I’ve heard revision rhinoplasty is most often performed as an open procedure. Is this true? Is it possible to undergo a closed procedure and minimize scarring?
Revision rhinoplasties are very challenging. I have a vast experience in revision rhinoplasty surgery and the technique that’s chosen, whether it’s done with incisions inside of the nose or externally, is a decision that is made depending on the changes that are sought. The only external incision that we would be making is in the shadow of the nose. But, again, the technique used is determined by the changes sought. If I can achieve the goals of revision with the incisions entirely in the inside of the nose, which is often the case, I’ll use that approach. Otherwise, if a number of grafts are needed, we’ll often use an external rhinoplasty approach. My revision rate of those incisions is less than 1% over the last 15 years.