Primary
rhinoplasty refers to first-time rhinoplasty
whether it is performed for aesthetic,
functional, or reconstructive purposes.
Revision
rhinoplasty, also known as secondary
rhinoplasty, is a nose operation performed
to correct or revise an unsatisfactory
outcome from a previous rhinoplasty. There
are two main reasons for performing secondary
rhinoplasty.
Patients often seek secondary rhinoplasty
to correct a cosmetic deformity of the
nose. A patient may be unsatisfied with
all or part of a previous "nose reshaping.”.
A nasal fracture may not have been reduced
enough, or too much.
A prominent or bulbous nasal tip may have
not been addressed appropriately, or over-aggressively.
The nose may looked pinched, it may look
like a parrot’s beak, or like a boxer’s
nose. There are many ways in which previous
nose surgery may have left a nose aesthetically
unappealing to a patient. The second reason
is functional. The original nasal surgery
may have been carried out to help with
difficulties in breathing, and the outcome
may have been unsatisfactory. Alternatively,
the original surgery may have been performed
for cosmetic reasons, but may have disrupted
a normal physiologic mechanism involving
the inspiration or expiration of air,
making it difficult to breathe.
Secondary rhinoplasty is a procedure often
said to be extremely complicated. Because
the nasal framework has often been destroyed
or deformed from previous surgery, revision
rhinoplasty experts frequently must reconstruct
the support structures of the nose using
cartilage grafts from either the ear (auricular
cartilage graft) or from rib cartilage
(costal cartilage graft). Most revision
rhinoplasty specialists perform secondary
rhinoplasty via the open approach. This
allows the surgeon to directly visualize
the deformity.
Advances in rhinoplasty techniques, such
as stabilization of rib cartilage grafts
and utilization of the open approach,
now allow satisfactory results in secondary
rhinoplasty that were not possible in
the past. Secondary/Revision Rhinoplasty
in OC Cosmetic Clinique
Dr. Tavoussi recently presented his novel technique in rhinoplasty in the prestigious Rhinoplasty Society meeting in Washington, D.C.
Dr. Tavoussi has for many years invented a technique to address wide nasal
base which is seen in a number patients
from various ethnic backgrounds. This
technique allows the nostrils to be repositioned
in such a way to make the nose look its
ideal shape without any visible scarring
that is seen with other techniques, in
the past.
This special technique creates a wound
that heals naturally without a scar. This scarless
rhinoplasty is unique yet very
simple. Simple, since it uses one's natural
healing process to heal wounds without
scars. This technique can also be used
in secondary rhinoplasty, also known as revision
rhinoplasty, where visible
scars can be corrected and converted into
an invisible ones.
