{"id":1641,"date":"2023-01-22T18:55:50","date_gmt":"2023-01-22T15:55:50","guid":{"rendered":"https:\/\/drparvizaslanov.com\/en\/?page_id=1641"},"modified":"2023-09-27T17:36:26","modified_gmt":"2023-09-27T14:36:26","slug":"modern-view-on-revision-rhinoplasty","status":"publish","type":"page","link":"https:\/\/drparvizaslanov.com\/en\/modern-view-on-revision-rhinoplasty","title":{"rendered":"Modern View On Revision Rhinoplasty"},"content":{"rendered":"<div id='av-layout-grid-1'  class='av-layout-grid-container av-1c8375-d819e7cdfeced3cc90c10484db209eee entry-content-wrapper main_color av-flex-cells  avia-builder-el-0  el_before_av_section  avia-builder-el-first   container_wrap sidebar_right'  >\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-d6rb09-2da4a1be1322bcef931ec625d48fa403\">\n.flex_cell.av-d6rb09-2da4a1be1322bcef931ec625d48fa403{\nvertical-align:middle;\nheight:500px;\nmin-height:500px;\npadding:80px 80px 80px 80px;\nbackground:url(https:\/\/drparvizaslanov.com\/en\/wp-content\/uploads\/2023\/01\/revizyon-rinoplasti-modern-inceleme-845x671.jpg) 0% 0% no-repeat scroll #22689e;\n}\n<\/style>\n<div class='flex_cell av_one_half av-d6rb09-2da4a1be1322bcef931ec625d48fa403 no_margin  avia-builder-el-1  el_before_av_cell_one_half  avia-builder-el-first  avia-full-stretch' ><div class='flex_cell_inner'><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-cljbx5-eb4dd344a002d6f10677329cb4aa75fd\">\n.flex_cell.av-cljbx5-eb4dd344a002d6f10677329cb4aa75fd{\nvertical-align:middle;\nheight:500px;\nmin-height:500px;\npadding:80px 80px 80px 80px;\nbackground-color:#7c7c7c;\n}\n<\/style>\n<div class='flex_cell av_one_half av-cljbx5-eb4dd344a002d6f10677329cb4aa75fd no_margin  avia-builder-el-2  el_after_av_cell_one_half  avia-builder-el-last ' ><div class='flex_cell_inner'><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-czsx49-8449a6f5306b3ab95088c1c5ed53722a\">\n#top .av-special-heading.av-czsx49-8449a6f5306b3ab95088c1c5ed53722a{\npadding-bottom:25px;\ncolor:#ffffff;\nfont-size:34px;\n}\nbody .av-special-heading.av-czsx49-8449a6f5306b3ab95088c1c5ed53722a .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-czsx49-8449a6f5306b3ab95088c1c5ed53722a .av-special-heading-tag{\nfont-size:34px;\n}\n.av-special-heading.av-czsx49-8449a6f5306b3ab95088c1c5ed53722a .special-heading-inner-border{\nborder-color:#ffffff;\n}\n.av-special-heading.av-czsx49-8449a6f5306b3ab95088c1c5ed53722a .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-czsx49-8449a6f5306b3ab95088c1c5ed53722a av-special-heading-h3 custom-color-heading blockquote modern-quote  avia-builder-el-3  el_before_av_textblock  avia-builder-el-first  av-inherit-size'><h3 class='av-special-heading-tag'  itemprop=\"headline\"  >Modern View On Revision Rhinoplasty<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-1a4tbl-03925d075f89295056f7076efbaf986a\">\n#top .av_textblock_section.av-1a4tbl-03925d075f89295056f7076efbaf986a .avia_textblock{\ncolor:#ffffff;\n}\n<\/style>\n<section  class='av_textblock_section av-1a4tbl-03925d075f89295056f7076efbaf986a'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock av_inherit_color'  itemprop=\"text\" ><\/div><\/section><\/p>\n<\/div><\/div>\n<\/div>\n<div id='av_section_1'  class='avia-section av-chxza9-13bb36b8de50b4635e8307af8a3786d9 main_color avia-section-huge avia-no-border-styling  avia-builder-el-5  el_after_av_layout_row  avia-builder-el-last  avia-bg-style-scroll container_wrap sidebar_right'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-small 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Autoclose: 1 -->\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-aggsfl-e50d94f2d94a0469a74b5ee2589970a2\">\n.flex_column.av-aggsfl-e50d94f2d94a0469a74b5ee2589970a2{\nborder-radius:0px 0px 0px 0px;\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\n}\n<\/style>\n<div class='flex_column av-aggsfl-e50d94f2d94a0469a74b5ee2589970a2 av_one_full  avia-builder-el-13  el_after_av_one_third  avia-builder-el-last  first flex_column_div  av-animated-generic bottom-to-top av-zero-column-padding column-top-margin'   ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-aaafsx-951756b25ccc96fd8fb48c7f596d7062\">\n#top .av-special-heading.av-aaafsx-951756b25ccc96fd8fb48c7f596d7062{\npadding-bottom:20px;\nfont-size:34px;\n}\nbody .av-special-heading.av-aaafsx-951756b25ccc96fd8fb48c7f596d7062 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-aaafsx-951756b25ccc96fd8fb48c7f596d7062 .av-special-heading-tag{\nfont-size:34px;\n}\n.av-special-heading.av-aaafsx-951756b25ccc96fd8fb48c7f596d7062 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-aaafsx-951756b25ccc96fd8fb48c7f596d7062 av-special-heading-h3 blockquote modern-quote  avia-builder-el-14  el_before_av_textblock  avia-builder-el-first  av-inherit-size'><h3 class='av-special-heading-tag'  itemprop=\"headline\"  >Modern View On Revision Rhinoplasty<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-a4l989-1b0585bab80d85802d80dc227be69d31'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Rhinoplasty is one of the most difficult operations of facial plastic surgery. Since the nose is located exactly in the middle of the face, its irregular shape causes both aesthetic and functional problems.