An Anatomic Basis for Revision Rhinoplasty

Abstract

As the popularity of rhinoplasty has increased, so have the expectations of both patients and surgeons alike. Revision rhinoplasty has become an evolving field with unique challenges. One must first address the patient's specific concerns and emotional issues. To properly repair the inadequacies of a failed rhinoplasty, the surgeon must thoroughly analyze and understand the anatomic causes leading to why the patient needs revision surgery.

Keywords

revision rhinoplasty - nasal valve - saddle deformity - rhinoplasty complication - nasal tip deformity

• References

• 1 Maliniac JW. Prevention and treatment of late sequelae in corrective rhinoplasty. Am J Surg 1940; 50: 84-91
• 2 Sheen JH. Secondary Rhinoplasty. Aesthetic Rhinoplasty. St. Louis, MO: CV Mosby; 1978: 464-465
• 3 Converse JM. Corrective rhinoplasty. In: Reconstructive Plastic Surgery. 2nd ed. Philadelphia, PA: W.B. Saunders Co; 1977: 1152-1154
• 4 Klabunde EH, Falces E. Incidence of complications in cosmetic rhinoplasties. Plast Reconstr Surg 1964; 34: 192-196
• 5 Smith TW. As clay in the potter's hand. A review of 221 rhinoplasties. Ohio State Med J 1967; 63: 1055-1057
• 6 McKinney P, Cook JQ. A critical evaluation of 200 rhinoplasties. Ann Plast Surg 1981; 7: 357-361
• 7 Pardina AJ, Vaca JF. Evaluation of the different methods used in the treatment of rhinoplastic sequelae. Aesthetic Plast Surg 1983; 7: 237-239
• 8 Swanepoel PF, Eisenberg I. Current concepts in cosmetic rhinoplasty. S Afr Med J 1981; 60: 536-544
• 9 Kamer FM, McQuown SA. Revision rhinoplasty. Analysis and treatment. Arch Otolaryngol Head Neck Surg 1988; 114: 257-266
• 10 Adamson PA. The failed rhinoplasty. In: Gates G, ed. The Current Therapy in Otolaryngology–Head and Neck Surgery. Toronto, ON: Decker; 1990: 137-144
• 11 Parkes ML, Kanodia R, Machida BK. Revision rhinoplasty. An analysis of aesthetic deformities. Arch Otolaryngol Head Neck Surg 1992; 118: 695-701
• 12 Nicolle FV. Secondary rhinoplasty of the nasal tip and columella. The choice of cartilage grafts. Scand J Plast Reconstr Surg 1986; 20: 67-73
• 13 Yu K, Kim A, Pearlman SJ. Functional and aesthetic concerns of patients seeking revision rhinoplasty. Arch Facial Plast Surg 2010; 12: 291-297
• 14 Stucker FJ, Bryarly RC, Shockley WW. Complications in nasal surgery. Paper presented at: Plastic and Reconstructive Surgery of the Head and Neck: Proceedings of the Fourth International Conference St. Louis, MO: Mosby-Year Book; 1984: 156-160
• 15 Vuyk HD, Watts SJ, Vindayak B. Revision rhinoplasty: review of deformities, aetiology and treatment strategies. Clin Otolaryngol Allied Sci 2000; 25: 476-481
• 16 Sheen JH. Spreader graft: a method of reconstructing the roof of the middle nasal vault following rhinoplasty. Plast Reconstr Surg 1984; 73: 230-239
• 17 Clark JM, Cook TA. The ‘butterfly’ graft in functional secondary rhinoplasty. Laryngoscope 2002; 112: 1917-1925
• 18 Stacey DH, Cook TA, Marcus BC. Correction of internal nasal value stenosis: a single surgeon comparison of butterfly versus traditional spreader grafts. Ann Plast Surg 2009; 63: 280-284
• 19 Bracaglia R, Fortunato R, Gentileschi S. Secondary rhinoplasty. Aesthetic Plast Surg 2005; 29: 230-239
• 20 Romo III T, Sonne J, Choe KS, Sclafani AP. Revision rhinoplasty. Facial Plast Surg 2003; 19: 299-307
• 21 Daniel RK. Rhinoplasty: dorsal grafts and the designer dorsum. Clin Plast Surg 2010; 37: 293-300
• 22 Kridel RW, Ashoori F, Liu ES, Hart CG. Long-term use and follow-up of irradiated homologous costal cartilage grafts in the nose. Arch Facial Plast Surg 2009; 11: 387-394
• 23 Bagal AA, Adamson P. Revision rhinoplasty. Facial Plast Surg 2002; 18: 233-244
• 24 Anderson JR. The dynamics of rhinoplasty. Proceedings of the Ninth International Congress of Otolaryngology. Excerpta Medica International Congress Series, No. 206.Mexico. Amsterdam, the Netherlands: Exerpta Media; 1968: 708-710
• 25 Kridel RWH, Scott BA, Foda HMT. The tongue-in-groove technique in septorhinoplasty. A 10-year experience. Arch Facial Plast Surg 1999; 1: 246-256 ; discussion 257–258
• 26 Pearlman SJ. Revision rhinoplasty from the patient's point of view. Plastic Surgery Practice October 2011
• 27 Constantian MB. The incompetent external nasal valve: pathophysiology and treatment in primary and secondary rhinoplasty. Plast Reconstr Surg 1994; 93: 919-931 ; discussion 932–933
• 28 Rettinger G. Severe saddle nose deformities. In: Rhinoplasty. A Practical Gide to Functional and Aesthetic Surgery of the Nose. Amsterdam, the Netherlands: Klugler Publications; 1993: 139-148
• 29 Foda HM. Rhinoplasty for the multiply revised nose. Am J Otolaryngol 2005; 26: 28-34
• 30 Perkins SW, Tardy ME. External columellar incisional approach to revision of the lower third of the nose. Facial Plast Surg Clin North Am 1993; 1: 79-98
• 31 Alsarraf R. Outcomes research in facial plastic surgery: a review and new directions. Aesthetic Plast Surg 2000; 24: 192-197
• 32 Adamson PA, Kraus WM. Management of patient dissatisfaction with cosmetic surgery. Facial Plast Surg 1995; 11: 99-104
• 33 Vuyk HD, Zijlker TD. Psychosocial aspects of patient counseling and selection: a surgeon's perspective. Facial Plast Surg 1995; 11: 55-60
• 34 Hellings PW, Nolst Trenité GJ. Long-term patient satisfaction after revision rhinoplasty. Laryngoscope 2007; 117: 985-989