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BOARD CERTIFIED BY THE AMERICAN BOARD OF FACIAL PLASTIC AND RECONSTRUCTIVE SURGERY
BOARD CERTIFIED BY THE AMERICAN BOARD OF OTOLARYNGOLOGY - HEAD AND NECK SURGERY
FELLOW OF THE AMERICAN COLLEGE OF SURGEONS
Beverly Hills Rhinoplasty Revision
Rhinoplasty is one of the most complex procedures in all of cosmetic surgery and that is mainly due to the most delicate nature of the nasal anatomy. Every maneuver made in rhinoplasty will not only have an affect on that particular area but will also lead to changes to other areas of the nose. Therefore, the rhinoplasty surgeon must be an expert in nasal function and anatomy and have a complex knowledge of the intricate relationship that all of the nasal components have with one another. Revision rhinoplasty is even more complex then primary rhinoplasty.
Revision rhinoplasty is becoming more and more common based on outstanding results that we are able to deliver due in large part to our advanced knowledge of nasal anatomy and the development of sophisticated techniques designed to reconstruct the nose to improve not only the patients appearance but their ability to breathe. As a general rule of thumb, the emphasis in revision rhinoplasty is to improve the strength of the nose to create a strong framework that can withstand the normal forces that occur during healing. This will give the best chance at creating a nose that will not change, twist, or collapse in time as was a common problem with older techniques. We most often use the patients own cartilage to provide support to the nose that has previously been weakened by surgery.
Cartilage grafts act as support beams to provide support and rebuild areas of weakness that lead to a poor distorted appearance and/or a decreased ability to breathe. Most often we use cartilage from the patients septum based on the ease of use and the appropriate strength of the cartilage. When that is not available we may use the patients ear cartilage which is not ideal for many uses in the nose because of the inherent curvature of the ear cartilage. The patients rib cartilage may also be used but this too is not ideal based on the need to operate on the chest. Medpore is a synthetic material that has been used in facial reconstruction for many years. This material now allows us to reconstruct a nose without the need to harvest cartilage from the ear or rib, thereby decreasing surgical time and decreasing the morbidity of the procedure. Medpore integrates with the surrounding tissue and has no potential for rejection. This is a very strong and light weight material that provides excellent support to the nose in those areas that require support.
Using ear or rib cartilage is well tolerated by patients but anytime we can avoid creating extra incisions on the body and performing extra dissections on the body, the patient benefits. Therefore, medpore provides an excellent grafting material for revision rhinoplasty when septal cartilage is unavailable and it will certainly become more main stream in the future as more and more literature is published.
Dr. Diamond performs deep plane surgery, the most advanced facelift technique available...
Revision rhinoplasty is a specialty that requires an extremely advanced knowledge of nasal function and anatomy...
