eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Reconstructive Surgery

Rhinoplasty, Augmentation: Follow-up

Author: Eugene A Chu, MD,, Clinical Instructor, Division of Rhinology, Johns Hopkins Department of Otolaryngology-Head and Neck Surgery
Coauthor(s): Patrick Byrne, MD, Associate Professor, Department of Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine; Peter Hilger, MD, Professor, Department of Otolaryngology, University of Minnesota Medical School
Contributor Information and Disclosures

Updated: Mar 24, 2009

Outcome and Prognosis

The patient should be counseled about the possibility of revision rhinoplasty, which is required in about 10% of cases. As discussed, some patients experience resorption or warping of the graft material. Less commonly, excessive augmentation is performed, and future revision is required.

With proper adherence to sound surgical principles and the judicious use of augmentation techniques, most patients enjoy a satisfactory result, both aesthetically and functionally.

Future and Controversies

The future certainly holds new possibilities for every area of facial plastic surgery. New alloplastic materials may prove to be safer and more reliable in the nose. Tissue engineering probably will allow tremendous advances in the potential for restorative rhinoplasty. The future may allow the laboratory production of an abundant supply of cartilage from the patient's own tissue. This material might then be shaped in vitro to the desired configuration.

 


More on Rhinoplasty, Augmentation

Overview: Rhinoplasty, Augmentation
Workup: Rhinoplasty, Augmentation
Treatment: Rhinoplasty, Augmentation
Follow-up: Rhinoplasty, Augmentation
Multimedia: Rhinoplasty, Augmentation
References
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References

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  2. Shipchandler TZ, Chung BJ, Alam DS. Saddle nose deformity reconstruction with a split calvarial bone L-shaped strut. Arch Facial Plast Surg. Sep-Oct 2008;10(5):305-11. [Medline].

  3. Daniel RK. Diced cartilage grafts in rhinoplasty surgery: current techniques and applications. Plast Reconstr Surg. Dec 2008;122(6):1883-91. [Medline].

  4. Tosun Z, Karabekmez FE, Keskin M, Duymaz A, Savaci N. Allogenous cartilage graft versus autogenous cartilage graft in augmentation rhinoplasty: a decade of clinical experience. Aesthetic Plast Surg. Mar 2008;32(2):252-60; discussion 261. [Medline].

  5. Deva AK, Merten S, Chang L. Silicone in nasal augmentation rhinoplasty: a decade of clinical experience. Plast Reconstr Surg. Sep 1998;102(4):1230-7. [Medline].

  6. Godin MS, Waldman SR, Johnson CM Jr. Nasal augmentation using Gore-Tex. A 10-year experience. Arch Facial Plast Surg. Apr-Jun 1999;1(2):118-21; discussion 122. [Medline].

  7. Bateman N, Jones NS. Retrospective review of augmentation rhinoplasties using autologous cartilage grafts. J Laryngol Otol. Jul 2000;114(7):514-8. [Medline].

  8. Demirkan F, Arslan E, Unal S, Aksoy A. Irradiated homologous costal cartilage: versatile grafting material for rhinoplasty. Aesthetic Plast Surg. May-Jun 2003;27(3):213-20. [Medline].

  9. Gunter JP, Rohrich RJ. Augmentation rhinoplasty: dorsal onlay grafting using shaped autogenous septal cartilage. Plast Reconstr Surg. Jul 1990;86(1):39-45. [Medline].

  10. Marin VP, Landecker A, Gunter JP. Harvesting rib cartilage grafts for secondary rhinoplasty. Plast Reconstr Surg. Apr 2008;121(4):1442-8. [Medline].

  11. Tardy ME. Cartilage graft reconstruction of the nose. In: Rhinoplasty: The Art and the Science. Vol 2. WB Saunders Co: 1997:648-723.

  12. Tebbetts JB. Secondary dorsum modifications. In: Primary Rhinoplasty. Vol 1. Mosby-Year Book; 1998:441-449.

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Further Reading

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Keywords

rhinoplasty, augmentation rhinoplasty, nose surgery, nose job, nose augmentation, plastic surgery of the nose, nasal surgery, nasal reconstruction, nose reconstruction, nose augmentation, nasal augmentation

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Contributor Information and Disclosures

Author

Eugene A Chu, MD,, Clinical Instructor, Division of Rhinology, Johns Hopkins Department of Otolaryngology-Head and Neck Surgery
Disclosure: Nothing to disclose.

Coauthor(s)

Patrick Byrne, MD, Associate Professor, Department of Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine
Patrick Byrne, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American Cleft Palate/Craniofacial Association, and American College of Surgeons
Disclosure: Nothing to disclose.

Peter Hilger, MD, Professor, Department of Otolaryngology, University of Minnesota Medical School
Peter Hilger, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, and Minnesota Medical Association
Disclosure: Nothing to disclose.

Medical Editor

Richard V Smith, MD, Director of Clinical Affairs, Associate Professor, Department of Otolaryngology, Division of Head and Neck Surgery, Einstein College of Medicine, Montefiore Medical Center
Richard V Smith, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Head and Neck Society, American Laryngological Rhinological and Otological Society, American Medical Association, American Medical Student Association/Foundation, Medical Society of the District of Columbia, New York Academy of Medicine, and Vermont State Medical Society
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Dean Toriumi, MD, Department of Otolaryngology, Associate Professor, University of Illinois Medical Center
Disclosure: Nothing to disclose.

CME Editor

Christopher L Slack, MD, Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders
Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society
Disclosure: Covidien Corp Consulting fee Consulting; US Tobacco Corporation unstricted gift unknown

 
 
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