Revision Rhinoplasty

The goal of revision rhinoplasty is to further enhance the nose's aesthetics by performing a second surgery on the nasal anatomy and structure.
Along with the skin soft tissue envelope and nasal septum, the nose is made up of 2 nasal bones, 2 upper lateral cartilages, and 2 lower lateral cartilages.
Making the necessary adjustments to the nose during a revision rhinoplasty results in a very natural-looking outcome for the patient.
Revision
Due to the presence of scar tissue and previous changes to the architecture of the nose, rhinoplasty is far more difficult than a primary rhinoplasty.
The surgeon frequently does not notice those modifications until the treatment is carried out.
Before placing this patient under general anesthesia and giving them a surgical plan, skilled rhinoplasty surgeons typically have one in place.

Patients who need to have one or both of their nasal bones that have strayed outward after a previous procedure straightened or narrowed using osteotomies may have a revision rhinoplasty.
A slight dorsal hump that some individuals still have can be reduced with a rasp.
The most frequent irregularity after a primary rhinoplasty treatment, particularly in patients with thin skin, is the inconsistencies across the bridge line, which can be made of either cartilage or bone.
Spreader grafts are put under the concave upper lateral cartilage in patients with an inverted V deformity or concave upper lateral cartilages in the middle of the nose.
For patients who have an inverted V deformity or who merely have a crooked nose, spreader grafts may need to be applied to both sides of the nose.
After a rhinoplasty treatment, the nasal tip cartilages may be asymmetric, hence cartilage grafting procedures are used either as an onlay graft or sutured onto the tip cartilages.
With suture procedures applied to the lower lateral cartilages of the nose tip, which decrease the breadth of the tip, a residually bulbous nasal tip is minimized.
The nose's tip has thick skin and a lot of scar tissue, which prevents the tip's breadth from being significantly reduced.
An alar rim graft is done on individuals who have alar rim collapse to correct the anatomy there and stop the nasal rim from collapsing during inspiration.
A hanging columella is another obvious indication that one has undergone rhinoplasty.
A columella that hangs down makes the nose appear "bottom heavy."
Incisions must be made on either side of the interior portion of the nose, and the extra cartilage and skin in that region must be removed, in order to decrease a hanging columella.
In addition, depending on where the skin and cartilage are removed, the tip of the nose can be twisted either upwards or downwards.
When broad nostrils remain after a primary rhinoplasty, an alar-plasty is done.
A wedge of skin at the base of the nostrils is removed during an alar-plasty in order to narrow them.

Depending on the plastic surgeon preference, revision rhinoplasty can be performed using either an open or closed rhinoplasty method.
In a closed rhinoplasty procedure, all incisions are made on the interior of the nose to allow access to the tip, bridge, and nasal bones for the necessary adjustments.