We Performed Limited Tertiary Revision Rhinoplasty

3rd Revision Nose Job

The patient seen in the image above had previously undergone rhinoplasty twice and applied to our clinic to eliminate the asymmetry that occurred afterwards. It is seen that the patient has an asymmetric swelling on the left in the supratip area. Although there is no serious asymmetry in the nasal bone, the C nose reflection appears when viewed from the front due to the asymmetry in the supratip region. The asymmetric soft tissue and cartilage grafts in the last supratip area were shaved using an open technique. The operation was concluded by placing limited rim graft on the patient's right nasal wings.

We planned a simple revision rhinoplasty operation for the patient, who had undergone two nasal aesthetic operations before, in order to have a limited amount of surgical trauma. The patient's problems with the nose detected before the operation:

- anterior view of the supratip region when viewed from the side

- crooked light reflection on the nose axis when viewed from the front

- a raised and asymmetrical appearance on the left side of the supratip when viewed from below

- an asymmetrical notch in the lower part of the right nasal wing when viewed from the front

We planned the tertiary revision rhinoplasty with the open technique to the patient. Asymmetric cartilage tissue, which is more prominent on the left side, was resected, partial removal was performed from the left alar cartilage outer leg. Right marginal rim graft and cup graft were placed.

At the request of the patient, care was taken not to change the nasal tip angle. The nasal bone was not broken and the upper nasal skin was not dissected. In order to speed up the healing, no operation was performed on the mucous membrane inside the nose. No intranasal packing was placed on the patient and only a simple bandage was applied to the outside. In this way, simple revision rhinoplasty operations that result in limited surgical trauma can be completed with very little discomfort to the patient.

The link group you can browse to read the articles I have prepared about tertiary revision rhinoplasty on this website >> https://www.ent-istanbul.com/search?q=tertiary+revision+rhinoplasty

Source links >> Tertiary Revision of a Failed Nasal Reconstruction : Dermatologic Surgery (lww.com) / Use of Bone-Cartilaginous Unit in Revision Rhinoplasty | Aesthetic Surgery Journal | Oxford Academic (oup.com)

Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon

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