Secondary Rhinoplasty: Clinical Findings and Alternative Structures for Nasal Reconstruction in Latin American Patients.

Abstract

Background: Revision rhinoplasty for patients with Latin American nasal characteristics presents a significant surgical challenge owing to complex anatomical and structural factors. A structured and systematic approach is essential for improving outcomes, and a statistical evaluation of the results and management techniques is needed to achieve optimal patient satisfaction.

Methods: In total, 86 patients (69 women, 17 men; age range: 18-55 y) with nasal characteristics commonly associated with Latin American noses participated in this study. Each patient underwent secondary rhinoplasty using surgical techniques performed by the authors, which used costal cartilage structures for nasal reconstruction.

Results: The most frequently observed clinical issues were excessive dorsal reduction in the upper third (37.2%), mid-vault deviation in the middle third (53.5%), and underprojection of the nasal tip (68.6%). Of the 5 structural categories used for reconstruction, type 1 was the most frequent (35.9%), whereas type 5 was the least frequent (1.3%).

Conclusions: A successful revision rhinoplasty for patients with Latin American nasal characteristics requires an in-depth evaluation of each patient. The surgical methodology detailed in this work provides surgeons with the tools to address these complex cases effectively.