Which part of the nose is the most difficult to repair in revision rhinoplasty?

Question

If deformities occur after swelling subsides after primary rhinoplasty, which part is the most difficult to fix in revision? The tip, dorsal unevenness and crooking, or deformities in the 1/3 of the upper part of a bridge (close to radix)?

William Portuese, MD · Answer

The nasal tip is the most difficult component of the nose to perform properly for either primary or revision rhinoplasty procedure. To repair asymmetries in the nasal tip often requires asymmetrical cartilage removal, cartilage grafting techniques, or suture techniques applied to the lower lateral cartilages of the nasal tip.

Steven Wallach, MD · Answer

I think that each individual case is so different that it is hard to say. I have seen some really badly deviated noses and some awful twisted tips. I have also seen visible out of place grafts, to name a few.

Sean Freeman, MD · Answer

Debbie Word, A twisted nose is typically the most difficult problem depending on what part of the nose is twisted. In any event, make sure you wait a year and bring your operative note with you. See an experienced specialist that does "only faces". See the video and good luck!

Which part of the nose is the most difficult to repair in revision rhinoplasty?

Answers (3)

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