• Jay M. Pensler, M.D.
  • Chicago Plastic Surgeon
  • 680 North Lake Shore Drive
  • Suite 1125
  • Chicago, IL 60611
  • 312.642.7777
  • info@plasticsurg.org
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Secondary Rhinoplasty (Nose) Surgery - Chicago, Illinois

Call Dr. Pensler's office today for a no-obligation consultation at 312-642-7777.

Perhaps you have had a rhinoplasty procedure that needs a correction? Dr. Pensler is a specialist in secondary rhinoplasty and reconstructive nasal procedures.

Secondary Rhinoplasty - Actual Patient Before/After Pics
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Secondary Rhinoplasty Procedure

Tissue is generally removed from various areas during the primary surgery often leaving irregularities that require modification. Secondary rhinoplasty patients are different from primary patients. There is scaring  from the initial procedure also the required modifications are typically smaller in nature and are present at multiple sites of the nose.

Common reasons patients are dissatisfied with their primary rhinoplasty procedure:

The Pinched Tip -Typically, the pinched tip is associated with the rim incision technique bringing the lower cartilage out, anterior to the rim, and some removal of the cephalic margin and cross-hatching. This seems to over-contract the tip on occasion and frequently the cartilage is not placed back into the nasal tip symmetrically. Frequently, the pinch is held contracted by the cephalic-most portion of the lower-lateral cartilage and   revision of the  cartilage and excision of scar tissue will correct the pinched tip. This approach may not be adequate in some severe cases in which may require a cartilage graft.

The Hanging Columella - This may occur with excessive  removal of the maxillary spine or caudal septum. It is often repaired using a graft from the septum placed between the medial crus cartilage or resection of the residual membranous or cartilaginous septum.

The Drop (Rounded) Tip - Dr. Pensler may in some instances  place a tip graft of septal or auricular ( ear ) cartilage  to support the tip. Frequently, a columella graft has to be added to hold up this tip.

The Crooked Nose - Onlay grafts may be  taken from the upper portion of a lower lateral cartilage or  the septum  and / or  refracture of the nasal bones may be required.

The Scooped Nose - For dorsal augmentation Dr. Pensler  may use septal , auricular or costal cartilage. Correcting the scooped nose is one of the most difficult secondary corrections. Cranial bone is rarely required.

High Tip - This may often be improved through lowering the tip by removal and repositioning of the foot process of the medial crus  of the lower lateral cartilages  and  / or dorsal septum.

The Wide Nose - For the wide nose a very judicious defatting of the nasal tip  combined with a removal of additional lower lateral cartilage and a modification  of the upper lateral cartilage at their attachment to the septum will often suffice. Occasionally, a dorsal onlay graft  or a resection of the nasal base is necessary to achieve the desired result.

During your consultation Dr. Pensler will review your treatment options for rhinoplasty,including pros and cons of each procedure, potential risks and complications, recovery course, pre and post operative instructions and  possible aesthetic outcomes which may be limited by your specific anatomy. Dr.Pensler will discuss your options and make you feel confident with your decision to correct your nose.

Call Dr. Pensler's office today for a no-obligation consultation at 312-642-7777.

Primary Rhinoplasty - Actual Patient Before/After Pictures
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