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Facial Plast Surg 2020; 36(01): 028-033
DOI: 10.1055/s-0040-1701487
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Revision Rhinoplasty: Conservation versus Deconstruction

G. Nina Lu
1   Department of Otolaryngology- Head and Neck Surgery, University of Washington, Seattle, Washington
,
Ira D. Papel
2   Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
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Publication History

Publication Date:
19 March 2020 (online)

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Abstract

Revision rhinoplasty requires the surgeon to strike a careful balance between conservation and deconstruction. Contemporary rhinoplasty has focused on structural cartilage grafts. These grafts resist static and dynamic forces produced by tissue contraction, gravity, and pressure gradients during respiration. However, the simultaneous use of multiple grafts also leads to an increased deconstruction of natural supports. In this article, we discuss some simple yet effective techniques in revision rhinoplasty in a case-based format.

Keywords

rhinoplasty - revision rhinoplasty - rib graft - auricular cartilage graft