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Secondary Rhinoplasty: Aesthetic and Functional Concerns
Shahriar Loghmani1, Alireza Loghmani2, Fatemeh Maraki3
1Department of Plastic Surgery, Ordibehesht Surgical Center, Isfahan, Iran.
Plastic Surgery (Oakville, Ont.)
|August 28, 2019
Summary
Secondary rhinoplasty addresses persistent aesthetic and functional nasal concerns after prior surgeries. This study found nasal tip twisting to be the most frequent issue in revision rhinoplasty patients.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Facial Plastic Surgery
Background:
- Revision rhinoplasty presents significant challenges for surgeons due to complex aesthetic and functional issues.
- Multiple previous rhinoplasties can exacerbate patient dissatisfaction and complicate surgical outcomes.
Purpose of the Study:
- To evaluate the outcomes of secondary rhinoplasty procedures performed by the senior author.
- To analyze patient-reported aesthetic and functional complaints following prior rhinoplasty.
Main Methods:
- A prospective study involving 150 patients undergoing secondary rhinoplasty.
- Data collection included epidemiological information, patient complaints (aesthetic/functional), and surgeon's objective evaluation.
- Nasal deformities were categorized by region (upper, middle, tip) and type (e.g., deviation, irregularity).
Main Results:
- The study included 136 females and 14 males, with a mean age of 31.52 years.
- Most common complaints involved the nasal tip (123 cases), particularly deviation and pinching.
- Middle nasal region issues (78 cases) included mid-vault deviation and inverted V deformity; upper region concerns (69 cases) involved dorsum irregularity.
Conclusions:
- Nasal tip twisting, both unilateral and bilateral, was the most prevalent complaint in secondary rhinoplasty.
- Complaints related to the upper nasal region had the lowest incidence among the evaluated issues.
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