Secondary rhinoplasty via transcolumellar incision.

The transcolumellar rhinoplasty was used in 90 patients with severe nasal sequelae caused by one or more previous surgical interventions. In each case the deformity was located mainly on the nasal tip making it extremely difficult to correct with conventional surgical procedures. We chose the transcolumellar rhinoplasty procedure to avoid another failure for these patients who sought complete resolution of their problem. At the same time, the technique provides a more secure surgical field to make a definitive diagnosis and to treat the sequelae properly.