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Updated: May 9, 2026

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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Surgical correction of "rhinoplastic look"
1Casa di Cura Nostra Signora della Mercede, Roma, Italy. dr.sebastianosciuto@alice.it
Summary
Correcting unnatural noses from plastic surgery involves specialized techniques. Reconstruction focuses on natural dorsal profiles and tip refinement, with extension grafts for obtuse nasolabial angles.
Area of Science:
- Rhinoplasty and reconstructive surgery
Background:
- Unnatural nasal appearance, characterized by an upturned tip and concave dorsal profile, is a common concern following plastic surgery.
- Evolving social standards necessitate revisions for noses with evident surgical alterations.
Observation:
- Revision rhinoplasty aims to restore a natural aesthetic, moving away from the 'operated-on' look.
- Camouflage grafts (autologous cartilage or ePTFE) can improve the dorsal profile.
- Autologous grafts are the primary method for nasal tip reconstruction.
Findings:
- The extension graft technique is specifically employed for correcting an obtuse nasolabial angle.
- Preoperative planning, including computer simulation and patient consensus, is crucial for successful outcomes.
Implications:
- Advances in reconstructive techniques allow for the correction of iatrogenic nasal deformities.
- Achieving a natural result in revision rhinoplasty requires meticulous surgical planning and execution.

