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Dr. ChinskiRhinoplasty

Treatments

Secondary rhinoplasty

The problems resulting from a rhinoplasty are collectively known as a “secondary nose”, and the surgery that corrects them is called secondary or revision rhinoplasty.

Secondary rhinoplasty result

Secondary nose

There are two main problems that can occur after a primary rhinoplasty: functional problems, that is, impaired nasal breathing, and aesthetic problems.

There are well-defined patterns of secondary rhinoplasty that are known and can be studied separately.

Closed resective rhinoplasty

The largest group of cases is that of patients operated on with closed resective rhinoplasty. It consists of removing cartilage and nasal bone in order to shrink, narrow and reduce the overall size of the nose.

This type of surgery was very popular in the 1980s and 1990s in South America, especially in Argentina and Brazil. It never gained wide acceptance in Europe or the United States. Even today many doctors with extensive experience in these techniques, or their students, perform this type of surgery, so the age range for this kind of secondary rhinoplasty is very wide, covering patients between 18 and 55.

The most common defects

  • Excessive resection of the bony dorsum.
  • Feminisation of the nose in men.
  • Open roof syndrome.
  • Asymmetric osteotomies.
  • Narrowing of the middle third of the nose.
  • Irregular dorsum.
  • Asymmetric tip.
  • Nasal valve synechiae.
  • Alar insufficiency and retraction.
  • Hanging columella.
  • Asymmetric domes.
  • Over-rotation of the nasal tip.

Rhinomodelling: “non-surgical rhinoplasty”

The second most important group that often needs a secondary rhinoplasty is made up of patients who had rhinomodelling, also marketed as “non-surgical rhinoplasty”. It is based on placing non-absorbable substances in specific areas to give the appearance of a more rotated tip or to disguise a dorsal hump, by injecting substances above the nasal root.

This is the group that has grown the most in recent years.

Details on the nasal dorsum

The third group that often requires a secondary rhinoplasty is made up of patients with thin skin who have irregularities on the nasal dorsum and need treatments to even out or thicken the skin.

Complex rhinoplasties

The last group consists of patients who were candidates for a complex rhinoplasty, whose appearance improved greatly, but who after some time want to further improve the initial problems that could not be fully resolved.

Clear examples are patients with a crooked nose, columellar deviations, asymmetry in the view of the alar base and facial asymmetries in general.

See more cases in the gallery

Before and after

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