How is Revision Rhinoplasty Performed?

by Dr. Ramtin Kassir, M.D., F.A.C.S. | July 21, 2016, 2:10 p.m.

Revisionm rhinoplasty has many different levels and requires specific techniques, as does primary rhinoplasty.

Revision rhinoplasty can be complex as it is sometimes necessary to partially reconstruct one's nose.  When it scomes to nasal reconstruction, Dr. Kassir uses your own body's cartilage and bone for restructuring the nose instead of synthetic implants like Gore-tex , Medpor, or silicone.

To restructure the nose in revision rhinoplasty surgery, Dr. Kassir prefers to use your body's natural cartilage instead of implants (such as silicone, Gore-Tex or Medpore) as foreign substances have a tendency to become infected or are pushed out of the nose (extruded). This can happen as early as the first few months after surgery, other times implants become infected years following surgery.

Structural cartilage grafts are often required due to collapse of the nasal tip and twisting of the nose from overly aggressive or poorly executed rhinoplasty surgery. Revision rhinoplasty is often performed with cartilage from the nasal septum. When it is not available due to prior surgery, cartilage from the ears or ribs can be used for t to re-structure even the most severe cases like a completely collapsed nose called a "saddle nose.