Revision
Rhinoplasty
Revision rhinoplasty is particularly challenging. Each case
is different and requires careful analysis of the deformity
and careful planning in order to achieve the optimum result.
Many of these cases have significant scarring and loss of cartilage
and bone framework that is essential to the function and appearance
of the nose.. A detailed knowledge of nasal anatomy is required
to identify and reposition graft or reshape what is left to
achieve a precise attractive and functioning result. Revision
rhinoplasty requires a surgeon with experience in both traumatic
and reconstructive cases who can use superior technique artistic
and aesthetic judgment to achieve the result the patient is
expecting..
Revision rhinoplasty requires
the surgeon to have a complete arsenal of different options
to achieve the best result. This may include cartilage grafting
from the septum, the ear or the ribs. It may require the use
of fascia grafts or bone grafts. It definitely requires artistic
judgment and experience in placing very fine sutures and a
knowledge of wound healing that will allow for a stable long-term
result
Challenging
noses
Patients with different ethnic
backgrounds require an individualized approach. It is important
in these cases to listen to the patient with regard to how
much change and what type of change they want from their rhinoplasty.
Some patients prefer to maintain certain ethnic characteristics
that others may not choose to maintain.
There are significant differences in skin thickness and texture
as well as bone and cartilage structure that proved challenging
in these individual cases. Dr. Hart has extensive experience
in rhinoplasty in the African American patient, the Asian,
middle eastern and Mexican-American patients. These types
of cases as well as complex revision cases are the reason
why we use computer imaging to identify the patient's expectations.
Open
versus closed rhinoplasty
Open rhinoplasty, refers to an
external skin incision beneath the nasal tip halfway to the
lip. This incision may take on a number of different shapes,
but is used to gain access to the cartilage and bone structure
by direct vision. The remainder of the incisions are inside
the nose. This approach allows the skin to be pulled back
toward the brows and the cartilage and bone work can then
be done under direct vision. The drawback to this procedure
is the small external scar across the columella.
This approach is used
in difficult secondary or revision rhinoplasty cases where
exposure is critical. It may also be suggested in cases involving
difficult tip work. The incision, normally feels extremely
well. Closed rhinoplasty refers to an approach that uses no
external incisions. This approach is used in a large number
of cases where more extensive exposure is not necessary. The
incisions are all closed with dissolving sutures and splinting
is still required.
Dr. Hart
understands the patients concerns regarding the appearance
of their nose, analyzes the problems, proposes solutions that
meet the concerns expressed by the patient and has the talent
and experience to execute that plan.
|
 |
|
 |
|
To obtain more information
about our services, or if you have any questions or comments,
please complete the form below.
|
|
 |
|
 |
|
