Secondary nose surgery can be performed in both open and closed procedures.
In open Revision Rhinoplasty, the surgeon must make the incisions needed in the columella area (the middle skin of the nasal cavities). In this surgery, the surgeon can perform different kinds of changes to the nose.
When a surgeon performs closed nose surgery, he or she makes incisions in the inner structure of the nose and does not make an incision in the outer surface of the nasal skin.
The advantages of closed nasal surgery include a short duration of surgery, rapid recovery period, slight swelling, bruising, scarring, and so on.
Revision Rhinoplasty is more complicated than the first rhinoplasty because of loss of nasal cartilage, weakening of blood supply to the nose, nasal adhesions, nasal fibrosis, deformity of the nose, and nose stiffness the patient, etc.