Revision rhinoplasty is widely considered the most complex procedure to perform in the plastic surgery world and careful listening and planning and setting realistic expectations are essential to have a successful outcome and a happy patient. When presented with a patient my approach will depend on what occurred during the first rhinoplasty. Often times I will require the patient to send me the original operative report for me to review. This will allow to me to carefully plan weather I need to use septal cartilage or ear cartilage or rib cartilage or no cartilage to do the revision rhinoplasty. In the case that a patient can not acquire their operative report then I must rely on an extensive examination of the nose to try to determine what most likely took place previously and what will be required to fix the problems that the patient has been left with.
Revision rhinoplasty requires experience, talent and skill to perform well and it can be one of the most rewarding procedures for both patient and surgeon when done correctly.