www.donaldtlevinemd.comPhone: 1.888.778.4261 Email: info@donaldtlevinemd.com

Disclaimer:The tips in this presentation are general in nature. Please use your discretion while following them.

REASONS FORREVISION RHINOPLASTY

INNEW JERSEY

www.donaldtlevinemd.com Phone: 1.888.778.4261 Email: info@donaldtlevinemd.com

Rhinoplasty is a complicated and delicate surgery. Many times it may happen your first surgery was

not successful. So, you may want to go for a Revision Rhinoplasty. Some problems you may

encounter after you first surgery are:

The Cost of a Rhinoplasty

1. BRIDGE AND CENTRAL NOSE PROBLEMS

Polly Beak Deformity-Cartilaginous or Soft Tissue

It occurs:• When too much cartilage is left

after surgery.• When too much soft tissue is

removed on a patient’s thick skin• When surgeon fails to leave enough

support for the tip of the nose and it droops over time

The Cost of a Rhinoplasty

Profile Deformity: Persistent Bump or Scooped Out Bridge

It occurs:• When a rhinoplasty attempts to

address a bump (or bumps) in the nose.

• When the surgeon misjudges and takes out too much bone

Collapsed Central Nose: Middle Vault / Inverted "V" Deformity and Internal Valve Collapse

It occurs:• When a bump is removed from

the central nose, but inadequate support is provided.

The Cost of a Rhinoplasty

Irregular Bridge or a Poor Bridge to Tip Relationship

It occurs:• When there are irregularities in the

healing of bridge after the removal of a bump

The Cost of a Rhinoplasty

2. DEVIATED NOSE ISSUES

Deviated Nose or Persistent Deviation After Surgery

• nose with twist-either in the upper, middle, or tip of the nose.

• cause of a pre-existing deviation is crooked nasal bones.

• During the surgery, removing a bump or other issue cause bones to shift.

The Cost of a Rhinoplasty

3. TIP PROBLEMS

Pinnochio Deformity/Overprojected Tip

• when tip of the nose projects too far from the face.

• if the bridge of the nose slopes too much post-surgery.

Overly Shortened Nose/Over-Rotated Tip

It occurs:• When too much of the

supporting structure for an area of the nose is removed during a rhinoplasty.

The Cost of a Rhinoplasty

Droopy Tip/Under-Rotated or Poorly Supported Tip

It occurs:• When too much of the tip's support

structure cartilage is removed and the end of the nose collapses downward

The Cost of a Rhinoplasty

Asymmetric TipIt occurs:• due to unequal scarring during the

healing process and not reveal themselves until months or even years after the fact.

• When the two points of cartilage (like two wings) that form the nose tip are pulled so close together it appears as if the nose comes to a single point.

The Cost of a Rhinoplasty

Tip Bossae (Knuckling)It occurs:• When the cartilage turns upon

itself and the weakest points at the joints of the cartilage form very noticeable bumps or "knuckles."

Pinched TipIt occurs:• Where too much tip cartilage

was removed.

Unitip Deformity• When the two points of cartilage

(like two wings) that form the nose tip are pulled so close together it appears as if the nose comes to a single point.

Wide Tip, Bulbous Tip, and Deviated Tip

• When too much of the supporting cartilage for the tip is removed, the resulting tip can collapse and wind up looking too wide or too bulbous.

The Cost of a Rhinoplasty

4. NOSTRIL PROBLEMS

Collapsed Nostrils/External Valve Collapse

• internal nasal valve problems can occur during the removal of bumps on the bridge of the nose,

• external valve collapse happens when too much tip cartilage is removed during a rhinoplasty procedure.

The Cost of a Rhinoplasty

Hanging Columella, Retracted Nostril, or Alar Retraction

It occurs:• When too much of the nasal spine or

the bottom of the septum is removed• When too much cartilage is removed

and excessive upward scarring occurs inside the nostril sidewall after surgery

The Cost of a Rhinoplasty

5. GENERAL AESTHETIC PROBLEMS

Aesthetic Imbalance: High Radix• Radix height relates to the angle

formed between the frontal and nasal bones of the nose.

• If the radix is left too high or if too large a radix graft is put in place during surgery, the nose will have an inelegant, Romanesque quality afterward.

75 North Broadway Nyack, New York, 10960

Phone: 1.888.778.4261 Email: info@donaldtlevinemd.com

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