During revision rhinoplasty surgery, do you do anything different than you would do for a regular rhinoplasty procedure?
There is both a science and an art to revision rhinoplasty. There are certain approaches, techniques, and so forth that are important. Then, just like artists, and athletes, and virtually all professions in life, some surgeons are simply better at revision rhinoplasty than others. Skillful, experienced surgeons understand the underlying causes of the various problems occurring in revision surgery. Understanding the anatomic cause of each complication provides a guide to the correct approach to repair. Often there is more than one concern and these can relate to each other in a complex fashion. Sometimes if a problem is focused and limited, a targeted, limited approach can fix the problem. Other times, a more comprehensive reconstruction is needed. This depends on the nature and severity of the problem. The two approaches are the endonasal or “closed” rhinoplasty (all incisions hidden inside the nose) and the external or “open” rhinoplasty (all incisions EXCEPT one small incision are in
