Abstract
The most common cosmetic profile deformity in secondary rhinoplasty is irregularity of the nasal dorsum. Dorsal irregularities can be minor or major and can arise from overresection, underresection, or insufficient skeletal camouflage. In the overresected dorsum, restoration requires replacement grafting similar to treatment of a saddle-nose deformity. Conversely, the underresected dorsum merely needs removal of the overprojected segment, and in minor cases this may be accomplished with a sharp rasp or power drill (Fig. 6.1).
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Suggested Reading
Aiach G. Atlas of rhinoplasty: open and endonasal approaches, vol. 2. St. Louis: Quality Medical Publishing; 2003.
Daniel RK. Secondary rhinoplasty following open rhinoplasty. Plast Reconstr Surg. 1995;96:1539–46.
Daniel RK, Sajadian A. Secondary rhinoplasty: management of the overresected dorsum. Facial Plast Surg. 2012;28(4):417–26.
Davis RE, Bublik M. Common technical causes of the failed rhinoplasty. Facial Plast Surg. 2012;28(4):380–8.
Foda HMT. Rhinoplasty for the multiply revised nose. Am J Otolaryngol. 2005;26(1):28–34.
Foda HMT. The caudal septum replacement graft. Arch Facial Plast Surg J. 2008;10(3):152–7.
Grotting JC. Secondary rhinoplasty and nasal reconstruction. St. Louis: Quality Medical Publishing; 1996.
Gunter JP, Rohrich R. External approach for secondary rhinoplasty. Plast Reconstr Surg. 1987;80:161–74.
Kim DW, Toriumi DM. Nasal analysis for secondary rhinoplasty. Facial Plast Surg Clin North Am. 2003;11:399.
Meyer R. Secondary and functional rhinoplasty: the difficult nose. Orlando: Grune & Stratton; 1988.
Rohrich RJ, Hoxworth RE, Kurkjian TJ. The role of the columellar strut in rhinoplasty: indications and rationale. Plast Reconstr Surg. 2011;129(1):118e–25.
Sheen JH. Spreader graft method of reconstructing the roof of the middle nasal vault following rhinoplasty. Plast Reconstr Surg. 1984;73:230–9.
Sheen JH, Sheen A. Aesthetic rhinoplasty. 2nd ed. St. Louis: Mosby; 1987.
Sykes JM. Management of the middle nasal third in revision rhinoplasty. Facial Plast Surg. 2008;24:339–47.
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Gubisch, W. (2018). Secondary Correction of the Dorsum Including Polly-Beak Deformity. In: Mastering Advanced Rhinoplasty. Springer, Cham. https://doi.org/10.1007/978-3-319-67537-4_6
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DOI: https://doi.org/10.1007/978-3-319-67537-4_6
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