Revision Septorhinoplasty: An Illustrative Case Report

Abstract

Background: Rhinoplasty is one of the most popular procedures in facial plastic surgery. It is a technically demanding surgery with a long learning curve. The outcome may be very beneficial to the function of the nasal breathing as well as the patient's social life but harbors many pitfalls and sequelae from minor to devastating. This grants a high demand on the knowledge of the nose's anatomy and the implication of each conducted maneuver or grafting during the surgery both short and long term.

Methods and results: In the presented case report, we demonstrate the sequelae of a secondary rhinoplasty case, analyze the outcomes, present the revision surgery in detail, and show the follow-ups. Most negative outcomes of primary rhinoplasty may be led back to the particular techniques applied. Leading causes of revision surgery include loss of tip projection, inverted-V-deformity, axis deviation, dorsal irregularities, internal and external nasal valve collapse, damage to the soft tissue envelope, and many more.

Conclusions: We believe that through such an illustrative case discussion, we may enhance the skills and critical appraisal of young surgeons in decision-making.

Keywords: articulated alar rim grafts; caudal septal extension graft; revision septorhinoplasty; rhinoplasty; spreader graft.