Treatment Outcomes of Patients undergoing Secondary Rhinoplasty

Abstract

Background. Secondary rhinoplasty is one of the most challenging procedures in aesthetic and reconstructive nasal surgery due to pronounced scar tissue formation, limited availability of autologous cartilage, and distortion of anatomical landmarks. Improving surgical strategies and objectively evaluating treatment outcomes remain important challenges in contemporary rhinoplasty.

Objective. To evaluate the clinical efficacy of secondary rhinoplasty in patients with unsatisfactory functional and aesthetic outcomes following primary surgical intervention.

Materials and Methods. The treatment outcomes of patients who underwent secondary rhinoplasty were analyzed. Treatment efficacy was assessed based on a comprehensive clinical examination, nasal endoscopy, photographic documentation, evaluation of nasal breathing, and patients’ subjective satisfaction with the aesthetic and functional outcomes of treatment. Preoperative and postoperative parameters were compared.

Results. The use of an individualized surgical approach enabled restoration of the anatomical integrity of the external nose, improvement of nasal breathing function, and achievement of favorable aesthetic outcomes. The majority of patients reported a significant improvement in quality of life and high satisfaction with the treatment outcomes. The incidence of postoperative complications and revision procedures was minimal.

Conclusion. Secondary rhinoplasty, when performed with thorough preoperative planning, individualized selection of reconstructive techniques, and the use of modern surgical technologies, is an effective approach for correcting functional and aesthetic abnormalities following primary rhinoplasty. This approach provides stable long-term outcomes and a high level of patient satisfaction.