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Facial Plast Surg
DOI: 10.1055/a-2689-1798
Original Research

Preservation Concepts in Secondary Rhinoplasty: Is There Any Role?

Enrico Robotti
1   Private Practice, Villa Sant'Apollonia, Bergamo, Italy
,
Gowthaman Ilambarathi
1   Private Practice, Villa Sant'Apollonia, Bergamo, Italy
,
Giuseppe Cottone 
1   Private Practice, Villa Sant'Apollonia, Bergamo, Italy
,
Francesco Leone
1   Private Practice, Villa Sant'Apollonia, Bergamo, Italy
,
Sara Robotti
2   School of Plastic Surgery, University of Milan, Milano, Italy
,
Mario Alessandri Bonetti 
2   School of Plastic Surgery, University of Milan, Milano, Italy
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Abstract

Introduction

Secondary rhinoplasty presents complex challenges due to anatomical distortions, scar tissue, and multiple iatrogenic deformities.

Objectives & Hypotheses

Although a traditional structural approach is the time-honored benchmark against which any other technique should be measured, preservation concepts can be integrated together with structural techniques.

Study Design

This study is based on a retrospective review of cases.

Methods

Preservation concepts applicable to secondary rhinoplasty are outlined in detail. A paradigm case highlighting the strategic application of preservation techniques is included.

Results

Preservation concepts pose an evident advantage in avoiding unnecessary dissection, further destabilization, and overgrafting while maintaining native structures that can be preserved and limiting dead space. Scar tissue can be used advantageously rather than discarded. However, introducing a “preservationist mindset” in revision rhinoplasty needs a refined approach, mastery of diverse techniques, and a flexible operative strategy.

Conclusion

Preservation concepts can lead to improved outcomes even in secondary rhinoplasty.

Keywords

rhinoplasty - septoplasty - preservation - secondary - revision


Publikationsverlauf

Eingereicht: 26. Juli 2025

Angenommen: 23. August 2025

Artikel online veröffentlicht:
02. September 2025

© 2025. Thieme. All rights reserved.

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

 

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