This website uses its own and third party cookies to provide a better service. If you continue to browse, you are deemed to have accepted their use. See our Cookies Policy and Legal Notice and Terms of Service
PROMOTIONS: Check discounts from our Combo Specials and Day Specials. We implement the Safe Surgery protocol to offer maximum guarantees.

This typical case of saddle nose deformity was a difficult revision rhinoplasty aiming to repair a severe over resection of the dorsum which led to a sunken dorsum or a an almost nonexistent nasal pyramid; additionally the failure to perform the mandatory osteotomies caused an open roof deformity, inverted V deformity and a pinched middle vault.

READ
Alar rim retraction,Asymmetric tip,Bifid columella,Bifid tip,Broad dorsum,Bulbous tip,Dorsum ridges,Failed osteotomies,Flat dorsum,Inverted V deformity,Irregular dorsum,Low dorsum,Low radix,Nasal fibrosis,Nasal valve collapse,Open roof deformity,Overprojected tip,Pinched middle vault,Saddle nose deformity,Short upper lateral cartilages,Sunken supratip,Tip bossae,Alar contour rim graft,Columella strut graft,Dorsum regularization,Dorsum replacement graft,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras caudal extension graft,Lateral cruras cephalic resection,Lateral cruras custom made graft,Lateral cruras shortening resection,Lateral cruras strut graft,Medial cruras shortening resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Spreader graft,Tip defatting,Transdomal tip plasty sutures,Triangular cartilages caudal extension graft - photo 1
#1After completing the initial debridement or surgical cleansing of fibrosis, this is the dorsal defect assessed intraoperatively as the main reconstruction goal. Note how the nasal pyramid was barely existent and the dorsal profile totally ...Read more
Alar rim retraction,Asymmetric tip,Bifid columella,Bifid tip,Broad dorsum,Bulbous tip,Dorsum ridges,Failed osteotomies,Flat dorsum,Inverted V deformity,Irregular dorsum,Low dorsum,Low radix,Nasal fibrosis,Nasal valve collapse,Open roof deformity,Overprojected tip,Pinched middle vault,Saddle nose deformity,Short upper lateral cartilages,Sunken supratip,Tip bossae,Alar contour rim graft,Columella strut graft,Dorsum regularization,Dorsum replacement graft,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras caudal extension graft,Lateral cruras cephalic resection,Lateral cruras custom made graft,Lateral cruras shortening resection,Lateral cruras strut graft,Medial cruras shortening resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Spreader graft,Tip defatting,Transdomal tip plasty sutures,Triangular cartilages caudal extension graft - photo 2
#2This line shows the ideal dorsal level and intends to make understandable that almost 40% of the dorsal height was missing.
Alar rim retraction,Asymmetric tip,Bifid columella,Bifid tip,Broad dorsum,Bulbous tip,Dorsum ridges,Failed osteotomies,Flat dorsum,Inverted V deformity,Irregular dorsum,Low dorsum,Low radix,Nasal fibrosis,Nasal valve collapse,Open roof deformity,Overprojected tip,Pinched middle vault,Saddle nose deformity,Short upper lateral cartilages,Sunken supratip,Tip bossae,Alar contour rim graft,Columella strut graft,Dorsum regularization,Dorsum replacement graft,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras caudal extension graft,Lateral cruras cephalic resection,Lateral cruras custom made graft,Lateral cruras shortening resection,Lateral cruras strut graft,Medial cruras shortening resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Spreader graft,Tip defatting,Transdomal tip plasty sutures,Triangular cartilages caudal extension graft - photo 3
#3The huge deficit of tissues at the dorsum associated with the Pinoccio tip deformity is very well noticed in this image; note how he dorsum is totally parallel to the maxilla and the nasal pyramid was almost fully missing.
Alar rim retraction,Asymmetric tip,Bifid columella,Bifid tip,Broad dorsum,Bulbous tip,Dorsum ridges,Failed osteotomies,Flat dorsum,Inverted V deformity,Irregular dorsum,Low dorsum,Low radix,Nasal fibrosis,Nasal valve collapse,Open roof deformity,Overprojected tip,Pinched middle vault,Saddle nose deformity,Short upper lateral cartilages,Sunken supratip,Tip bossae,Alar contour rim graft,Columella strut graft,Dorsum regularization,Dorsum replacement graft,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras caudal extension graft,Lateral cruras cephalic resection,Lateral cruras custom made graft,Lateral cruras shortening resection,Lateral cruras strut graft,Medial cruras shortening resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Spreader graft,Tip defatting,Transdomal tip plasty sutures,Triangular cartilages caudal extension graft - photo 4
#4This line between the frontalis bone and the theoretical new and shortened tip level shows the shortfall of the radix, central bridge and supratip that was in need of thick cartilaginous tissue supply.
