Revision Rhinoplasty

Abstract

Revision rhinoplasty is considered to be one of the most difficult and challenging operations in the field of facial plastic surgery. Revision rhinoplasty is a general term used to describe the correction of various deformities in a previously operated nose. The definition of revision rhinoplasty is different from secondary rhinoplasty according to some authors. To these authors, secondary rhinoplasty is a reoperation of a nose previously operated upon by a prior surgeon, while revision rhinoplasty is a reoperation by the same surgeon. Revision rhinoplasty can range from addressing minor irregularities to the correction of a completely distorted nose. The ultimate goal of revision surgery is to achieve a surgical result that is functional, balanced, and aesthetically pleasing. The preoperative interview with the patient is crucial for the setting of expectations with the patient about the results that are achievable given the limitations of the patient’s anatomy. Therefore, it is not only important to understand the structural and functional anatomy of the nose but also the psychological state of the patient for coping with the limitations of revision surgery. The present chapter is an overview of the most common deformities in the revision rhinoplasty cases, their diagnoses, and current treatment protocols.