One problem of older patients (45 to 90 years of age) that should not be underestimated is the difficulty in breathing through the nose due to a bottleneck in the air flow in the nose (collapsed external nasal valve) caused by muscle atrophy. The introduction of autologous tissue can reopen it and normalize nasal breathing. At the same time, a symmetry adjustment of the entire half of the face is achieved at rest (without spontaneous facial expressions). Often the introduction of autologous tissue (e.g. connective tissue from the thigh as a static sling) is combined with other procedures, such as free muscle transplantation (dynamic restoration), in order to simultaneously create resting symmetry of the relaxed face. This is immediately noticeable to the patient as an immediate success after the operation.