Question: Are there any factors that make someone not a good candidate for a revision rhinoplasty?
Answer: Revision rhinoplasty is a procedure to reshape the nose after a previous rhinoplasty. I look at psychological factors as well as the physical factors of the nose. I’d like to call these the 2 P’s. The psychological factor is, does the patient have realistic goals? If the result is already successful or the result is a significant improvement and no further improvement can be obtained, I do not perform revision rhinoplasty. If the patient has a decisive desire for improvement despite the fact that a very good result has been obtained and there is no benefit from the surgery and possibly harm from the surgery, no surgery is performed. Patients must be psychologically stable to undergo this procedure. The physical aspect on whether or not revision rhinoplasty is a good idea involves the soft tissue envelope. It is a very important aspect of the procedure in the area on the top of the nose. It also depends on the structure and what cartilage remains and what is being removed. In general, most things can be improved or the patient has to be given a realistic discipline of what can be done and also whether or not tissue has to be obtained from other areas such as the ear or rib cartilage improve the result. Patients must be willing to accept the goal as improvement not perfection.