Alar rim retraction,Asymmetric tip,Bifid columella,Bifid tip,Broad dorsum,Bulbous tip,Dorsum ridges,Failed osteotomies,Flat dorsum,Inverted V deformity,Irregular dorsum,Low dorsum,Low radix,Nasal fibrosis,Nasal valve collapse,Open roof deformity,Overprojected tip,Pinched middle vault,Saddle nose deformity,Short upper lateral cartilages,Sunken supratip,Tip bossae,Alar contour rim graft,Columella strut graft,Dorsum regularization,Dorsum replacement graft,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras caudal extension graft,Lateral cruras cephalic resection,Lateral cruras custom made graft,Lateral cruras shortening resection,Lateral cruras strut graft,Medial cruras shortening resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Spreader graft,Tip defatting,Transdomal tip plasty sutures,Triangular cartilages caudal extension graft - photo 5
#5Putting the skin under tension shows the real extent of the problem.
Alar rim retraction,Asymmetric tip,Bifid columella,Bifid tip,Broad dorsum,Bulbous tip,Dorsum ridges,Failed osteotomies,Flat dorsum,Inverted V deformity,Irregular dorsum,Low dorsum,Low radix,Nasal fibrosis,Nasal valve collapse,Open roof deformity,Overprojected tip,Pinched middle vault,Saddle nose deformity,Short upper lateral cartilages,Sunken supratip,Tip bossae,Alar contour rim graft,Columella strut graft,Dorsum regularization,Dorsum replacement graft,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras caudal extension graft,Lateral cruras cephalic resection,Lateral cruras custom made graft,Lateral cruras shortening resection,Lateral cruras strut graft,Medial cruras shortening resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Spreader graft,Tip defatting,Transdomal tip plasty sutures,Triangular cartilages caudal extension graft - photo 6
#6See the open roof and the inverted V deformities in this image.
Alar rim retraction,Asymmetric tip,Bifid columella,Bifid tip,Broad dorsum,Bulbous tip,Dorsum ridges,Failed osteotomies,Flat dorsum,Inverted V deformity,Irregular dorsum,Low dorsum,Low radix,Nasal fibrosis,Nasal valve collapse,Open roof deformity,Overprojected tip,Pinched middle vault,Saddle nose deformity,Short upper lateral cartilages,Sunken supratip,Tip bossae,Alar contour rim graft,Columella strut graft,Dorsum regularization,Dorsum replacement graft,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras caudal extension graft,Lateral cruras cephalic resection,Lateral cruras custom made graft,Lateral cruras shortening resection,Lateral cruras strut graft,Medial cruras shortening resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Spreader graft,Tip defatting,Transdomal tip plasty sutures,Triangular cartilages caudal extension graft - photo 7
#7The upper circle shows the missing dorsum due to previous surgery over resection and the slots of the open roof deformity; the lower circle shows the intact interdomal and intercrural fibrofatty pad. One arrow points to the iatrogenic transection ...Read more
Alar rim retraction,Asymmetric tip,Bifid columella,Bifid tip,Broad dorsum,Bulbous tip,Dorsum ridges,Failed osteotomies,Flat dorsum,Inverted V deformity,Irregular dorsum,Low dorsum,Low radix,Nasal fibrosis,Nasal valve collapse,Open roof deformity,Overprojected tip,Pinched middle vault,Saddle nose deformity,Short upper lateral cartilages,Sunken supratip,Tip bossae,Alar contour rim graft,Columella strut graft,Dorsum regularization,Dorsum replacement graft,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras caudal extension graft,Lateral cruras cephalic resection,Lateral cruras custom made graft,Lateral cruras shortening resection,Lateral cruras strut graft,Medial cruras shortening resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Spreader graft,Tip defatting,Transdomal tip plasty sutures,Triangular cartilages caudal extension graft - photo 8
#8One arrow points to the iatrogenic transection of the right tip dome; two arrows show the missing fragments of the left lateral crura which were the cause of the left nostril collapse; the left lateral crura was totally separated from the left ...Read more
Alar rim retraction,Asymmetric tip,Bifid columella,Bifid tip,Broad dorsum,Bulbous tip,Dorsum ridges,Failed osteotomies,Flat dorsum,Inverted V deformity,Irregular dorsum,Low dorsum,Low radix,Nasal fibrosis,Nasal valve collapse,Open roof deformity,Overprojected tip,Pinched middle vault,Saddle nose deformity,Short upper lateral cartilages,Sunken supratip,Tip bossae,Alar contour rim graft,Columella strut graft,Dorsum regularization,Dorsum replacement graft,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras caudal extension graft,Lateral cruras cephalic resection,Lateral cruras custom made graft,Lateral cruras shortening resection,Lateral cruras strut graft,Medial cruras shortening resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Spreader graft,Tip defatting,Transdomal tip plasty sutures,Triangular cartilages caudal extension graft - photo 9
