Revision rhinoplasty

Revisionary rhinoplasty is discussed in terms of conceptual organization. Its scope is greater than primary rhinoplasty in that it contains elements of augmentation and reconstruction not seen in the usual primary rhinoplasty. A better general understanding of the relationship of the structural elements to the appearance and the structural elements to the lining is required. Defects encountered in revisionary rhinoplasty reflect the contribution of the three nasal elements, which are the cover, lining, and support. Success depends on accurate evaluation of the distortion produced by each element and their correction. Correction implies maintenance of correct position.