Changes in Morphometric Parameters of the External Nose After Complicated Surgical Procedures

Revision rhinoplasty remains one of the most challenging areas in aesthetic and reconstructive facial surgery due to the complexity of postoperative deformities and scar-related tissue alterations. The present study aimed to evaluate morphometric changes of the external nose in patients with complications after primary rhinoseptoplasty and to assess the effectiveness of revision surgical interventions. A total of 68 patients with post-rhinoplasty deformities and 50 healthy controls were included in the investigation. Comprehensive morphometric assessment was performed using direct anthropometry, digital photogrammetry, and three-dimensional scanning technologies. The evaluated parameters included linear, angular, and volumetric characteristics of the external nose. Before revision surgery, patients demonstrated significant deviations in nasal proportions, tip projection, dorsal height, and asymmetry compared with normative population values. Following revision rhinoplasty, substantial improvement in morphometric indicators was observed during 6- and 12-month follow-up periods. Three-dimensional analysis revealed restoration of nasal volume, reduction of asymmetry, and improvement of surface contour parameters in the majority of patients.