#9This is the right 7th rib donor site seen from the surgeon's perspective, the landmarks are patient's head below and feet above of the image, sternum on the left and armpit at the right of the image; the layers that have to be crossed to reach ...Read more
Alar rim retraction,Asymmetric tip,Bifid columella,Bifid tip,Broad dorsum,Bulbous tip,Dorsum ridges,Failed osteotomies,Flat dorsum,Inverted V deformity,Irregular dorsum,Low dorsum,Low radix,Nasal fibrosis,Nasal valve collapse,Open roof deformity,Overprojected tip,Pinched middle vault,Saddle nose deformity,Short upper lateral cartilages,Sunken supratip,Tip bossae,Alar contour rim graft,Columella strut graft,Dorsum regularization,Dorsum replacement graft,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras caudal extension graft,Lateral cruras cephalic resection,Lateral cruras custom made graft,Lateral cruras shortening resection,Lateral cruras strut graft,Medial cruras shortening resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Spreader graft,Tip defatting,Transdomal tip plasty sutures,Triangular cartilages caudal extension graft - photo 10
#10The cartilage segment of the 7th rib already freed from its perichondrium sheath and ready to be sculpted; in spite it seems enormous compared with the size of a nose, it is to be taken into account that a large part of it has to be discarded ...Read more
Alar rim retraction,Asymmetric tip,Bifid columella,Bifid tip,Broad dorsum,Bulbous tip,Dorsum ridges,Failed osteotomies,Flat dorsum,Inverted V deformity,Irregular dorsum,Low dorsum,Low radix,Nasal fibrosis,Nasal valve collapse,Open roof deformity,Overprojected tip,Pinched middle vault,Saddle nose deformity,Short upper lateral cartilages,Sunken supratip,Tip bossae,Alar contour rim graft,Columella strut graft,Dorsum regularization,Dorsum replacement graft,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras caudal extension graft,Lateral cruras cephalic resection,Lateral cruras custom made graft,Lateral cruras shortening resection,Lateral cruras strut graft,Medial cruras shortening resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Spreader graft,Tip defatting,Transdomal tip plasty sutures,Triangular cartilages caudal extension graft - photo 11
#11The extracted cartilage segment of the 7th rib flipped over to show its undersurface; the large circle spots the fusion synchondrosis to the 6th rib and the small circle shows the synchondrosis to the 8th rib.
Alar rim retraction,Asymmetric tip,Bifid columella,Bifid tip,Broad dorsum,Bulbous tip,Dorsum ridges,Failed osteotomies,Flat dorsum,Inverted V deformity,Irregular dorsum,Low dorsum,Low radix,Nasal fibrosis,Nasal valve collapse,Open roof deformity,Overprojected tip,Pinched middle vault,Saddle nose deformity,Short upper lateral cartilages,Sunken supratip,Tip bossae,Alar contour rim graft,Columella strut graft,Dorsum regularization,Dorsum replacement graft,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras caudal extension graft,Lateral cruras cephalic resection,Lateral cruras custom made graft,Lateral cruras shortening resection,Lateral cruras strut graft,Medial cruras shortening resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Spreader graft,Tip defatting,Transdomal tip plasty sutures,Triangular cartilages caudal extension graft - photo 12
#12Comprehensive anatomical view after finishing the cartilage extraction showing the subcutaneous tissue (SC), the rectus abdominis muscle (M), the perichondrium sheath (PC), the rib cartilage (C), the ribs (6, 7 and 8) and the circles spotting ...Read more
Alar rim retraction,Asymmetric tip,Bifid columella,Bifid tip,Broad dorsum,Bulbous tip,Dorsum ridges,Failed osteotomies,Flat dorsum,Inverted V deformity,Irregular dorsum,Low dorsum,Low radix,Nasal fibrosis,Nasal valve collapse,Open roof deformity,Overprojected tip,Pinched middle vault,Saddle nose deformity,Short upper lateral cartilages,Sunken supratip,Tip bossae,Alar contour rim graft,Columella strut graft,Dorsum regularization,Dorsum replacement graft,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras caudal extension graft,Lateral cruras cephalic resection,Lateral cruras custom made graft,Lateral cruras shortening resection,Lateral cruras strut graft,Medial cruras shortening resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Spreader graft,Tip defatting,Transdomal tip plasty sutures,Triangular cartilages caudal extension graft - photo 13
#13In detail view of the problematic synchondroses, between 6th and 7th ribs (SC 6+7) and between 7th and 8th ribs (SC 7+8); the rib arcs are numbered (6, 7 and 8).
