The Revision Rhinoplasty is a more challenging surgery than Primary Rhinoplasty?

Question:
I’ve heard that revision rhinoplasty is a more challenging surgery than primary rhinoplasty, how is this so?

Answer:
Revision rhinoplasty is definitely a more challenging surgery than a primary rhinoplasty. The reason why revision rhinoplasty is so difficult is because you are reconstructing or rebuilding something that has been scarred and, in addition, the nose is usually short and constricted. The tissue has been scarred and doesn’t like to move or return to its natural state. With revision work, we have to try to lengthen and reestablish the natural cosmetic or aesthetic units of the nose. With regards to primary rhinoplasty, in many cases you’re making the nose smaller by removing cartilage. The goal here, though, is to be conservative in primary rhinoplasty since primary rhinoplasty has a higher incidence of revisions. In revision rhinoplasty surgery, you never know what you are going to find so, therefore, you have to have in your armamentarium many techniques of surgery. You also need to know how to take all types of grafts from the ear, septum or rib to rebuild the nose. It’s very difficult to find an excellent revision rhinoplasty doctor but make sure that you do your research.