Why are revision rhinoplasties so common?
The nose is very complex in its structure and dynamics so that the nose can change over time if not adequately supported. The supporting structural elements must be reinforced during nasal surgeries – especially during open rhinoplasty. Open Rhinoplasty is a surgery which involves elevating the entire nasal skin in order to expose all of the infrastructural support elements. This procedure requires further reinforcement of underlying support elements. In contrast, Closed Rhinoplasty involves minimal dissection and exposure of underlying structure, and as such, less supportive reinforcing measures. Surgeons who were trained only to perform closed rhinoplasties, and who are now performing open rhinoplasties, tend to make this mistake.
