Pursuing perfection in rhinoplasty: revision rhinoplasty

While the majority of rhinoplasty patients are pleased with the outcome, a small percentage remains unsatisfied and has to undergo a revision rhinoplasty.

The issue was discussed at the annual meeting of the American Society for Aesthetic Plastic Surgery in Washington DC, in 2010. The meeting was held at the Gaylord National Hotel.

The topic was “Secondary nasal malformations – Diagnosis and therapeutic approach”. The panel was coordinated by Ronald Gruber and the speakers were Nazim Cerkes, Mark Constantian, Jack Gunterand and Rod Rohrich.

At the panel, alternative surgical techniques on special cases were discussed, such as nasal tip malformations, nasal base, distortions of the nostrils, and short and/or crooked nose.

“It is very important that we address these problems here; routine issues for the average plastic surgeon”, says Dr Gruber, plastic surgeon from Oakland, CA., and adds: “It is also important that we know what helps the most in addressing with nasal deformities, stitches or grafts, in order o obtain the best nasal tip shape or to correct a short nose”.

One has a lot to gain with experience, yet we all may deliver some non ideal results to some extent”, says Rod Rohrich, plastic surgeon from Dallas, TX, and adds: “The important thing is that the way we deal with it”..

“None of us is perfect in rhinoplasty, but any unwanted results are under our control”, says Mark Constantian, plastic surgeon from New Hamsphire, and adds “A plastic surgeon should deliver the right diagnosis, and understand the anatomy and supporting parts of the nose, along with its function. In this way, he will opt for the applicable plane, which should be in accordance with the patient’s wish, and execute the procedure properly”.

In 2009, 138,258 rhinoplasties were performed in the USA according to the American Society for Aesthetic Plastic Surgery.


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