Testimonianza rinoplastica a roma prima 2

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I operated on the patient Adina F. in October 2019, during the Rome Nose Week international course, for which I was one of the organizers. The very complex intervention of reconstructive functional septorinoplasty was performed in live-surgery. The patient presented the results of a previous rhinoplasty operation with respiratory and aesthetic functional deficits represented by an extremely short nose with a "surgical" tip that was upwardly rotated. The intervention was carried out with the use of a rib from the Tissue Bank in order to obtain the reconstructive grafts for the missing structures. The use of the Tissue Bank is a modern procedure that allows to avoid taking the rib from the patient, which would entail another intervention during the main intervention. This also avoids thoracic scars and further discomfort in the patient's postoperative period. The result of secondary rhinoplasty brought the patient back to normal with a natural aesthetic result, without the evidence of an excessively large nose as sometimes seen after the use of a rib graft.

Testimonianza rinoplastica a roma prima 2

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I operated on the patient Adina F. in October 2019, during the Rome Nose Week international course, for which I was one of the organizers. The very complex intervention of reconstructive functional septorinoplasty was performed in live-surgery. The patient presented the results of a previous rhinoplasty operation with respiratory and aesthetic functional deficits represented by an extremely short nose with a "surgical" tip that was upwardly rotated. The intervention was carried out with the use of a rib from the Tissue Bank in order to obtain the reconstructive grafts for the missing structures. The use of the Tissue Bank is a modern procedure that allows to avoid taking the rib from the patient, which would entail another intervention during the main intervention. This also avoids thoracic scars and further discomfort in the patient's postoperative period. The result of secondary rhinoplasty brought the patient back to normal with a natural aesthetic result, without the evidence of an excessively large nose as sometimes seen after the use of a rib graft.

Testimonianza rinoplastica a roma prima 1

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In this case, the patient Maria Cristina N. had an extremely twisted nose and a prominent hump. She complained about respiratory and aesthetic problems for several years, with inevitable psychological implications. The patient had waited several years before deciding to undergo surgery because of the great concern of not being able to obtain the desired result. The primary rhinoplasty surgery, with the use of "guide grafts" of cartilage from the patient's nasal septum, made the nose straight and stable in the right position over time. Aesthetically, the removal of the hump gave the patient a feminine and delicate profile with a sweeter expression than before. It is important to report the recovery of the smile from the first days after the surgery. This testifies that once the desired aesthetic improvement has been achieved, patients change their attitude towards the world, demonstrating greater positivity and self-confidence in human relationships.

Testimonianza rinoplastica a roma prima 1Testimonianza rinoplastica a roma dopo 1

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In questo caso, la paziente Maria Cristina N. presentava un naso estremamente torto nella visione frontale e con una vistosa gobba nel profilo. In questa ragazza coesistevano e “andavano a braccetto” da parecchi anni problemi respiratori ed estetici, con inevitabili risvolti psicologici. L’intervento chirurgico di rinoplastica, con impiego di “innesti guida” di cartilagine del setto nasale della paziente stessa, ha reso il naso dritto e stabile nel tempo nella giusta posizione. Esteticamente l’asportazione del gibbo ha dato alla paziente un profilo femminile e delicato con una espressione più dolce rispetto a prima. Importante è notare il recupero del sorriso fin dai primi giorni dopo l’intervento.

Testimonianza rinoplastica a roma dopo 3

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Before the operation, the patient Silvia M. had a long and important nose in all its components (back, width, tip) without a real specific deformity. The primary rhinoplastic surgery has reduced the size of the nose, leaving an extremely natural result and enhancing the other parts of the face that previously remained in the background, because all the attention was drawn to the nose. In cases like this, it is essential to be careful during preliminary visits, in order to understand exactly what the patient wants. For this purpose, it is useful to carry a computer-generated simulation of the rhinoplasty forecasted result. I believe that the surgeon should not take personal initiatives, but rather be at the patient's service in order to achieve his/her goal, if he/she wants to share it. Silvia wanted to get an absolutely straight and natural nose that was similar to hers, but smaller. A nose that was a little more dug in the profile could perhaps have been equally pleasant and technically easier, but would not have satisfied her fully.

Testimonianza rinoplastica a roma dopo 3Testimonianza rinoplastica a roma dopo 3

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La paziente Silvia M. prima dell’operazione presentava un naso troppo lungo ed importante in tutte le sue componenti (dorso, larghezza, punta) senza una vera e propria deformità specifica. L’intervento di rinoplastica ha diminuito le dimensioni del naso lasciando però un risultato estremamente naturale e valorizzando valorizzando le altre parti del viso che prima rimanevano in secondo piano perché l’attenzione attratta dal naso.

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In secondary rhinoplasty, having years of experience are the only way to correct defects without exaggerating and creating a bigger nose! This is the case of Mariarita: she had an irregular profile, pinched nasal wings and external deviation. I used several auricular cartilage grafts, but I successfully recreated her nose as she desired: a feminine and delicate one, without too much volume.

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Susanna was a case of primary rhinoplasty. Removing a hump might seem like a routine cosmetic surgery, but in reality, it is not easy to produce a natural result, avoid "the sliding nose" and dose the millimeters in the best way possible!

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Secondary surgery can sometimes be difficult to correct visible and malpositioned grafts. It is even more difficult with a falling nasal tip and evident asymmetries. The effort of the intervention was rewarded by this result and by Sabina's great gratitude!

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Results of previous rhinoplasty with significant functional and aesthetic nasal problems. Among all the defects, a "parrot's beak" deformity of the region of the tip is the most predominant one. The secondary septorinoplasty with auricular cartilage grafts has helped the patient achieving a complete recovery of breathing and resulted in an aesthetically natural nose that is in harmony with the rest of the face.

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Presence of particularly prominent hump and hypoplastic chin. Through primary septorinoplasty we obtained the rotation of the tip and the removal of the voluminous hump. It is interesting to note that for the mentoplasty the graft of the removed hump was employed, thus obtaining a result that is closely similar to a prosthesis. Giulia really shows "the charm of change"!

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Results of septorinoplasty with drop of the nasal tip and permanence of the hump in the profile. Through secondary rhinoplasty, the nasal back was lowered and the tip was reshaped and slightly rotated upwards. The delicate features of the patient's face suggested a more significant lowering of the nasal back, which highlights the beauty and expressiveness of her eyes.