Secondary Rhinoplasty

Abstract

Objectives: Natural sculpturing of the nose during secondary rhinoplasty is the common goal of every rhinoplastic surgeon. Even for the most experienced surgeons, rhinoplasty remains the most challenging of all aesthetic surgeries. The aim of this study is to assess secondary rhinoplasty surgery on patients by presenting the functional and aesthetic techniques, and evaluating the results of the surgical interventions. Methods: Between January 2000 and January 2014, 1242 secondary rhinoplasty surgeries were performed on 162 males and 1080 females with a mean age of 26 years. Open rhinoplasty surgery was performed on 1170 patients, and closed rhinoplasty surgery was performed on 252 patients. A total of 108 surgeries were performed with local anesthesia and 1134 surgeries under general anesthesia, with or without submucosal reduction of septal deviation and inferior turbinectomy. Septal, auricular, or costal cartilage graft reconstruction was also performed. The reconstructive and aesthetic techniques were performed on 9 different categories. The patients’ functional and aesthetic results were then evaluated. Results: All patients reported significant aesthetic, olfactory, and respiratory improvement: 990 excellent results, 216 good results, 36 average results, 0 mediocre results. Conclusions: Advances in rhinoplasty techniques allow satisfactory results in secondary rhinoplasty that were not possible in the past. Furthermore, the choice of a qualified surgeon is of paramount importance. Only the surgeon that has great skills, and who is experienced, careful, and artistic, will make all the difference in achieving great results in the surgical procedure.