Septorhinoplasty is among the most common facial plastic and reconstructive surgeries
and its complexities are reflected in a relatively high revision rate. The patient
with a postoperative twisted nose presents an additional challenge and requires that
the surgeon display empathy and possess a deep knowledge of the aesthetic and functional
intricacies of the nose. Correction of the twisted nose should be approached in a
systematic fashion with unique considerations for each “third” of the nose. While
there are many options in the overall surgical armamentarium, each surgeon will find
specific techniques that are most efficacious and reproducible for their individual
practice. This article discusses select surgical “pearls” and techniques that can
aid the surgeon in their own surgical decision-making.
Keywords
revision rhinoplasty - acquired nasal deformity - osteotomy - caudal septal deviation
- twisted nose
