Can I Have A Revisional Rhinoplasty Done Closed?

Q: Dr. Eppley,

•Is the Rhinoplasty with an open or closed scar? My previous surgery was closed and would really prefer not having another scar if possible.

•How far into the sides of my head is the incision for the forehead advancement? Also does the “zig-zag incision effect the shape of the hairline result or does it just mask the scar slightly.

A: 1) Any efforts at a secondary rhinoplasty require an open approach due to altered anatomy and scar. But that answer depends on what exact further nose changes you are seeking.

2) The hairline advancement goes into the upper temporal region. The zigzag portion is along the frontal hairline part, once into the temporal region it becomes straightline The role of the zigzag incision is for the frontal hairline where a straightline scar looks more unnatural.

Dr. Barry Eppley

Indianapolis, Indiana