Personalized Planning in Revision Rhinoplasty

Revision rhinoplasty is the second (or sometimes third) corrective surgery performed when the aesthetic appearance or breathing function after a previous rhinoplasty surgery is insufficient.

Revision surgeries require more detailed evaluation because of:

• Scar tissue left from the previous surgery
• Reduced or weakened cartilage support
• Changed anatomical structures

These conditions make the planning of the operation more delicate.

Why is Personalized Planning Essential in Revision Rhinoplasty?

Each revision case is different, so planning is done according to the following criteria:

Anatomical assessment:

• Nasal tip support
• Dorsal hump structure
• Septum (cartilage in the middle) condition
• Breathing passage openness

Skin thickness:

Different techniques are preferred for thick and thin skin.

Previous surgery scars:

Cartilage loss, asymmetry, or tissue changes affect planning.

Required graft (cartilage) amount:

• If the septum from the nose is insufficient
• Ear cartilage
• Rib cartilage

can be considered.

Facial proportions:

The nose shaping is planned to harmonize with the overall facial structure.

How is Revision Rhinoplasty Performed?

• Detailed examination
• Photography and 3D analysis
• Functional nasal assessment
• Determining the required cartilage amount
• Detailed reconstruction with open technique

This method:

• Provides a wider view
• Allows for more controlled cartilage adjustments
• Helps create more stable nasal contours

Frequently used cartilage sources in revision rhinoplasty:

• Septum (internal nasal cartilage): May be insufficient in revisions.
• Ear cartilage: Suitable for small adjustments.
• Rib cartilage: Preferred for cases requiring more support.

The selection for each patient is made according to anatomical and functional requirements.

Frequently Asked Questions About Personalized Planning in Revision Rhinoplasty