Rhinoplasty results

Predicting and monitoring surgical results: analytical methods and surgical super-specialization

Rhinoplasty may be perceived as a creative endeavour. However, it is not compatible with improvisation, shortcuts, or approximations. The natural appearance of the surgical result does not correlate with the simplicity of the techniques used in surgery. The secret of surgical success is analysis, analysis, and more analysis. Elegance, finesse, and naturalness in rhinoplasty ensue from careful planning, calibration of every surgical step, and technical versatility. This translates into adapting the procedure to the patient and not viceversa.

A super-specialized surgeon can significantly increase the percentage of success in rhinoplasty due to the combination of a rigorous approach with a vast repertoire of techniques matured after decades of experience. Meticulous planning, computerized photo-analysis, and dedicated simulation software complete the formula to achieve natural harmony. Correcting the shape and function of the nose derives from the ability to predict and control surgical results.

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What to expect from rhinoplasty: possible, probable or unachievable goals

What results can be achieved with rhinoplasty? Pre-operatively patients commonly want to know the exact appearance of the nose after septorhinoplasty and its cost. Photo analysis and simulation software can predict up to 85% of the results, and help to distinguish the possible, the probable, from the non-achievable goals. They protect the patients from the stress of “not recognizing themselves” after surgery.  

Pre-operative evaluation also demonstrates that we cannot expect to achieve 100% success in 100% of cases. No reputable surgeon can prove the contrary to be true. Empirical, scientific, and statistical data speak for themselves: we find small residual imperfections in approximately 8-10% of primary rhinoplasty patients, with higher percentages in revision cases. The reasons include the extent of the defect, the efficacy of the technique, and the unpredictability of the healing process. In other words, due to individual and genetical factors, the same surgical maneuver can produce variable results in different patients. 

The best method for reducing the the risks and complications of rhinoplasty is to rely on a super-specialized rhinoplasty surgeon who utilises analytical methods and state-of-the-art technologies.

Predicting results in rhinoplasty: techniques and tools of the super-specialist surgeon

Numbers or mathematical formulae cannot fully express beauty. However, using rigorous method and specific instruments, such as semi-quantitative photo-analysis and morphing software, the surgeon can predict the results of rhinoplasty with reasonable precision. Rhinoplasty first takes shape in the mind of the surgeon and then in the operating room: each step of the procedure must be crystal clear before the first incision. The satisfying synthesis of form and function converge with the patient’s expectation only if the prerequisites of photoanalysis and morphing software are met.

Sometimes, surgery is not the recommended solution. Dr. Palma advises against surgery in about 2% of consultations. The reasons for this recommendation are diverse. In primary rhinoplasty, unrealistic expectations or insufficient margins of predictability are the main causes. The percentage increases in revisions: especially after multiple operations (tertiary, quaternary rhinoplasty, etc.), lack of structural support, extensive scars, or retractions of covering soft tissue add further complexity to extreme surgery. In these minority of cases, refraining from surgery is recommended to avoid even more severe complications.
The fundamental crossroads in the decision-making process before nasal surgery is the preliminary interview, when the surgeon and the patient face the most crucial and delicate decisions.

Predict rhinoplasty results with super-specialist surgeon Dr. Palma in Milan

During the preliminary interview, the surgeon obtains the patient’s medical history, evaluates the internal and external anatomy of the nose, and discusses indications, possible outcomes and limits of the operation. Before the actual surgery, patient and surgeon meet again to view frontal and profile computer-generated simulations. The semi-quantitative photographic analysis obtained from the accurate measurement of angles, distances, and ratio simulate the results of rhinoplasty in advance with a good margin of certainty.

Despite the meticulous preparation and the scrupulous execution, the patient must be aware that it is not always possible to reach 100% of the planned objectives. This general rule of surgery is even more important in rhinoplasty, where few millimetres can make a difference. However, we must always distinguish imperfection from complication, because the latter will need reconstructive interventions. Relying on expert and super-specialized surgeons is the best guarantee to reach an overall improvement, and to prevent and limit the worrisome complications of rhinoplasty.


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