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Revision Rhinoplasty

Revision rhinoplasty is one of the most difficult and unpredictable plastic surgery procedures performed. It requires a precise assessment of the deformity, a strong grasp of nasal support mechanisms plus soft tissue skin envelope and a realistic appraisal of the outcome expected acutely and over a long period of time. This fine balance is often achieved by retrospective analysis of post-rhinoplasty results in order to highlight repeated problems and improve upon them.

Revision rhinoplasty occurs when any further surgery is required on a nose to either repair poorly executed surgery, to correct some irregularity from a previous surgery or to hide scars or other surgical marks from a previous rhinoplasty. The important factors guiding revision rhinoplasty are:

  1. How the nose looks now?

  2. What is the problem/irregularity that needs to be addresses/repaired?

  3. How much scarring is present from previous surgeries?

  4. The mental state of the patient requesting the revisions, i.e., is he/she an unsatisfiable perfectionist, a surgery junkie, or psychologically unbalanced in any way that is causing an unjustifiable surgical request.

  5. Is the problem correctable?

 

 

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