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Revision Rhinoplasty

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Revision Rhinoplasty Tip Rebuilding

This is a great case example of how revision rhinoplasty can help correct functional problems following previous, unsuccessful rhinoplasty surgery. This patient was referred to my office by a past rhinoplasty patient of mine. He had undergone nose surgery that was performed by a plastic surgeon in the Orange County area. Unfortunately, in the process of reshaping his nasal tip, something was done to the cartilage support resulting in collapse of his right side. Cosmetically, this created... Continue Reading
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Asymmetric Tip Collapse

This is a case example of a patient who desired to have her nose reshaped following two prior unsuccessful attempts performed by a different plastic surgeon. Her surgeries were performed over 10 years prior. Since then, her nose developed asymmetric collapse of the tip region - with more collapse seen on her right side. This was bothering her enough that she wanted to have the tip reshaped to be more symmetrical. In addition, she desired... Continue Reading
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Asian Revision Rhinoplasty

Revision Asian rhinoplasty is truly one of the most challenging types of cosmetic nose surgery to perform correctly and should only be attempted by plastic surgeons with dedicated rhinoplasty experience. Primary Asian cosmetic rhinoplasty is a challenge in and of itself. When a rhinoplasty surgeon is faced with revising an Asian nose that has already been operated on by someone else, the complexities of the surgery increase considerably. This is largely because the native cartilage... Continue Reading
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Composite Ear Grafts to the Nose

Composite ear grafts are used in rhinoplasty and revision rhinoplasty surgery primarily to adjust and reshape the nostril rim. More specifically, composite grafts are employed in cases where the nostril rim is excessively arched. For example, the adjacent photo shows an actual patient who presented to my office for revision rhinoplasty following prior cosmetic nose surgery performed by another plastic surgeon. As you can see, the inside of her nose is quite visible from this... Continue Reading
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Calvarial Bone Graft Revision

This is a great case example of revision rhinoplasty that highlights one of the problems with use of calvarial bone grafts in nose reshaping surgery. This particular patient had undergone a rhinoplasty procedure performed by a different plastic surgeon when she was quite young. She had originally developed a problem with her nose following a traumatic injury. She consulted with a plastic surgeon many years ago outside of California who performed a surgery on her... Continue Reading
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Pollybeak Deformity

A pollybeak deformity refers to an excess prominence, or contour, in the region of the nose immediately above the tip of the nose. A pollybeak is typically classified as being a result of either cartilage or scar. Therefore, you will often see the terms cartilaginous pollybeak and soft tissue (scar) pollybeak used, respectively, when discussing this rhinoplasty topic. In most cases, a pollybeak deformity results from prior rhinoplasty surgery. It is much less common to... Continue Reading

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