American Association of Plastic Surgeons

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Reoperation Patterns In Revision Rhinoplasty Patients
Angelica Hernandez Alvarez, MD, Jose A. Foppiani, MD, Maria J. Escobar-Domingo, MD, Daniela Lee, BS, Kirsten A. Schuster, MD; JD, Lauren Valentine, BS, Allan A. Weidman, BS, Iulianna C. Taritsa, BA, Samuel J. Lin, MD, MBA, FACS;
Beth Israel Deaconess Medical Center, Boston, MA, USA

PURPOSE:  Revision rhinoplasty has been estimated to occur in 5-15%. We aimed to profile main aesthetic and functional reasons reported by patients requesting revision rhinoplasty.
METHODS: A retrospective review of a single surgeonís institutional data was done to identify consecutive clinic patients requesting revision rhinoplasty from 2018 to 2023. Demographics, initial and revision surgery variables were analyzed using descriptive statistics. Multivariate analysis was performed.
RESULTS: 275 consecutive revision rhinoplasty patients were included. The average age was 43.47 years (SD 14.3) with 70.9% female patients. 69.1% had one prior surgery where 35.6% were for functional concerns. 34.2% of consults resulted in revision, and loss of follow-up was the most common reason for no revision (51.3%). Obstructive symptoms were the most common complaint (66.6%). However, 36.4% reported 2 problematic areas of concern mainly in the septum/turbinates (64.7%) followed by the midvault (57.5%). Ultimately, 45.7% ended up having revision septoplasty versus 32.6% with rhinoplasty. Having 2 areas of complaint was associated with higher odds of undergoing revision surgery (OR 2.297; 95%CI 1.095-4.819; p=0.028).
CONCLUSION: Our analysis revealed that having 2 areas of concern was associated with higher odds of revision surgery, with functional problems being the most common reason for requesting revision. Loss of follow-up was a big determinant for not revising after consultation. Further longitudinal data and greater attention to functional deformities during the initial procedure are required.

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