Is a rhinoplasty performed after a paranasal implant procedure considered as a primary or secondary surgery?

Question

Hi! Ideally, after paranasal augmentation, the nose becomes wider, more upturned and a bit more projected. If one were to have a rhinoplasty after healing completely from paranasal augmentation, would it be considered primary or secondary? Asking because the nose is not directly operated, but changes due to the paranasal augmentation, so I'm unsure about if it would be a primary or secondary rhinoplasty.

Eric M. Joseph, MD · Answer

If somebody has silicone implants placed on the bone next to the nose, this could theoretically affect the feasibility of having osteotomies performed. For a more specific answer, please consider re-asking your question with photographs. I hope this helps. Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. It sounds like you were describing piriform implants. I would not recommend doing that before a rhinoplasty. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Is a rhinoplasty performed after a paranasal implant procedure considered as a primary or secondary surgery?

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