Nose plastic surgery

Aesthetic changes and functional corrections in nasal plastic surgery

The multi-purpose nature of the nose sets rhinoplasty/rhinoseptoplasty apart from pure cosmetic surgery. When changing the external nose, the specialist must carefully evaluate all the functional aspects that are involved. In fact, form and function are inextricably connected in the nose: the shape of the organ is intimately intertwined with its functions.

Nasal plastic surgery requires accuracy in the planning of each phase of the operation and in the execution of every surgical technique. The rhinoplasty surgeon must master a vast surgical repertoire. He or she must be versatile and skilled enough to choose the “right” technique and to adapt it to each specific patient, and not vice versa. Though highly creative, rhinoplasty does not allow for shortcuts, approximations or improvisations: a hyper-analytical approach associated with an exclusive super-specialization is crucial to predict and control the surgical results, minimizing risks and complications.

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Nasal plastic surgery: each case is unique in the approach of Pietro Palma (YOUnique Rhinoplasty™)

Hybrid Rhinoplasty™ surpasses the canonical dichotomy between external or open rhinoplasty and endonasal or closed rhinoplasty. The hybrid technique devised by Pietro Palma combines the main advantages of the two classical procedures, offering a highly innovative interpretation of rhinoplasty where the subjective desires of the patient prevail over the idiosyncrasies of the surgeon.

As each nose is different and each patient is unique, every rhinoplasty is a special case, with specific goals and results. The era of “serial noses” has long passed. The aim of contemporary rhinoplasty is the “tailor-made nose” that respects the uniqueness of every patient.

This anatomical uniqueness encompasses the most complex challenge in modern plastic nose surgery. The “hybrid” approach offers the chance of customizing number, extension and location of the endonasal incisions according to the anatomical targets, providing all the surgical versatility required in septorhinoplasty, rhinoplasty and septoplasty.

Nose plastic surgery: what patients want to know

Surgeons are frequently asked about the costs of rhinoplasty and the predictability of the procedure. “Is it possible to know how the nose will look like after nose surgery?” Thanks to dedicated software of photoanalysis, symmetry study and simulations, the predictability of the results reaches about the 85%, thereby shielding patients from the stress of “not recognizing themselves” after surgery.

The preview of the surgical outcome also helps the patient to distinguish between possible, probable and unachievable objectives. The patient must be aware that it is unrealistic to expect 100% success in 100% of cases: small imperfections can remain in about 8-10% of primary rhinoplasty, with higher percentages in revision rhinoplasty. Despite meticulous preparation and scrupulous execution, surgical techniques don’t always allow the complete correction of the defects. Besides, the patient-specific nature of the healing process adds to the unpredictability of nose surgery: even with identical procedures performed by the same hand with the same instruments, each patient recovers in different ways and times.

Nose plastic surgery in Milan with Pietro Palma

General surgeon with an all-inclusive repertoire are different from surgeons with long and distinguished careers focused on one specific organ. Specialist surgeons have developed dedicated technical skills and professional maturity to assure the patient of lower complication and higher success rates. The nose super-specialist designs and performs a patient-specific “tailor-made rhinoplasty”, that Pietro Palma calls YOUnique Rhinoplasty™, a European registered brand.

Among the leading experts in rhinoplasty in Europe and worldwide, Dr. Palma has focused his surgical practice exclusively on the nose for over 25 years. His meticulous and conservative approach is consistent with the principle of mini-invasiveness that has gained increasing prevalence in all branches of modern surgery. The reduced impact of the procedure, increased predictabilityand shortening of the healing process determine a better quality of the final result even in complex cases, including secondary or revision rhinoplasty.

For more detailed and personalized information about nose plastic surgery in Milan, its risks, results and costs, please feel free to schedule an interview with Pietro Palma by contacting: Clinica del Viso (Piazza Repubblica, 21 – Milan – Tel +39 0263611932 – or Casa di Cura “LA MADONNINA” (Via Quadronno, 29/31 – Milan – Tel 02 58395555 –