Revision Rhinoplasty in Asians

Revision rhinoplasty is increasing in the Asian population. We present causes of revision rhinoplasty in Asians, introduce operative techniques, report surgical results, and make implications for ways to assist in their prevention. During a period of 3 years, 52 patients (among 623 rhinoplasties) who had undergone revision rhinoplasty with at least 1 year follow-up were included in this study. A retrospective review was performed using chart review, graphic operation records, pre- and postoperative photographs. Outcome was determined by subjective assessment of 2 blinded rhinoplasty surgeons. The patients were classified into 2 groups; revision because of alloplastic implant-related problems (33 cases) and revision unrelated to alloplastic implants (19 cases). The most common reason for revision in the alloplastic implant-related group was deviation of the implant, followed by implant extrusion, foreign body reaction, and infection. Reasons for revision in the alloplastic implant-unrelated group included upper two-thirds problems in 12 cases, and tip problems in 7. Autologous cartilage was used in the majority of revision cases. Subjective evaluation of postoperative results were good in 29 (69%), fair in 10 (24%), and poor in 3 (7%). Revision rhinoplasty in Asians was most commonly associated with alloplastic implants. Proper and judicious use of alloplastic implants is important to reduce the chances for revision surgery in Asians.