How do You Know if You Need a Second Rhinoplasty?
While most noses have some degree of asymmetry, complications from rhinoplasty can make the nose look unnatural. This sends patients back to seek a result they can live with. The main reason a secondary rhinoplasty might be needed is the faulty understanding by novice surgeons that any nose needs to be made smaller. This erroneous notion makes them weaken the supporting structures (bone, cartilage) excessively. Humps that do not exist are filed down and tip cartilages are made thinner.
Imagine the nose as a tent: a pole (tip cartilages) and a central beam (dorsum) made of cartilage and bone support its fabric (skin). If the supporting elements are weakened too much, the fabric of the tent collapses. This is what happened to some major figure in the entertainment business.
Nasal weakness is not only an esthetic problem. Breathing is also liable to suffer since with the collapse of the skin, nasal passages become narrow and airflow is impeded.
- Figure 1: Measurements and angles on life-size photographs
- Figure 2: Maneuvers sketched on diagrams
- Figure 3: Numerical, diagrammatic, and photographic planning on the wall of the operating room