Download PDF
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)

    Permissions and Reprints

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.

KEYWORD

Revision rhinoplasty - grafting - nasal valve

REFERENCES

  • 1 Papel I D, Jianetto D F. Advances in computer imaging/applications in facial plastic surgery.  Course Compendium: Rhinoplasty 2001. Chicago, IL: June 25-July 1 2001
    Google Scholar
  • 2 Goin J M, Goin M K. Changing The Body: Psychological Effects of Plastic Surgery.  Baltimore, MD: Williams & Wilkins 1981
    Google Scholar
  • 3 Kridel R WH, Yee S. Psychological, financial, and legal considerations in secondary rhinoplasty.  Fac Plast Surg Clin North Am . 1995;  3 347-351
    PubMedGoogle Scholar
  • 4 Kamer F N, McQuown S A. Revision rhinoplasty.  Arch Otolaryngol Head Neck Surg . 1988;  114 257
    PubMedGoogle Scholar
  • 5 Adamson P A. The over-resected nasal dorsum.  Fac Plast Surg Clin North Am . 1995;  3 407-419
    PubMedGoogle Scholar
  • 6 Johnson C M, Toriumi D M. Open Structure Rhinoplasty.  Philadelphia, PA: WB Saunders 1991
    Google Scholar
  • 7 Toriumi D M, Johnson C M. Revision rhinoplasty. In: Krause CJ, ed. Aesthetic Facial Surgery Philadelphia, PA: JB Lippincott 1991: 411-456
    Google Scholar
  • 8 Adamson P A. The failed rhinoplasty. In: Current Therapy in Otolaryngology-Head & Neck Surgery Toronto, ON: BC Decker 1990: 137-144
    Google Scholar
  • 9 Perkins S W, Tardy M E. External columellar incisional approach to revision of the lower third of the nose.  Fac Plast Surg Clin North Am . 1993;  1 79-98
    PubMedGoogle Scholar
  • 10 Toriumi D M. Management of the middle nasal vault.  Oper Tech Plast Reconstr Surg . 1995;  2 116-130
    PubMedGoogle Scholar
  • 11 Constantian M B. Four common anatomic variants that predispose to unfavorable rhinoplasty results: a study based on 150 consecutive secondary rhinoplasties.  Plast Reconstr Surg . 2000;  105 316-330
    CrossrefPubMedGoogle Scholar
  • 12 Murakami C S, Younger R AL. Managing the postrhinoplasty or post-traumatic crooked nose.  Fac Plast Surg Clin North Am . 1995;  3 515-537
    PubMedGoogle Scholar
  • 13 Quatela V C, Wayne I. Challenges of secondary rhinoplasty.  Fac Plast Surg Clin North Am . 2000;  8 515-537
    PubMedGoogle Scholar
  • 14 Toriumi D M, Josen J, Weinberger M, Tardy Jr E M. Use of alar batten grafts for correction of nasal valve collapse.  Arch Otolaryngol Head Neck Surg . 1997;  123 802-808
    CrossrefPubMedGoogle Scholar
  • 15 Sheen J H. Spreader graft: a method of reconstruction of the roof of the middle nasal vault following rhinoplasty.  Plast Reconstr Surg . 1984;  73 230-237
    CrossrefPubMedGoogle Scholar
  • 16 Gunter J P. Lateral crural strut graft: technique and clinical applications in rhinoplasty.  Plast Reconstr Surg . 1997;  99 943-952
    CrossrefPubMedGoogle Scholar
  • 17 Byrd H S, Andochick S, Copit S, Walton G. Septal extension grafts: a method of controlling tip projection shape.  Plast Reconstr Surg . 1997;  100 999-1010
    CrossrefPubMedGoogle Scholar
  • 18 Lee D, Joseph E M, Pontell J, Turk J B. Long-term results of dermal grafting for repair of nasal septal perforations.  Otolaryngol Head Neck Surg . 1999;  120 483-486
