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Analysis and Treatment

Frank M. Kamer, MD; Sherry Ann McQuown, MD

Arch Otolaryngol Head Neck Surg. 1988;114(3):257-266.

Abstract
• As rhinoplasty becomes an increasingly popular procedure, the aesthetic expectations of both the facial plastic surgeon and the patient become more discriminating. Thus, the number of revision rhinoplasties increases. Of 697 rhinoplasties performed by the senior author (F.M.K.) during a three-year period, 18% of those procedures were revision surgeries. The senior author was the primary surgeon in 53% of those revision cases. This article presents an analysis of 126 consecutive revision rhinoplasty cases from that period, outlining the major deformities in a clinically meaningful system. Treatment of each problem category is discussed and representative cases are shown. The senior author's own revision rate and observations are discussed and compared with those in the medical literature.

(Arch Otolaryngol Head Neck Surg 1988;114:257-266)

Author Affiliations
From the Departments of Head and Neck Surgery, UCLA School of Medicine (Dr Kamer), and Otolaryngology/Head and Neck Surgery, Oregon Health Sciences University, Portland (Dr McQuown).

Footnotes
Accepted for publication Dec 28, 1987.

Read before the American Academy of Facial Plastic and Reconstructive Surgery, Denver, May 2, 1987.

Reprint requests to 201 S Lasky Dr, Beverly Hills, CA 90212 (Dr Kamer).

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