What are some common issues people want addressed with revision rhinoplasty?
I think that the most common problem that people present to my office to seek revision rhinoplasty for is tip issues. Usually, tip asymmetry or deformation. I have learned over the past twenty years that the forces of contracture which can take place during healing can distort the nasal tip pretty significantly especially in situations where too much cartilage has been removed or the tip was not stabilized appropriately during the primary rhinoplasty. I am very conservative in terms of how much cartilage I remove from the nasal tip and instead prefer to use sutures and tip stabilization techniques during rhinoplasty in order to prevent post operative tip asymmetries. Other concerns that people present for revision rhinoplasty are over resected nasal dorsum which gives them a scooped look to the nose. Small irregularies in the nasal bridge, usually if there was a large nasal hump reduction during the primary rhinoplasty, is also a reason for revision rhinoplasty surgery.
Posted by Dr. Philip Schoenfeld