The majority of revision rhinoplasty procedures are performed using the open rhinoplasty technique because of the increased visualization and control it affords the rhinoplasty surgeon. However, there are certain few specific instances in which Dr. Haworth will use the closed technique, depending on the specific problem and whether it is minor or not. Dr. Haworth is an expert at strengthening the weakened underlying structure of the nose to not only to make the nose look great but to make it function as well (to maximize breathing ability).
Dr. Randal Haworth says, "The secret behind the best-looking noses are often strong triangularly sculpted cartilages that exert enough counter pressure on the overlying nasal skin in a delicate balance to impart elegant beauty. However, the integrity and strength of the nasal cartilages are often lost when a rhinoplasty was not performed correctly. A majority of the time those noses that look the best also function correctly for breathing purposes."
Dr. Haworth is exceptionally gifted and experienced in creating and applying every form of cartilage grafts including columella struts, lateral crural strut, caudal septal extension, spreader, tip shield, alar battan, dorsal, and alar rim grafts. Indeed, some of the most complicated revision procedures require utilization of most if not all of those aforementioned grafts, including crushed cartilage to maximize smoothness of the final result.