Alar rim retraction,Asymmetric tip,Bifid columella,Bifid tip,Broad dorsum,Bulbous tip,Dorsum ridges,Failed osteotomies,Flat dorsum,Inverted V deformity,Irregular dorsum,Low dorsum,Low radix,Nasal fibrosis,Nasal valve collapse,Open roof deformity,Overprojected tip,Pinched middle vault,Saddle nose deformity,Short upper lateral cartilages,Sunken supratip,Tip bossae,Alar contour rim graft,Columella strut graft,Dorsum regularization,Dorsum replacement graft,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras caudal extension graft,Lateral cruras cephalic resection,Lateral cruras custom made graft,Lateral cruras shortening resection,Lateral cruras strut graft,Medial cruras shortening resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Spreader graft,Tip defatting,Transdomal tip plasty sutures,Triangular cartilages caudal extension graft - photo 14
#14Dorsal view of the cartilage block acting as radix, bridge and supratip reconstruction, spreader or spacer graft and stabilization element; note how each of its ends has a different design to allow a perfect adjustment within the remaining anatomy.
Alar rim retraction,Asymmetric tip,Bifid columella,Bifid tip,Broad dorsum,Bulbous tip,Dorsum ridges,Failed osteotomies,Flat dorsum,Inverted V deformity,Irregular dorsum,Low dorsum,Low radix,Nasal fibrosis,Nasal valve collapse,Open roof deformity,Overprojected tip,Pinched middle vault,Saddle nose deformity,Short upper lateral cartilages,Sunken supratip,Tip bossae,Alar contour rim graft,Columella strut graft,Dorsum regularization,Dorsum replacement graft,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras caudal extension graft,Lateral cruras cephalic resection,Lateral cruras custom made graft,Lateral cruras shortening resection,Lateral cruras strut graft,Medial cruras shortening resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Spreader graft,Tip defatting,Transdomal tip plasty sutures,Triangular cartilages caudal extension graft - photo 15
#15The superior (S) and inferior (I) ends of the dorsal graft seen from above; the lines represent the customized design and the humanization of the new dorsum which makes the aesthetic result natural.
Alar rim retraction,Asymmetric tip,Bifid columella,Bifid tip,Broad dorsum,Bulbous tip,Dorsum ridges,Failed osteotomies,Flat dorsum,Inverted V deformity,Irregular dorsum,Low dorsum,Low radix,Nasal fibrosis,Nasal valve collapse,Open roof deformity,Overprojected tip,Pinched middle vault,Saddle nose deformity,Short upper lateral cartilages,Sunken supratip,Tip bossae,Alar contour rim graft,Columella strut graft,Dorsum regularization,Dorsum replacement graft,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras caudal extension graft,Lateral cruras cephalic resection,Lateral cruras custom made graft,Lateral cruras shortening resection,Lateral cruras strut graft,Medial cruras shortening resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Spreader graft,Tip defatting,Transdomal tip plasty sutures,Triangular cartilages caudal extension graft - photo 16
#16Undersurface of the dorsal cartilage block showing the two rails which will act as spacer or spreader grafts and as stabilization elements to achieve interlocking between nasal walls from outside and septum in the middle.
