Jan. 29, 2026

Can you get rhinoplasty at any age? [Shannon O'Brien, MD, Portland]

It’s not all in your head; your nose does change over time! Portland plastic surgeon Dr. Shannon O’Brien explains why, from shifting ligaments to skin changes, and when surgery might (or might not) make sense.

Read more about Portland plastic surgeon Dr. Shannon O'Brien

Follow Dr. O'Brien on Instagram @dr.shannonobrien

To learn more about Dr. Shannon O'Brien, listen to her episode of Meet The Doctor

Where Before Meets After brings credible, accurate information about plastic surgery, aesthetic procedures and treatments to the researching audience from trusted plastic surgeons and aesthetic professionals.

For more information about being a guest or sponsor of Where Before Meets After, visit wherebeforemeetsafter.com. If you're a doctor or an aesthetic professional and have ever thought about doing your own podcast, you can try podcasting for free on our Meet the Doctor podcast. Schedule your recording session at meetthedoctorpodcast.com.

Where Before Meets After is a production of The Axis

WEBVTT

1
00:00:00.200 --> 00:00:03.839
You're listening to where before meets after? Can you have

2
00:00:03.839 --> 00:00:05.440
a rhinoplasty at any age?

3
00:00:06.080 --> 00:00:10.080
I think before the age of sixteen for sure. The

4
00:00:10.119 --> 00:00:14.839
midface the nose is still growing and changing. After sixteen,

5
00:00:15.279 --> 00:00:20.399
Depending on each individual patient's development and what have you,

6
00:00:20.399 --> 00:00:22.960
you can start having that conversation and some are ready

7
00:00:23.000 --> 00:00:25.800
and some are not. And then as we age, I

8
00:00:25.839 --> 00:00:28.960
definitely have patients who are older who have noticed their

9
00:00:29.000 --> 00:00:34.200
noses have changed, either elongated or the skin is changed,

10
00:00:34.280 --> 00:00:37.000
or they now have a bump that they never saw

11
00:00:37.079 --> 00:00:40.439
before or whatever. And so I have a population of

12
00:00:40.880 --> 00:00:43.560
older patients as well that come in for rhinoplasty.

13
00:00:44.200 --> 00:00:46.079
Is it true that your nose keeps growing as you

14
00:00:46.119 --> 00:00:48.079
get older. It's a good question.

15
00:00:48.320 --> 00:00:50.880
I think it's not really that it keeps growing. I

16
00:00:50.880 --> 00:00:54.399
think our skin changes. It gets a little thicker sometimes

17
00:00:54.560 --> 00:00:58.880
and makes it look bigger. We definitely lose some elasticity

18
00:00:59.320 --> 00:01:02.560
in the ligaments that are sort of between some of

19
00:01:02.600 --> 00:01:06.599
the cartilages, and so as those spaces lengthen. With the

20
00:01:06.680 --> 00:01:10.120
loss of elasticity or the loss of firmness or tightness

21
00:01:10.159 --> 00:01:14.920
of those little ligaments, the space grows between the cartilages,

22
00:01:14.959 --> 00:01:17.840
and so it may look like it's longer, But in general,

23
00:01:17.959 --> 00:01:21.680
I don't think the cartilages still grow as we age.

24
00:01:22.319 --> 00:01:27.879
I definitely see people who their noses look different and

25
00:01:27.959 --> 00:01:32.680
maybe bigger, but scientifically speaking, I'm not convinced that the

26
00:01:32.760 --> 00:01:36.200
cartilages are still growing. I think the shape is changing

27
00:01:36.680 --> 00:01:39.560
and some of the other things are changing, but it's

28
00:01:39.599 --> 00:01:42.239
not that it's truly grown, even if it looks bigger.

29
00:01:42.959 --> 00:01:46.120
Does anyone ever bring you photos of themselves when they

30
00:01:46.159 --> 00:01:48.079
were younger and say, I want my nose to look

31
00:01:48.159 --> 00:01:49.319
like this when I was younger.

32
00:01:50.079 --> 00:01:53.120
People will often bring pictures of themselves when they're younger,

33
00:01:53.680 --> 00:01:58.519
and you can see the changes and the aging. Sometimes

34
00:01:58.920 --> 00:02:02.519
things look differ different because maybe they've lost volume in

35
00:02:02.560 --> 00:02:05.840
their cheeks, and their nose doesn't look bigger itself, but

36
00:02:06.079 --> 00:02:09.120
some of the other structures around it have changed, or

37
00:02:09.439 --> 00:02:14.080
their lip has elongated, and so now that relationship looks different,

38
00:02:14.240 --> 00:02:18.479
and so sometimes there are other surrounding discussions beyond just

39
00:02:18.560 --> 00:02:21.479
the nose. When folks bring in pictures and start showing

40
00:02:21.479 --> 00:02:24.240
what they liked when they were younger.

41
00:02:25.159 --> 00:02:30.479
That's really interesting that lip elongating is often something that

42
00:02:30.520 --> 00:02:33.240
fools people and makes them think it's their nose isn't it.

43
00:02:33.879 --> 00:02:38.080
Definitely when the lip elongates and the soft tissues of

44
00:02:38.080 --> 00:02:40.439
the cheeks start to move and things like that, it

45
00:02:40.439 --> 00:02:43.280
can make your nose look different when you smile or animate,

46
00:02:43.719 --> 00:02:47.759
and so you do see definitely the surrounding structures contributing

47
00:02:47.840 --> 00:02:50.599
to some of the conversation about what they're seeing in

48
00:02:50.639 --> 00:02:52.599
their nose and in photos.

49
00:02:54.120 --> 00:02:57.960
Thanks for listening, I'm your host, Iva Schet. Follow the

50
00:02:58.000 --> 00:03:01.240
show and submit questions for our experts at Wherebefore meets

51
00:03:01.280 --> 00:03:05.039
After dot com. Where Before Meets After is a production

52
00:03:05.159 --> 00:03:07.599
of the Axis

Shannon O'Brien, MD Profile Photo

Plastic Surgeon in Portland, Oregon

For plastic surgeon Shannon O’Brien, every day in the OR is a little different as she helps her patients with a wide range of aesthetic and reconstructive procedures, from face and neck to breast and body.

Dedicated to helping patients feel comfortable enough to open up about their goals and concerns, Dr. O’Brien takes as much time as needed during her consultations and never wants anyone to feel rushed.

Dr. O’Brien is a partner of Portland Plastic Surgery Group, where she practices with three other talented plastic surgeons.