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Semin Plast Surg 2021; 35(02): 078-087
DOI: 10.1055/s-0041-1727271
Review Article

Revision Rhinoplasty: With Introduction of a Novel Preoperative Assessment Classification System

Austin Jiang
1   Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
,
Edward S. Chamata
1   Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
,
Fred J. Bressler
2   Division of Facial Plastic Surgery, Department of Otolaryngology-Head and Neck Surgery, Houston Methodist Hospital, Houston, Texas
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Abstract

Revision rhinoplasty presents several complex surgical challenges. Proper patient selection for revision rhinoplasty, along with thorough preoperative examination and surgical planning, is key to achieving ideal outcomes. Along with achieving a high level of understanding of primary rhinoplasty techniques, surgeons performing revision rhinoplasty must understand and diagnose deformities created by the primary surgery. A systematic approach to diagnosing rhinoplasty deformities assists in forming a suitable surgical plan. A classification system based on nasal analysis, described here, may be used to differentiate the degree of difficulty of the surgery as well as assist in surgical planning. Surgeons have a multitude of options available in their armamentarium for addressing common nasal deformities encountered during revisional surgery, and a stepwise surgical approach may facilitate the creation of an optimal aesthetic and functional result.

Keywords

revision rhinoplasty - rhinoplasty - secondary rhinoplasty - nasal analysis


Publication History

Article published online:
08 June 2021

© 2021. Thieme. All rights reserved.

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