden of obsessing over a source of insecurity. But there may be advantages to waiting to go under the knife. For starters, our tastes tend to be more refined and less volatile when we\u2019re older. At 46 versus 16, says Dr. Lee, \u201cyou know who you are and what you like, so we\u2019re not operating on a target that might change.\u201d<\/p>\n<p>What\u2019s more, rhinoplasty techniques have evolved alongside aesthetic preferences. \u201cHuge, paradigm shifts have happened over the last 30 or 40 years,\u201d Dr. Kolker says. Surgeons today generally aim to preserve as much natural tissue as possible, so as not to completely upend the original anatomy, which can destabilize the nose. And some rhinoplasty specialists have traded their old-school hammers and chisels for piezotomes, which use ultrasonic waves to \u201cmore delicately and precisely break and reshape\u201d the nose, according to Dr. Chang. Others have held onto their traditional tools, feeling they offer more control and finesse. While the pros and cons of \u201cpiezo rhinoplasty\u201d are hotly debated at global aesthetic meetings, Dr. Rizk credits his \u201cultrasonic shaver\u201d with generating less swelling during surgery. \u201cAnd less swelling means less [internal] scar tissue,\u201d he says, which can translate to a quicker recovery, better result, and less chance of revision.<\/p>\n<aside aria-hidden=\"true\" class=\"PullQuoteEmbedWrapper-sc-TKIUW kKNLCl\" data-testid=\"pullquote-embed-center\">\n<div class=\"PullQuoteEmbedContent-sc-lixSTo cQciWx\">\n<p>\u201cYou know who you are and what you like, so we\u2019re not operating on a target that might change.\u201d<\/p>\n<\/div>\n<\/aside>\n<p>Advancements in anesthesia have also made rhinoplasty safer and more predictable. Some rhinoplasty surgeons have adopted propofol\u2014a familiar friend to any midlifer who\u2019s had a colonoscopy\u2014and this, says Dr. Doft, can make for an easier, less daunting experience. Overall, nose jobs \u201cused to be a much bigger deal,\u201d she says, requiring a hospital stay, prescription pain meds, and weeks of hibernating. But now, \u201cpeople are realizing it\u2019s not as bad as they thought it was,\u201d adds Dr. Lee, thanks, in part, to the deluge of recovery journeys on social media (#nosejobcheck). \u201cIt\u2019s mostly a Tylenol pain. It feels like a cold.\u201d Lisa agrees with that assessment: \u201cIt&#8217;s uncomfortable for the first couple of days, that stuffed up feeling, but no pain.\u201d And Margot went even further when asked about her nose job recovery: \u201cZero pain, literally zero pain, unless you bump your nose by accident, so, you know, don&#8217;t do that.\u201d Her swelling on the other hand was far from zero. \u201cThere&#8217;s a lot of swelling at first and it can take forever for it to go down,\u201d she says. \u201cEspecially if you have very thick or sebaceous skin, like I do, so you have to be patient.&#8221;<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"GridWrapper-cFSKbf cxzKYj grid grid-margins grid-items-2 ArticlePageChunksGrid-hkPQhP lnoYVP grid-layout--adrail narrow wide-adrail\" data-journey-hook=\"grid-wrapper\">\n<div class=\"GridItem-beYvyV kCPYUp grid--item grid-layout__content\">\n<div class=\"BodyWrapper-kzyFNv HDJd body body__container article__body\" data-journey-hook=\"client-content\" data-testid=\"BodyWrapper\">\n<div class=\"body__inner-container\">\n<p>Plus, at 40 or 50, \u201cyou\u2019re probably more emotionally ready for the recovery,\u201d Dr. Lee adds. She finds that older patients are more compliant, abiding by aftercare instructions and post-op rules and restrictions. (Patients typically need to wear a cast for the first week and avoid strenuous exercise for a month.) They\u2019re willing to clear their calendars and dedicate themselves to the recovery, which can improve their outcomes. \u201cI\u2019ve actually been surprised by how well older people heal from the operation\u2014as quickly or even faster than younger patients\u2014and I think some of that is due to their compliance,\u201d she says. Rather than squeezing in the recovery between contact sports and social engagements, midlifers tend to \u201cbuckle down and truly give their bodies time to rest after surgery.\u201d<\/p>\n<p>Of course, older patients may come with a bit more physical baggage than their younger counterparts. (I can say this because I am an older person.) \u201cOnce you\u2019re hitting your 40s and 50s, you might have blood-pressure problems or cardiac or respiratory issues,\u201d says Dr. Doft. And you may be taking daily drugs to address these and other medical concerns. \u201cYou could be on a GLP-1, because it seems like everyone is,\u201d she adds. This group also tends to lean hard into supplements\u2014fish oil, turmeric, creatine, magnesium\u2014some of which can exacerbate bleeding and bruising during and after surgery. It\u2019s important to disclose all health conditions and medications to your doctor in order to ensure the safest procedure and recovery.<\/p>\n<p>While the main risks associated with rhinoplasty\u2014bruising, swelling, poor scarring, bleeding, infection, asymmetries, breathing difficulties\u2014are largely the same at every age, older patients, with their penchant for subtlety, may very well avoid what Dr. Kolker calls the most significant risk of a nose job: looking like you\u2019ve had one.<\/p>\n<p><em>* Names have been changed for privacy.<\/em><\/p>\n<hr>\n<p><strong>More stories about plastic surgery trends and personal experiences:<\/strong><\/p>\n<ul>\n<li>A Kinder, Gentler Boob May Be Upon Us<\/li>\n<li>Gen X Is Getting Plastic Surgery Right<\/li>\n<li>Kris Jenner\u2019s New Face Is a Great Case for Keeping Plastic Surgery Old School<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/article>\n<p> Source URL: https:\/\/www.allure.com\/story\/over-40-nose-job-trend-new-rhinoplasty-patient<\/p>\n","protected":false},"excerpt":{"rendered":"<p>PROFILE UPDATES The Rise of the Over-40 Nose Job New patients are far closer to menopause than puberty. A look inside the midlife rhinoplasty phenomenon. By Jolene Edgar December 3, 2025 Huy Luong With toddlers wearing sheet masks, tweens buying wrinkle serums, and 30-somethings booking facelifts, it may seem like the beauty industry itself is [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":843707,"comment_status":"open","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[52],"class_list":["post-843706","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-politics","tag-allure-com"],"_links":{"self":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts\/843706","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=843706"}],"version-history":[{"count":0,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts\/843706\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/media\/843707"}],"wp:attachment":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=843706"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=843706"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=843706"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}