Facial plast Surg 2008; 24(3): 293-309
DOI: 10.1055/s-0028-1083084
© Thieme Medical Publishers

Revision Rhinoplasty Using the Endonasal Approach

Fred G. Fedok1
  • 1Division of Otolaryngology–Head and Neck Surgery, Department of Surgery, University Hospital, The Hershey Medical Center, The Pennsylvania State University, Hershey, Pennsylvania
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Publication History

Publication Date:
24 October 2008 (online)


Revision rhinoplasty often requires the performance of a limited number of corrective tasks on a patient's nose that otherwise has many favorable characteristics. The endonasal approach can be applied in situations where there is a desire to maintain favorable attributes of the nose while revising the unfavorable aspects. Through endonasal incisions, the surgeon can correct limited dorsal abnormalities, middle vault abnormalities, and asymmetries of the lower third of the nose. This article reviews several of the common unfavorable sequelae of rhinoplasty and suggests endonasal approaches to their correction.