Abstract
The ability of a surgeon to create an aesthetically pleasing and functionally competent
nasal dorsum weighs heavily on following the foundations of rhinoplasty, beginning
with the examination and analysis. These same fundamental principles should be used
and applied in secondary rhinoplasty. The most common chief complaints of those patients
seeking primary rhinoplasty relates to the presence of a hump or dorsal convexity,
and similarly complications surrounding the dorsum are the most common indications
for secondary rhinoplasty. The surgeon must be able to appropriately evaluate and
correct deformities in patients who have already undergone rhinoplasty with dorsal
profileplasty. Patients can present with a wide range of postoperative deformities
within the bony pyramid or middle vault, including, but not limited to, contour irregularities
and internal nasal valve compromise, respectively. The authors will outline the evolving
methods by which these techniques can be executed to correct deformities and give
a balanced functional and aesthetically pleasing profile.
Keywords
revision rhinoplasty - rhinoplasty complications - dorsal irregularities - secondary
rhinoplasty - profileplasty
