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Revision Plastic Surgery to Correct Asymmetric Nasal Tips, Breathing Obstructions in High Demand
Surgeons who examine revision rhinoplasty candidates cite slightly different findings than patients, suggesting that communication about nasal aesthetics could be improved.
Approximately 5 percent to 15 percent of patients who have rhinoplasty [plastic surgery on the nose] seek revision surgery, according to background information in the article. "To optimize patient satisfaction from revision rhinoplasty, the surgeon must be keenly aware of the functional and cosmetic deficiencies that the patient considers most problematic," the authors write.
Kathy Yu, M.D., of Columbia College and Cornell University, New York, and colleagues collected questionnaires from 104 consecutive patients seeking revision rhinoplasty between Jan. 1, 2008, and June 30, 2009. Patients ranked the top three reasons for seeking revision surgery, reported any symptoms of nasal obstruction and listed the reasons they did not return to their primary surgeon. The surgeon who consulted the patients also reported three primary aesthetic findings along with objective indications of nasal obstruction in patients who reported symptoms.
Most patients reported seeking revision surgery because of tip asymmetry, difficulty breathing or nasal blockage, or a crooked middle third of the nose. The most common aesthetic concerns cited by patients and surgeons were tip asymmetry, a crooked middle third and irregularities in the upper third of the nose.
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