Revision rhinoplasty using the endonasal approach.

Revision rhinoplasty often requires the performance of a limited number of corrective tasks on a patient's nose that otherwise has many favorable characteristics. The endonasal approach can be applied in situations where there is a desire to maintain favorable attributes of the nose while revising the unfavorable aspects. Through endonasal incisions, the surgeon can correct limited dorsal abnormalities, middle vault abnormalities, and asymmetries of the lower third of the nose. This article reviews several of the common unfavorable sequelae of rhinoplasty and suggests endonasal approaches to their correction.