Can preservation rhinoplasty technique be utilized in patients who had a traditional closed rhinoplasty in the past? (Photo)

Question

I had a prior reductive rhino and formed callouses on my bridge. They have reduced over time and aren’t too noticeable. But I want a revision because the bridge is still too high. I’m hesitant to get another reductive because of how prone I am to callous formation. This is why I am interested in a preservation rhino as a revision. Is it possible?

Gianfranco Frojo, MD · Answer

I personally do not think a preservation rhinoplasty is possible in revisionary cases when a structural rhinoplasty was performed at the initial surgery. I would find a plastic surgeon certified by the American Board of Plastic Surgery. I always tell prospective patients to look at the plastic surgeon's training (ideally a 6 year integrated plastic surgery residency and a 1 year aesthetic fellowship accredited by The Aesthetic Society). In addition, examine before/after photos on social media platforms. I would also look at Google or RealSelf reviews. This will help you get a comprehensive understanding of your provider.

Steven M. Denenberg, MD · Answer

Revision rhinoplasty is an incredibly difficult operation to get right. There are few rhinoplasty surgeons who can do it well. If you have a revision, select the surgeon based on the quality of his results, not the techniques he uses, or the tools he uses, or whether he works at your favorite hospital. Who knows why you formed callouses on the bridge? I do not perform preservation rhinoplasty and I've not seen the problem in almost 40 years of work. Direct your attention to getting the best result possible rather than managing what happens during surgery. Hope that helps get you to a good place!

William Portuese, MD · Answer

The most conservative procedure to do is another closed revision rhinoplasty to shave down the hump and possibly perform osteotomy's. A Full set of facial photographs from all angles are required, since the nose is three-dimensional, and revision rhinoplasty is the most difficult procedure to perform correctly in the entire field of cosmetic surgery

Can preservation rhinoplasty technique be utilized in patients who had a traditional closed rhinoplasty in the past? (Photo)

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