Facial plast Surg 2005; 21(4): 250-270
DOI: 10.1055/s-2006-939504
Copyright © 2005 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Male Revision Rhinoplasty: Pearls and Surgical Techniques

Paul S. Nassif1 , 2 , 3
  • 1Department of Otolaryngology, University of Southern California School of Medicine, Los Angeles, California
  • 2Department of Otolaryngology, University of California, Los Angeles School of Medicine, Los Angeles, California
  • 3Spalding Drive Cosmetic Surgery and Dermatology, Beverly Hills, California
Further Information

Publication History

Publication Date:
31 March 2006 (online)


Male revision rhinoplasty surgery is the most difficult and challenging procedure that facial plastic surgeons perform because males usually have thick nasal skin, which is more difficult to resupport and project the nasal tip, and often have high or unrealistic expectations. The primary etiology for the need for male revision rhinoplasty is a primary rhinoplasty with aggressive lower lateral cartilage reduction that causes tip ptosis and loss of projection. The goal to an aesthetically pleasing revision rhinoplasty is to recreate adequate tip projection and an intact strong tripod complex. Following tip reconstruction, the height and width of the dorsum should be set. For male revision nasal surgery, a clear and thorough knowledge of nasal anatomy, function, and surgical techniques is paramount. Having an extensive preoperative discussion including expectations, outcomes, and a detailed list of potential complications with the patient can prevent physician-patient miscommunication. Prior to surgery, review the examination, previous operative summary, photographs, nasal analysis sheet, problem list, and plan and then proceed with the surgical treatment.