Alar rim retraction,Asymmetric tip,Bifid columella,Bifid tip,Broad dorsum,Bulbous tip,Dorsum ridges,Failed osteotomies,Flat dorsum,Inverted V deformity,Irregular dorsum,Low dorsum,Low radix,Nasal fibrosis,Nasal valve collapse,Open roof deformity,Overprojected tip,Pinched middle vault,Saddle nose deformity,Short upper lateral cartilages,Sunken supratip,Tip bossae,Alar contour rim graft,Columella strut graft,Dorsum regularization,Dorsum replacement graft,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras caudal extension graft,Lateral cruras cephalic resection,Lateral cruras custom made graft,Lateral cruras shortening resection,Lateral cruras strut graft,Medial cruras shortening resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Spreader graft,Tip defatting,Transdomal tip plasty sutures,Triangular cartilages caudal extension graft - photo 17
#17The lines remark the very special geometrical design of the dorsal block and its rails; the superior (S) and inferior (I) ends of it are designed in different manner; the superior adapts to the frontalis bone contour at the radix and the inferior ...Read more
Alar rim retraction,Asymmetric tip,Bifid columella,Bifid tip,Broad dorsum,Bulbous tip,Dorsum ridges,Failed osteotomies,Flat dorsum,Inverted V deformity,Irregular dorsum,Low dorsum,Low radix,Nasal fibrosis,Nasal valve collapse,Open roof deformity,Overprojected tip,Pinched middle vault,Saddle nose deformity,Short upper lateral cartilages,Sunken supratip,Tip bossae,Alar contour rim graft,Columella strut graft,Dorsum regularization,Dorsum replacement graft,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras caudal extension graft,Lateral cruras cephalic resection,Lateral cruras custom made graft,Lateral cruras shortening resection,Lateral cruras strut graft,Medial cruras shortening resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Spreader graft,Tip defatting,Transdomal tip plasty sutures,Triangular cartilages caudal extension graft - photo 18
#18The rails of the graft and its section geometry can be seen in this image.
Alar rim retraction,Asymmetric tip,Bifid columella,Bifid tip,Broad dorsum,Bulbous tip,Dorsum ridges,Failed osteotomies,Flat dorsum,Inverted V deformity,Irregular dorsum,Low dorsum,Low radix,Nasal fibrosis,Nasal valve collapse,Open roof deformity,Overprojected tip,Pinched middle vault,Saddle nose deformity,Short upper lateral cartilages,Sunken supratip,Tip bossae,Alar contour rim graft,Columella strut graft,Dorsum regularization,Dorsum replacement graft,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras caudal extension graft,Lateral cruras cephalic resection,Lateral cruras custom made graft,Lateral cruras shortening resection,Lateral cruras strut graft,Medial cruras shortening resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Spreader graft,Tip defatting,Transdomal tip plasty sutures,Triangular cartilages caudal extension graft - photo 19
#19The nasal septum is planned to fit into the middle slot, while the arrows show the space designed to host the nasal wall, made by the nasal bones at the upper part and the triangular cartilages at the lower part.
Alar rim retraction,Asymmetric tip,Bifid columella,Bifid tip,Broad dorsum,Bulbous tip,Dorsum ridges,Failed osteotomies,Flat dorsum,Inverted V deformity,Irregular dorsum,Low dorsum,Low radix,Nasal fibrosis,Nasal valve collapse,Open roof deformity,Overprojected tip,Pinched middle vault,Saddle nose deformity,Short upper lateral cartilages,Sunken supratip,Tip bossae,Alar contour rim graft,Columella strut graft,Dorsum regularization,Dorsum replacement graft,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras caudal extension graft,Lateral cruras cephalic resection,Lateral cruras custom made graft,Lateral cruras shortening resection,Lateral cruras strut graft,Medial cruras shortening resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Spreader graft,Tip defatting,Transdomal tip plasty sutures,Triangular cartilages caudal extension graft - photo 20
#20Theoretical design planned for the dorsal block of cartilage graft, with differential superior (S) and inferior (I) ends, a smooth gradient at the dorsal surface (D) and the rails at the ventral surface (V). Seen from the lateral the upper ...Read more
Alar rim retraction,Asymmetric tip,Bifid columella,Bifid tip,Broad dorsum,Bulbous tip,Dorsum ridges,Failed osteotomies,Flat dorsum,Inverted V deformity,Irregular dorsum,Low dorsum,Low radix,Nasal fibrosis,Nasal valve collapse,Open roof deformity,Overprojected tip,Pinched middle vault,Saddle nose deformity,Short upper lateral cartilages,Sunken supratip,Tip bossae,Alar contour rim graft,Columella strut graft,Dorsum regularization,Dorsum replacement graft,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras caudal extension graft,Lateral cruras cephalic resection,Lateral cruras custom made graft,Lateral cruras shortening resection,Lateral cruras strut graft,Medial cruras shortening resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Spreader graft,Tip defatting,Transdomal tip plasty sutures,Triangular cartilages caudal extension graft - photo 21
#21Axial section of the theoretical design planned for the dorsal block, showing how the assembly achieved interlocking stability; the septum (S) fits in between the graft undersurface rails; the nasal wall (N) lies at the outer gaps of the rails; ...Read more
Alar rim retraction,Asymmetric tip,Bifid columella,Bifid tip,Broad dorsum,Bulbous tip,Dorsum ridges,Failed osteotomies,Flat dorsum,Inverted V deformity,Irregular dorsum,Low dorsum,Low radix,Nasal fibrosis,Nasal valve collapse,Open roof deformity,Overprojected tip,Pinched middle vault,Saddle nose deformity,Short upper lateral cartilages,Sunken supratip,Tip bossae,Alar contour rim graft,Columella strut graft,Dorsum regularization,Dorsum replacement graft,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras caudal extension graft,Lateral cruras cephalic resection,Lateral cruras custom made graft,Lateral cruras shortening resection,Lateral cruras strut graft,Medial cruras shortening resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Spreader graft,Tip defatting,Transdomal tip plasty sutures,Triangular cartilages caudal extension graft - photo 22
#22Adson forceps sized 12 cm are a reference for understanding the dimensions of the dorsal block of cartilage; superior view.
