Primary rhinoplasty refers to a person who has never had surgery on his or her nose, i.e., has not had any procedures to modify it. Unlike secondary rhinoplasty, which implies that the person has already had surgeries on his nose. We could say that this is the ideal situation because we have the intact anatomy of both bone and cartilage structures, ligaments and other components. It also means that there is no scarring or “fibrosis” as a result of previous procedures.
The Above Implies
That we can do a better planning, that we are going to find soft tissues, easy to manipulate and in which the different structures can be clearly seen. As a consequence we can theoretically have better and more predictable results.
I tell my patients that the best opportunity to have the best possible results is the first surgery, that subsequent surgeries always involve greater challenges and difficulties.
In summary, a primary rhinoplasty means less difficulty, greater predictability of surgery.
