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Ultrasonic Rhinoplasty

Anesthesia General
Duration 1 - 3 hr.
Hospital stay 1 night / Day case
Postop. needs Nasal splint
Results Immediately noticeable. Settles within 1 year.

Scroll the image separator to see the before and after* of the operation.
*Real images of a client of Mallorca Medical Group, operated by Dr. García Ceballos

More information
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MMG RHINOPLASTY
The most common procedure in plastic surgery

Rhinoplasty is probably the most common procedure in plastic surgery and is undoubtedly the most complex. To successfully carry out this operation, the surgeon must:

  • Understand the motivation of each patient
  • Have a clear concept of nasal and facial aesthetics
  • Be familiar with all regional and anatomical details
  • Being able to predict the changes that result from the alteration of each anatomical element and finally
  • Being able to carry out the operation safely with maximum precision and predictable results
MMG RHINOPLASTY

The greatest surgical challenge in cosmetic plastic surgery

Rhinoplasty is without a doubt the greatest surgical challenge in cosmetic plastic surgery, not only for the technical aspects that involve a slow learning curve (time to achieve mastery of the intervention), but for the psychological aspects involved in the vast majority of patients affected by the idea of ​​a nose that cannot “fit” into their physiognomy.

Rhinoplasty also implies the improvement of nasal function in those patients who frequently present problems derived from poor ventilation.
On this page I will try to express my way of performing the analysis for a rhinoplasty.

The most important thing before making a decision is that you have enough information about the intervention referred to you, as well as that you know your surgeon, empathize and visualize its results.

Dr. José Ignacio García Ceballos

VIDEO PRESENTATION

Click on the PLAY button to show the presentation of our Ultrasonic Rhinoplasty treatments

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Patient selection

The final objective of cosmetic surgery is to contribute to the well-being and happiness of the person who wishes to undergo surgery. The surgeon tries to offer the best service to the patient and obtain the best possible rhinoplasty result.

Patient motivation

The optimal formula for success is based on choosing a good candidate for rhinoplasty, providing adequate information to each patient and applying the appropriate technique to each case. All this is conditioned by the vast experience of the plastic surgeon.

The motivation of each patient is extremely important when evaluating the possibilities of success of each patient.

Most of the patients who undergo rhinoplasty surgery are women (82%). The way in which men and women face rhinoplasty is different.

Is the patient eligible?

Both women and men can be candidates for rhinoplasty.

I will not reveal on this page the factors that make me decide if a patient or a patient is inoperable; Usually the patient who intends to undergo an intervention of this type tends to look for a lot of information about it and it is convenient that what the patient expresses in the consultation is what the patient thinks and not what he should say to pass the filter of the consult and operate. So my advice if you have managed to get here is to be yourself during the consultation and express your wishes and ideas as you feel.

The choice of surgeon

We serve patients both from Mallorca, Spain and abroad. In the event that you come from outside Mallorca, you should know that we recommend you come at least one day before your ultrasonic rhinoplasty and that you stay a day after surgery.

In the same way that we choose our candidates, we recommend that you look for the best plastic surgeon, a specialist in rhinoplasty to carry out your intervention. There are times that forums can give you opinions about it, although you should always take this information with great caution and we recommend that you check for yourself / who you are most interested in.

RHINOPLASTY
Before and after photos

The results speak for themselves

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Initial and pre-operative process

The face should be examined at rest and also in motion. First, I study the relationships between the different elements that make up facial anatomy. Asymmetries and disproportions must be taken into account before the intervention. There are times when we find asymmetries and disproportions that will not change and should not even change.

The nose is not an isolated structure in the center of the face, but is attached to the rest of the facial tissues by the skin, muscles and ligaments that make it a mobile organ. That is why we must know what are the forces that act on the different aspects of the nose in order to plan how rhinoplasty should be performed and to reinforce or weaken one or the other points.

I take this opportunity to measure some important aspects of your nose that will allow me to classify the type of nose you have and perform the intervention in one way or another.

I took pictures from various angles and examined them on the computer. This is important because there are times when certain relationships are not seen with the naked eye.

For many years now, the value of simulation in rhinoplasty has been widely endorsed by the world scientific community, and has become a very valuable tool for communicating with patients and planning the intervention1.

From a simulation it is easier to understand if the changes you want and those that could be proposed are possible or if you like them. In this way I use the result of the same during the rhinoplasty as a reference as a “score” to ensure a result that is as close to the desired one.

This does not imply that the simulation result is the actual result, even if you try to obtain it. After the consultation, the price of your rhinoplasty will be provided.

As you know the rhinoplasty operation can be performed under local anesthesia or general anesthesia in my hands, it is safer to perform under general anesthesia. Being very annoying can also occur. I want to be awake and it can cause a lot of discomfort during the procedure.

It is important to operate in a hospital that offers safety guarantees in which intensive care exists to be able to face any unforeseen event that might occur during the intervention after it.

Before operating I proceed to verify that these are good conditions and to mark your nose with a skin marker.

As the rhinoplasty operation can vary in terms of the areas of the nose to be operated, the surgical time is equally variable. The most common is that a rhinoplasty lasts around two and a half hours, although it can last longer or be performed more quickly.

The accepted opinion in the scientific literature regarding the use of ultrasound in rhinoplasty is that it improves postoperative pain, edema and bruises

Here are some related videos that may be useful for the patient.

