Facial Plast Surg 2018; 34(03): 239-244
DOI: 10.1055/s-0038-1654677
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Functional Compromise in the Middle Vault in the Management of Revision Rhinoplasty

Leo Wang
1  Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania
Oren Friedman
2  Department of Otorhinolaryngology, University of Pennsylvania, Philadelphia, Pennsylvania
› Author Affiliations
Further Information

Publication History

Publication Date:
01 June 2018 (online)


As rhinoplasty procedures become more common, the need for revision surgeries increases as well. Unlike primary rhinoplasties, revision rhinoplasties can be more challenging because of anatomic differences from initial surgery, a lack of available cartilage, tissue remodeling responses, and other complications. As such, surgeons should be prepared to address revision rhinoplasty patients differently from primary rhinoplasty patients. Here, the authors describe a generalizable approach to revision functional rhinoplasty patients and detail some of the surgical techniques that can be employed to achieve optimal outcomes, with particular attention paid to procedures that can be used in the middle vault.