NOSE PROCEDURE | REVISION RHINOPLASTY
SECONDARY | RECONSTRUCTIVE | RHINOPLASTY | NASAL REVISION
The term SECONDARY NASAL DEFORMITIES refers to those nasal deformities that have resulted from previous surgical or nonsurgical procedures. The whole concept of rhinoplasty and our understanding of nasal aesthetics have changed drastically over the past 25 years. Therefore what used to be considered a pretty nose 30 years ago may not be acceptable by today’s improved standards. For example a very popular nose that was in demand 30 years ago was the “Beverly Hills Nose”, a small, skeletonized, upturned nose that was also quite fake, phony, artificial, and obviously surgical. The example below demonstrates these points very well:
The picture above is a 59 year-old lady who underwent a rhinoplasty 35 years prior to referring to us with the deformity seen on the left. As can be seen she has had excessive removal of the cartilages supporting the nostrils, and excessive removal of the “nasal hump” resulting in a scooped out (saddle nose deformity) and pinched tip appearance. The pinched tip is a fairly common complication of rhinoplasties done in the past and it is a “tell-tale” sign of a fake “done” nose. The photo on the right shows the nose after we corrected these deformities by revision rhinoplasty or reconstructive secondary rhinoplasty techniques.
Here is another example:
The above picture is a 21 year-old lady who had a rhinoplasty 2 years prior to referring to us. In this case, as can be seen on the left, the “hump was excessive reduced while the tip was left excessively bulky and out of proportion. Again by application of appropriate revision rhinoplasty techniques a more natural and aesthetically pleasing result was achieved.
Often times secondary deformities are a result of inappropriate surgical planning and execution by underqualified individuals, as can be seen from the example below:
The picture above is of a 29 year-old lady who had undergone two rhinoplasty procedures in the past and the result was a very deformed and unaesthetic nose as can be seen on the left. The photo on the right shows her after a very difficult and tedious secondary rhinoplasty procedure which we carried out.
There are many different varieties of secondary nasal deformities and in each case appropriate assessment, planning, and execution is necessary for achieving the uptimal result. Here is another example of such secondary deformities:
This is a 39 year-old lady who underwent rhinoplasty ten years prior and the result was what can be seen on the left side. This asymmetry and retraction of the left nostril had resulted from inappropriate cartilage resection. Again, reconstructive rhinoplasty techniques were used to improve her condition resulting in the post-operative view on the right side.
These are just a few examples of secondary nasal deformities which often times are extremely complex and challenging. One problem that an experienced plastic surgeon has to overcome in dealing with such problems is the fact that in most cases no records of report of operation from previous surgery is available and it is only with proper assessment, experience, and planning that the plastic surgeon can create such impressive results as can be seen in the above examples.