Facial plast Surg 2002; 18(4): 233-244
DOI: 10.1055/s-2002-36491
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Revision Rhinoplasty

Amita A. Bagal1 , Peter A. Adamson1,2
  • 1Department of Otolaryngology and Head Neck Surgery, American Academy of Facial Plastic and Reconstructive Surgery, University of Toronto, Ontario, Canada
  • 2Adamson Associates, Cosmetic Facial Surgery, Toronto, Ontario, Canada
Further Information

Publication History

Publication Date:
08 January 2003 (online)

ABSTRACT

Revision rhinoplasty requires sound judgment by both patient and surgeon. Detailed preoperative assessment facilitates proper patient selection. If the patient is deemed a favorable revision rhinoplasty candidate, both patient and surgeon must agree on the goals for and risks inherent in revision rhinoplasty. Thoughtfulness regarding the degree of aesthetic and functional correction desired by the patient and the corresponding intraoperative techniques required to achieve this correction must be contemplated prior to committing to revision rhinoplasty. Furthermore, the surgeon must feel confident that the surgical demands requested by the patient may be met and satisfaction achieved. A precise preoperative surgical plan minimizes intraoperative misadventures. Options for grafting materials should be discussed and agreed upon by both patient and surgeon preoperatively. Both patient and surgeon commit to long-term postoperative follow-up and the patience necessary for the eventual outcome to be realized.