Revision rhinoplasty.

Revision rhinoplasty requires sound judgment by both patient and surgeon. Detailed preoperative assessment facilitates proper patient selection. If the patient is deemed a favorable revision rhinoplasty candidate, both patient and surgeon must agree on the goals for and risks inherent in revision rhinoplasty. Thoughtfulness regarding the degree of aesthetic and functional correction desired by the patient and the corresponding intraoperative techniques required to achieve this correction must be contemplated prior to committing to revision rhinoplasty. Furthermore, the surgeon must feel confident that the surgical demands requested by the patient may be met and satisfaction achieved. A precise preoperative surgical plan minimizes intraoperative misadventures. Options for grafting materials should be discussed and agreed upon by both patient and surgeon preoperatively. Both patient and surgeon commit to long-term postoperative follow-up and the patience necessary for the eventual outcome to be realized.