Revision Rhinoplasty

Abstract

The increasing number of secondary surgeries following rhinoplasty is generally due to excessive removal of cartilage, bone, and lining. The patient is often dissatisfied and demanding, and the surgeon must analyze an altered anatomy with inadequate tissues. A proper diagnosis will reveal specific problems; the functional, psychological, and cosmetic aspects of each case should be considered. The nasal deformity should be analyzed in the context of the face as an aesthetic unit. Surgery is usually deferred until resolution of healing and softening of tissues has occurred. In most cases secondary correction requires the placement of additional tissue, which should always be of autogenous origin. In some cases the drooping-tip deformity can be treated by the simple dissection and division of the dermocartilaginous or Pitanguy's ligament of the nose.