Patients that have been already operated on for nose correction but suffered from unsatisfactory result are candidates for revision rhinoplasty. Secondary surgery has to address both functional and cosmetic problems.
Pinch deformity, parrot peak and ski slop deformity, are frequently encountered. Liberal use of autogenous cartilage grafts allow the rhinoplasty surgeon to improve the shape and function of the nose. The patient has to keep in mind that secondary rhinoplasty is generally more difficult than the primary one. Scar tissue from the first operation, damaged or discarded cartilaginous tissue support and ill defined anatomical plane are just a few reasons. Without locally available tissue for reconstruction the secondary surgeon will face increased difficulties and the need for cartilage graft will be mandatory.
The cartilage grafts are usually taken from the septum or from the ear concha and less frequently from the rib. In case of invasive tumors of the nose or trauma with tissue loss( eg. dog bite) major reconstruction is need. Regional ( nasolabial, paramedian forehead ) or distant flaps including free flaps ( free radial forearm flap) may well need. Careful planning and meticulous surgery is of out most importance. Dr. Spyriounis has the required skill and expertise to perform such complex reconstructions, so the best possible result will be succeeded.