Download PDF
Facial Plast Surg
DOI: 10.1055/a-2622-3206
Original Research

Structural Approach to Revision Rhinoplasty

Ziad A. Katrib
1   Division Chief—Facial Plastic and Reconstructive Surgery, Department of Otolaryngology—Head and Neck Surgery and Communicative Disorders, University of Louisville School of Medicine, Louisville, Kentucky
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

Abstract

Aims and Backgrounds

To explain a very clear and concise, systematic approach to revision rhinoplasty from the preoperative visit, to the operation, and finally to the postoperative course.

Anatomy

All pertinent anatomy is discussed both in the preoperative examination, and in the technical details describe in the operation. Images accompany all key maneuvers for further clarification.

Preoperative Analysis

We discuss the key physical examination findings, functional analysis, and standardized photography of the patient prior to the operation.

Techniques

We describe the key foundational techniques utilized from start to finish to design and construct the most stable, functional, and aesthetic nose possible in a revision rhinoplasty. We discuss anesthesia, as well as intraoperative splints and dressings.

Postoperative Care

We review all postoperative care given to our patients, as well as the reasoning behind these instructions.

Conclusion

We provide an easy-to-follow, step-by-step logical approach to revision rhinoplasty. Despite the nearly endless combination of possible findings once in the operation, by following these guiding principles the operation can be completed in a consistent, efficient, and thorough manner.

Keywords

revision rhinoplasty - rib - rib graft - lateral crural strut graft - SPF graft


Publication History

Accepted Manuscript online:
27 May 2025

Article published online:
11 June 2025

© 2025. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Guyuron B, Uzzo CD, Scull H. A practical classification of septonasal deviation and an effective guide to septal surgery. Plast Reconstr Surg 1999; 104 (07) 2202-2209 , discussion 2210–2212
    Search in Google Scholar
  • 2 Hussein WK, Foda HM. Pollybeak deformity in Middle Eastern rhinoplasty: prevention and treatment. Facial Plast Surg 2016; 32 (04) 398-401
    Search in Google Scholar
  • 3 Sheen JH. Spreader graft: a method of reconstructing the roof of the middle nasal vault following rhinoplasty. Plast Reconstr Surg 1984; 73 (02) 230-239
    Search in Google Scholar
  • 4 Gunter JP, Friedman RM. Lateral crural strut graft: technique and clinical applications in rhinoplasty. Plast Reconstr Surg 1997; 99 (04) 943-952 , discussion 953–955
    Search in Google Scholar
  • 5 Robotti E, Leone F. The SPF-SPLF graft: building the ideal dorsum in revision rhinoplasty. Plast Reconstr Surg 2020; 145 (06) 1420-1424
    Search in Google Scholar