| VI.H. Unique Nose
Because each person is different, each nose is unique. Certain types of problems are also relatively unique (Fig. 17). For example, this patient had congenitally misshapen tip cartilages that caused his nose to be extremely twisted and required specialized and advanced techniques.
VI.I. Finesse Rhinoplasty
Sometimes the patient has a request for a small refinement in the nose. This is known as a "finesse" rhinoplasty. These small changes require high levels of skill and expertise. An example is shown in Fig. 33.
FIGURE 33. Finesse rhinoplasty (a) preoperative, (b) postoperative.
VI.J. Revision Rhinoplasty
Revision rhinoplasty is a problem that deserves an en-tire chapter of its own. The medical literature reports a revision rate of up to 1 in 10 or greater for rhinoplasty. Please refer to the selected references (Fig. 34).²"²"
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