Ultrasonic Rhinoplasty

Ultrasonic Rhinoplasty · Nasal Dorsum Correction

You can watch more videos on our YouTube channel: https://www.youtube.com/channel/UCdSjrBOnYMpiVDkbd3op1kA

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After the operation

The post operative of a rhinoplasty is not painful. I give you the initial sensation after waking up is usually pleasant AND with an even better ability to breathe it arrives that you had before falling asleep.

In part this is due to the fact that I don’t use nasal plugs. Instead I use other techniques that are a little more laborious and produce less discomfort after the operation.

You will have a plastic splint on your nose to secure the tissues for a week. During the first hours after the operation it is possible for a drop of blood to fall through the nose. This is normal and that is why I usually apply gauze as a “mustache” to collect these drops and do not bother you.

As the hours pass you will not be in your nose, it is congested as if you had a cold. This will gradually disappear over the following days.

During your stay in the hospital, which usually lasts one night, you can get out of bed and take me and walk around the floor where you are. Some patients prefer to spend the night at home, which is perfectly valid.

As I have previously said, the post-operative procedure of a non-plasty is not painful, which is why you will be able to stay at your home for the following week taking regular pain relievers.

First week after your operation

As I have previously said, the post-operative procedure of a non-plasty is not painful, which is why you will be able to stay at your home for the following week taking regular pain relievers.

During the period following your discharge you will have a splint on your nose. It is normal that you have some purple AND the eyes although they are not usually too important. And they tend to disappear after a week.

It is normal for the face to swell during this period. To avoid the possible you will take some medications

It is advisable to return during these days with two pillows to prevent swelling from increasing

It is equally common for your nose to get stuffy during these days. You will need to put plenty of petroleum jelly in your nostrils to clean them of mucus and dried blood.

The more petroleum jelly you apply, the cleaner your nose will be on the day of your revision, and the easier the cure will be.

The day of your first check-up

A week after the intervention, you must come to check on you. At this time we will remove the splint from your nose, I will take advantage to clean the inside of your nostrils.

The more petroleum jelly you put in the week before, the easier this cleaning will be.

These procedures are not painful. There is also no need to remove any stitches from your nose.

From this moment on it is recommended that you continue with the medication as received on the appropriate day of hospital and also apply petroleum jelly inside your nostrils.

After the first review

From the point of view of your activity, you should walk every day. If you had to expose yourself to the public you have to take into account that you will wear a splint on your nose and this can make you feel uncomfortable. Likewise, if you have to study or perform an activity that requires maximum concentration, you will be affected for a few days after the intervention, so it is possible that you do not have one hundred percent faculties. The same applies if you have to work electronically. You should not do high-intensity exercises such as running or cycling

Otherwise you can lead a normal life.

It is important to know that the seasoning after a rhinoplasty increases exponentially during the first seven days and experiences a slow and progressive decrease over the following 12 months.

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FAQ
Frequently asked questions

Ultrasonic rhinoplasty is a technique for the modification of the nasal shape in which the plastic surgeon uses an ultrasonic device. The Ultrasound in rhinoplasty is capable of modifying the nasal bone skeleton with minimal damage to the surrounding tissues.

Fundamentally, the precision in bone remodeling and the level of finish it provides and the safety in its execution.

Some plastic surgeons * published the results of corrective operations in children between 5 and 16 years of age, secondary to fractured bones without alterations. Despite this, and as a general rule, we avoid performing a rhinoplasty on patients under 16 years of age for women due to who have earlier growth and sexual development and at 18 for men, as postulated by other authors**

*Acta Chirurgiae Plasticae 1992;34(1):31- 37. 5. Grymer L, Gutierrez C, Stoksted P. The importante of nasal fractures during different growth periods of the nose. Laryngol and otol 1985;99:741-4.**Sondej J, Kawalski H, Cierpiol-Tracz E. Controversy concerning the deadline for surgical interventions of a nose in children.

The difference between a rhinoplasty and an ultrasonic rhinoplasty lies in the precision with which the intervention is performed. In any case, it is the surgeon who must choose the technique with which he is most familiar.

The price of a rhinoplasty depends on several factors, such as the characteristics of the intervention, the technique used and the category of surgeon who operates. The price of a nose job can range from € 1,500 to € 15,000.

Recovery time after rhinoplasty is seven days. From this moment on, life can be practically normal.

Most of the length of the incisions is inside the nostrils. Scars after rhinoplasty are practically imperceptible.

The rhinoplasty specialist with specific training to reshape the nose is the plastic surgeon. Rhinoplasty is an intervention that requires a lot of experience and dedication to be performed with greater precision. That is why it is advisable for your plastic surgeon to have a special interest in this intervention.

The best plastic surgeon in rhinoplasty is the one with the largest number of happy rhinoplasty patients and the fewest complications. Rhinoplasty experience and years of rhinoplasty practice are very important factors. The most common is to be based on the experiences of previously operated patients.

The best rhinoplasty technique is the one that allows the surgeon to obtain consistent results. This means that what is expected as a result is as close as possible to the final result in a constant and repeated way. Thus with different techniques good results can be achieved. We use our own technique called Duvet Rhinoplasty as published as scientific paper in the European Journal of Plastic and Reconstructive surgery.

Each surgeon has his own statistics of course. In our case, the satisfaction rate is 98.2%.

It always depends on each type of rhinoplasty and the procedure used. Rhinoplasty is a meticulous procedure that requires patience and leisure. In our view a speedy rhinoplasty does not lead to the best possible result.

Some still use them. We have not placed nasal tampons in rhinoplasty for 20 years. The effect of the plugs can be replaced by other techniques less bothersome for the patient.

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