Advertisement

Revision Rhinoplasty

  • Seda Turkoglu Babakurban
  • Fuat Buyuklu
  • Jeffrey S. Moyer
Chapter

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.

Keywords

Revision rhinoplasty Minor irregularities Correction of a completely distorted nose Expectations Limitations 

References

  1. 1.
    Gruber RP, Wall SH Jr, Kaufman DL, Kahn DM. Secondary rhinoplasty. In: Neligan PC, editor. Plastic surgery. 3rd ed. Philadelphia, PA: Elsevier; 2013.Google Scholar
  2. 2.
    Neaman KC, Boettcher AK, Do VH, et al. Cosmetic rhinoplasty: revision rates revisited. Aesthet Surg J. 2013;33(1):31–7.CrossRefGoogle Scholar
  3. 3.
    Lee M, Zwiebel S, Guyuron B. Frequency of the preoperative flaws and commonly required maneuvers to correct them: a guide to reducing the revision rhinoplasty rate. Plast Reconstr Surg. 2013;132(4):769–76.CrossRefGoogle Scholar
  4. 4.
    Cingi C, Eskiizmir G. Deviated nose attenuates the degree of patient satisfaction and quality of life in rhinoplasty: a prospective controlled study. Clin Otolaryngol. 2013;38(2):136–41.CrossRefGoogle Scholar
  5. 5.
    Walker TJ, Toriumi DM. Revision rhinoplasty. In: Flint PW, et al., editors. Cummings otolaryngology – head & neck Surgery. 6th ed. Philadelphia, PA: Elsevier; 2014.Google Scholar
  6. 6.
    Bohluli B, Bagheri SC. Revision rhinoplasty. In: Bagheri SC, et al., editors. Current therapy in oral and maxillofacial surgery. 1st ed. St Louis, MO: Elsevier; 2012.Google Scholar
  7. 7.
    Loyo M, Wang TD. Revision rhinoplasty. Clin Plast Surg. 2016;43(1):177–85.CrossRefGoogle Scholar
  8. 8.
    Daniel RK, Brenner KA. Secondary rhinoplasty. In: Aston SJ, et al., editors. Aesthetic plastic surgery. 1st ed. Philadelphia, PA: Elsevier; 2009.Google Scholar
  9. 9.
    Chauhan N, Alexander AJ, Sepehr A, et al. Patient complaints with primary versus revision rhinoplasty: analysis and practice implications. Aesthet Surg J. 2011;31(7):775–80.CrossRefGoogle Scholar
  10. 10.
    Guyuron B. Secondary rhinoplasty. In: Guyuron B, editor. Rhinoplasty. 1st ed. Edinburgh: Elsevier; 2012.Google Scholar
  11. 11.
    Guyuron B, Stepnick D. Secondary rhinoplasty. In: Guyuron B, editor. Plastic surgery: indications and practice. 1st ed. Edinburgh: Elsevier; 2009.Google Scholar
  12. 12.
    Gubisch W. Extracorporeal septoplasty for the markedly deviated septum. Arch Facial Plast Surg. 2005;7(4):218–26.CrossRefGoogle Scholar
  13. 13.
    Kim DW, Ali MJ. Complications of rhinoplasty. In: Eisele DW, editor. Complications in head and neck surgery. 2nd ed. Philadelphia, PA: Elsevier; 2009.Google Scholar
  14. 14.
    Most SP, Murakami CS. A modern approach to nasal osteotomies. Facial Plast Surg Clin North Am. 2005;13(1):85–92.CrossRefGoogle Scholar
  15. 15.
    Fernandes SV. Complications of rhinoplasty medscape, 2016. http://emedicine.medscape.com/article/843439-overview#showall. Accessed 12 Apr 2016.
  16. 16.
    Kridel RW, Ashoori F, Liu ES, et al. Long-term use and follow-up of irradiated homologous costal cartilage grafts in the nose. Arch Facial Plast Surg. 2009;11(6):378–94.CrossRefGoogle Scholar
  17. 17.
    Loyo M, Ishii LE. Safety of alloplastic materials in rhinoplasty. JAMA Facial Plast Surg. 2013;15(3):162–3.CrossRefGoogle Scholar
  18. 18.
    Winkler AA, Soler ZM, Leong PL, et al. Complications associated with alloplastic implants in rhinoplasty. Arch Facial Plast Surg. 2012;14(6):437–41.CrossRefGoogle Scholar
  19. 19.
    Gryskiewicz JM, Hatef DA, Bullocks JM, et al. Problems in rhinoplasty. Clin Plast Surg. 2010;37:389.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Seda Turkoglu Babakurban
    • 1
  • Fuat Buyuklu
    • 1
  • Jeffrey S. Moyer
    • 2
  1. 1.Department of OtorhinolaryngologyBaskent University Faculty of MedicineAnkaraTurkey
  2. 2.Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck SurgeryUniversity of MichiganAnn ArborUSA

Personalised recommendations