Rhinoplasty is performed to improve either the appearance of the nose or breathing problems. Unfortunately, sometimes the first rhinoplasty does not achieve the results a patient wanted, and a revision rhinoplasty needs to be done. This is where a skilled revision rhinoplasty surgeon like Dr. Hessler can make all the difference.
Revision rhinoplasty surgical details
Like primary rhinoplasty, revision rhinoplasty is performed using the open or closed technique — although mostly the open approach is used for revision procedures. Open rhinoplasty uses incisions made across the strip of tissue separating the nostrils (the columella). This technique allows more access to the nasal tissue and better exposure to the nasal cartilages. The closed technique involves making incisions inside the nose, which eliminates visible scarring but limits visibility during the procedure. This approach is generally used if only minor changes to the bridge of the nose are needed. Revision rhinoplasty also often involves adding cartilage grafts, which can usually be taken from inside the nose. In some cases, the ear or rib can also be used for cartilage. These grafts help long-term support of the nose.