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Revision RhinoplastyAn Analysis of Aesthetic Deformities
Morey L. Parkes, MD;
Raj Kanodia, MD;
Brian K. Machida, MD
Arch Otolaryngol Head Neck Surg. 1992;118(7):695-701.
Abstract
• Revision rhinoplasty can present difficult and challenging problems, which maximally test the skill and judgment of the facial plastic surgeon. We conducted a retrospective study of 1221 consecutive rhinoplasties, of which 170 were revision procedures. The rate of revision of our own procedures is 5.3%. Postrhinoplastic deformities are divided anatomically into the upper, middle, and lower thirds of the nose. The largest category of deformities occur in the lower thirds of the nose, in which bossa are the most common problem. Overall, pollybeak is the most common deformity in 33% of the procedures performed, followed by bossa in 26%, and excessive dorsal removal in 24%. We analyzed the causes and selected management of these cases.
(Arch Otolaryngol Head Neck Surg. 1992;118:695-701)
Author Affiliations
From the Department of Otolaryngology—Head and Neck Surgery, University of Southern California School of Medicine, Los Angeles.
Footnotes
Accepted for publication October 17, 1991.
Presented at the 1990 American Academy of Facial Plastic and Reconstructive Surgery Fall Meeting, San Diego, Calif, September 8, 1990.
Reprint requests to 150 N Santa Anita Ave, Suite 735, Arcadia, CA 91006 (Dr Machida).
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