The dedicated revision surgeon continues to acquire throughout his or her career an increasingly detailed understanding of the anatomy and of the problems that occur and a growing tool chest of techniques to achieve improvement or correction. The revision surgeon must attend to the patient’s surgical need and to their emotional and psychological needs. In this chapter, I have outlined my approach and discussed some selected technical problems and my solutions to them. Focusing on the two essential goals – making patients happy and making this their last nasal surgery-I find revision rhinoplasty to be a uniquely rewarding experience for both patient and surgeon.

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