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  • More often than not, patients requiring secondary rhinoplasty or revision rhinoplasty have had too much cartilage removed during their primary procedure. An area of the nasal structure may collapse if too much of the area is resected. For example, the saddle of the nose may collapse, resulting in a “scoop” look and possibly leading to breathing difficulty. The internal or external nasal valve is another area that can collapse if cartilage is removed improperly, or if too much cartilage is removed.

    Unfortunately, many secondary rhinoplasty or revision rhinoplasty patients have already undergone a few rhinoplasty procedures before reaching out to New York City Facial Plastic Surgeon, Sam Rizk, MD, FACS. Many of these patients have cartilage depletion or a lack of cartilage in their nose.

    Dr. Rizk is known for a revision method that both rebuilds cartilage or bone and restores proper breathing. He may use auricular (ear) cartilage, nasal septum cartilage, irradiated rib cartilage, or alloplastic biocompatible implants, depending on the nature of the problem as well as the patient’s unique needs.

    For internal and external nasal valve collapse, Dr. Rizk may use spreader and nasal batton grafts. Saddle nose deformities may be repaired using dorsal grafts and/or spreaders. The grafts are harvested and then shaped to create the proper size, thickness, shape and dimension, and occasionally depending on the size and number of cartilages needed to be grafted, an open rhinoplasty approach may be needed. Dr. Rizk uses the endonasal approach to create a precise pocket to accommodate the graft. This approach is minimally invasive and results in less scar tissue formation, as well as better healing.

    For more information, contact Dr. Rizk.

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