Revision Rhinoplasty in New Jersey

1. REASONS FORREVISION RHINOPLASTY INNEW JERSEY

2. 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:

3. 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

4. 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

5. 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.

6. 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

7. 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.

8. 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.

9. 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. 

10. 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

11. Asymmetric Tip It 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.

12. 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." 

13. Pinched Tip It occurs: Where too much tip cartilage was removed.

14. 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.

15. 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.

16. 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.

17. 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

18. 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. 

19. For more information about REVISION RHINOPLASTY IN NEW JERSEY please contact: 75 North Broadway Nyack, New York, 10960 Phone: 1.888.778.4261    Email: info@donaldtlevinemd.com