<\/p>\n<p>Rhinoplasty began as a reconstructive procedure and since the late 1800s has evolved as a size reduction operation. American otolaryngologist Joseph Roe is known for the first intranasal (closed rhinoplasty) approach in rhinoplasty in 1887.<\/p>\n<p>Reshaping of the tip of the nose began with scoring, resection and transection. As the number of rhinoplasty surgeries has increased, secondary deformations \u2013 problems of nose aesthetics have appeared. After rhinoplasty operations, even the most experienced surgeons may require revision rhinoplasty (secondary rhinoplasty) in 3-15% of cases.<br \/>\nIn the 1970s and 1980s, new rhinoplasty techniques were developed for operations for secondary deformities.<\/p>\n<p>Jack Sheen made the greatest contribution to the development of dorsal grafts, tip grafts, expansion grafts and other techniques for reducing noses more than the norm.<\/p>\n<p>The most common problems and diagnoses among patients visiting revision rhinoplasty surgeons are:<br \/>\nPinching and hanging columella, \u201csaddle nose\u201d deformity, scar tissue, asymmetric dorsum resection, \u201copen roof\u201d deformity, increased and decreased tip projection, bullous or broad tip, tip asymmetry, \u201cBossae\u201d, \u201cPollybeak\u201d, external and internal valve collapse, asymmetries in the nostrils, etc.<\/p>\n<p>Psychological evaluation, anatomical evaluation, facial analysis, physical examination and photographic analysis should be performed in patients interested in secondary rhinoplasty.<\/p>\n<p>The most commonly used approach in revision rhinoplasty is open rhinoplasty using cartilage taken from the rib. If you ask when to do secondary (tertiary) operations on the nose, then I note that for minor deformities it is recommended to carry out 3-6 months after the last operation, and for large deformities and revision rhinoplasty in general it is recommended to carry out at least 1 year after the last operation.<\/p>\n<p>To ensure that the blood supply is not disrupted even more during the elevation of the skin and soft tissues, it should be performed very close to the cartilage, anticipating grafts or irregularities placed during the previous operation<br \/>\n.<br \/>\nIn revision rhinoplasty, autogenous cartilage and grafts taken from 6-7 ribs are used by the oblique dissection method of Eren Tastan. If an alloplastic material is needed, sometimes it can also be used.<br \/>\nIn the case of a combination of excessively thin skin and developed cartilage, a good result is achieved by thickening with the help of subcutaneous fascia, cartilage, or grafts of crushed cartilage. Crooked noses that cannot be completely corrected surgically can be camouflaged with spreaders or external lateral nasal wall grafts. In thick-skinned cases, there is a greater need for cartilage support during surgery.<\/p>\n<p>Alloplastic implants for thickening, supporting or contouring the tip of the nose are contraindicated.<\/p>\n<p>We can straighten the bone without damaging the soft tissues by inserting a strong rasp through a limited and small incision. The collapse of the middle belt (inverted V-shaped deformation) is corrected by bilateral placement of expansion grafts through two incisions or open access.<br \/>\nIf there is cephalic alar traction, a composite ear graft should be used for treatment.<br \/>\nIn case of revision rhinoplasty, it is best to decide on a closed rhinoplasty with a limited incision of the nose and minimal damage to the surrounding tissues or open rhinoplasty due to the need for reconstruction. Piezo-Rhinoplasty \u2013 Ultrasound rhinoplasty technique is also an excellent way for revision rhinoplasty and septorinoplasty surgeries.<\/p>\n<\/div><\/section><\/p><\/div><\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='after_section_1'  class='main_color av_default_container_wrap container_wrap sidebar_right'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-small alpha units'><div class='post-entry post-entry-type-page post-entry-1641'><div class='entry-content-wrapper clearfix'>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/drparvizaslanov.com\/en\/wp-json\/wp\/v2\/pages\/1641"}],"collection":[{"href":"https:\/\/drparvizaslanov.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drparvizaslanov.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drparvizaslanov.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drparvizaslanov.com\/en\/wp-json\/wp\/v2\/comments?post=1641"}],"version-history":[{"count":2,"href":"https:\/\/drparvizaslanov.com\/en\/wp-json\/wp\/v2\/pages\/1641\/revisions"}],"predecessor-version":[{"id":1726,"href":"https:\/\/drparvizaslanov.com\/en\/wp-json\/wp\/v2\/pages\/1641\/revisions\/1726"}],"wp:attachment":[{"href":"https:\/\/drparvizaslanov.com\/en\/wp-json\/wp\/v2\/media?parent=1641"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}