Most plastic surgeons agree that rhinoplasty is one of the most challenging cosmetic procedures. That makes revision rhinoplasty, sometimes called secondary rhinoplasty, even trickier. When you opt for a re-do, it means your plastic surgeon will be working around scar tissue and dealing with cartilage and bone that may have already been modified. A secondary surgery can be quite a delicate operation.
Revision Rhinoplasty Overview Your secondary rhinoplasty may be an "open" or "closed" procedure. If minor improvement is needed, Dr. Jacobs may be able to work entirely inside the nostrils. This is a closed approach. If greater access to nasal structures is needed, Dr. Demir will utilize the open approach. This means he will make a small incision in the columella, the bridge between your nostrils underneath the nose.
Your customized surgical plan may involve removing scar tissue, smoothing cartilage and/or bone and augmenting internal structures with your own cartilage or another materia