In-office Endonasal Minor Revision Rhinoplasty

Auger SR, Shah AR.

What this paper says

A technique article outlining which isolated post rhinoplasty deformities can be corrected in the office through incisions inside the nose, avoiding general anesthesia and operating room cost.

Overview

Revision rhinoplasty presents distinct difficulties, and while many cases need a full operation in theatre, the authors state several isolated deformities can be repaired in the office through an endonasal approach. They list the stated benefits as reduced cost, shorter recovery, avoiding general anesthesia and less discomfort. The article outlines the deformities suited to this and the technical considerations for each.

Sections of note

Technique article; the abstract reports no patient numbers, no outcomes, no complication rates and no follow up.
The approach is endonasal, meaning all incisions are inside the nose.
Stated benefits are decreased cost, shorter recovery time, avoidance of general anesthesia and less discomfort.
The authors state it is critical to identify defects appropriate for endonasal repair.
They also state the surgeon must establish clear expectations with the patient and work within their own skill and experience.
Deformities suited to this repair are outlined along with technical considerations for each.
The article is presented as a framework rather than a study.

What it means for a patient

Some minor problems after rhinoplasty can be corrected under local anesthetic in a clinic rather than a full second operation.
Which problems qualify depends on how isolated the defect is and on the surgeon's experience.
No success rates, complication rates or patient numbers are reported.
The authors state clear expectation setting is essential, which is a caution rather than a result.

Why this paper matters

Minor imperfections after rhinoplasty are common and a full revision under general anesthesia is a large step for a small problem. This article defines a middle option and the boundaries of it. Whether office repairs succeed as reliably as theatre revisions is not measured.

Terms

Endonasal approach: surgery through incisions inside the nose only.
Revision rhinoplasty: surgery on a nose that has already been operated on.
In office procedure: a procedure done in a clinic under local anesthetic rather than in an operating room.
General anesthesia: medication that renders a patient fully unconscious for surgery.

Summary written by rhinoplasty.cc from the abstract, 2026-09-09; not medical advice. The authors' own abstract follows.

From the abstract

“The revision rhinoplasty presents many unique challenges to the facial plastic surgeon. While many cases will require a full revision in the operating room, there are several isolated deformities which may be repaired in the office via an endonasal approach. This provides many benefits to the patient and surgeon…”

Excerpt; the full abstract is on PubMed.