    CrossrefPubMedGoogle Scholar
  • 19 Kriedel R W, Foda H, Lunde K C. Septal perforation repair with acellular human dermal allograft.  Arch Otoloaryngol Head Neck Surg . 1998;  124 73-78
    PubMedGoogle Scholar
  • 20 Kasperbauer J L, Kern E B. Nasal valve physiology: implications in nasal surgery.  Otolaryngol Clin North Am . 1987;  20 699-719
    PubMedGoogle Scholar
  • 21 Dolan R W. Nasal valve and nasal alar dysfunction.  Fac Plast Clin North Am . 2000;  8 447-463
    PubMedGoogle Scholar
  • 22 Adamson P A, Smith O, Cole P. The effect of cosmetic rhinoplasty on nasal patency.  Laryngoscope . 1990;  100 358-359
    PubMedGoogle Scholar
  • 23 Bernstein L B. Airway problems after rhinoplasty.  Fac Plast Clin North Am . 1995;  3 449-457
    PubMedGoogle Scholar
  • 24 Adamson P A, McGraw-Wall B L, Strecker H D, Gillman G. Analysis of nasal air flow following repair of vestibular stenosis.  J Otolaryngol . 1998;  27 200-205
    PubMedGoogle Scholar
  • 25 Anderson J R. Surgery of the nasal base.  Arch Otolaryngol . 1984;  110 349
    PubMedGoogle Scholar
  • 26 Anderson J R, Johnson C MJ, Adamson P A. Open rhinoplasty: an assessment.  Otolaryngol Head Neck Surg . 1982;  90 272
    CrossrefPubMedGoogle Scholar
  • 27 Tardy Jr E M, Cheng E V, Jernstrom V. Misadventures in nasal tip surgery.  Otolaryngol Clin North Am . 1987;  20 797-823
    PubMedGoogle Scholar
  • 28 Adamson P A, Smith O, Tropper G J, McGraw B L. Analysis of alar base narrowing.  Am J Cosmet Surg . 1990;  7 239-243
    PubMedGoogle Scholar
  • 29 Kridel R WH, Konior R J. Controlled nasal tip rotation via the lateral crural overlay technique.  Arch Otolaryngol Head Neck Surg . 1991;  117 411-415
    CrossrefPubMedGoogle Scholar
  • 30 Gillman G S, Simons R L, Lee D J. Nasal tip bossae in rhinoplasty: etiology, predisposing factors, management techniques.  Arch Fac Plast Surg . 1999;  1 83-89
    CrossrefPubMedGoogle Scholar
  • 31 Constantinides M, Adamson P AA. Vertical lobule division in open septorhinoplasty.  Face . 1997;  5 63-72
    PubMedGoogle Scholar
  • 32 Adamson P AA, Tropper G J, McGraw B L. The hanging columella.  J Otolaryngol . 1990;  19 319-323
    PubMedGoogle Scholar
  • 33 Adamson P AA. Anatomic considerations in management of the hanging columella.  Arch Facial Plast Surg . 2000;  2 178-179
    CrossrefPubMedGoogle Scholar
  • 34 Gunter J P, Rohrich R J, Friedman R M. Classification and correction of alar-columellar discrepancies in rhinoplasty.  Plast Reconstr Surg . 1996;  97 643-648
    CrossrefPubMedGoogle Scholar
  • 35 Kridel R WH, Scott B A, Foda H MT. The tongue-in-groove technique in septorhinoplasty. A 10-year experience.  Arch Fac Plast Surg . 1999;  1 246-256
    CrossrefPubMedGoogle Scholar
  • 36 Adamson P AA. Nasal tip surgery in open rhinoplasty.  Fac Plast Surg Clin North Am . 1993;  1 39-52
    PubMedGoogle Scholar
  • 37 Tardy M E, Toriumi D M. Alar retraction: composite graft correction.  Fac Plast Surg . 1989;  6 101
    Article in Thieme ConnectPubMedGoogle Scholar
  • 38 Toriumi D M, Hecht D A. Skeletal modifications in rhinoplasty.  Fac Plast Surg Clin North Am . 2000;  8 413-431
    PubMedGoogle Scholar
      >