Alar rim retraction,Asymmetric tip,Bifid columella,Bifid tip,Broad dorsum,Bulbous tip,Dorsum ridges,Failed osteotomies,Flat dorsum,Inverted V deformity,Irregular dorsum,Low dorsum,Low radix,Nasal fibrosis,Nasal valve collapse,Open roof deformity,Overprojected tip,Pinched middle vault,Saddle nose deformity,Short upper lateral cartilages,Sunken supratip,Tip bossae,Alar contour rim graft,Columella strut graft,Dorsum regularization,Dorsum replacement graft,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras caudal extension graft,Lateral cruras cephalic resection,Lateral cruras custom made graft,Lateral cruras shortening resection,Lateral cruras strut graft,Medial cruras shortening resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Spreader graft,Tip defatting,Transdomal tip plasty sutures,Triangular cartilages caudal extension graft - photo 23
#23Adson forceps sized 12 cm are a reference for understanding the dimensions of the dorsal block of cartilage; inferior view.
Alar rim retraction,Asymmetric tip,Bifid columella,Bifid tip,Broad dorsum,Bulbous tip,Dorsum ridges,Failed osteotomies,Flat dorsum,Inverted V deformity,Irregular dorsum,Low dorsum,Low radix,Nasal fibrosis,Nasal valve collapse,Open roof deformity,Overprojected tip,Pinched middle vault,Saddle nose deformity,Short upper lateral cartilages,Sunken supratip,Tip bossae,Alar contour rim graft,Columella strut graft,Dorsum regularization,Dorsum replacement graft,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras caudal extension graft,Lateral cruras cephalic resection,Lateral cruras custom made graft,Lateral cruras shortening resection,Lateral cruras strut graft,Medial cruras shortening resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Spreader graft,Tip defatting,Transdomal tip plasty sutures,Triangular cartilages caudal extension graft - photo 24
#24After finishing the fitting of the dorsal block of cartilage, having accomplished the tip deprojection and after correcting the iatrogenic damage of the lateral cruras, the nose shows a perfect stability and an optimal profile, with excellent ...Read more
Alar rim retraction,Asymmetric tip,Bifid columella,Bifid tip,Broad dorsum,Bulbous tip,Dorsum ridges,Failed osteotomies,Flat dorsum,Inverted V deformity,Irregular dorsum,Low dorsum,Low radix,Nasal fibrosis,Nasal valve collapse,Open roof deformity,Overprojected tip,Pinched middle vault,Saddle nose deformity,Short upper lateral cartilages,Sunken supratip,Tip bossae,Alar contour rim graft,Columella strut graft,Dorsum regularization,Dorsum replacement graft,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras caudal extension graft,Lateral cruras cephalic resection,Lateral cruras custom made graft,Lateral cruras shortening resection,Lateral cruras strut graft,Medial cruras shortening resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Spreader graft,Tip defatting,Transdomal tip plasty sutures,Triangular cartilages caudal extension graft - photo 25
#25Note how natural looks the new bridge, thanks to the slight rhomboid shape which humanizes its effect; the supratip and the radix are perfectly finished; the tip has good shape and an adequate length; the alar rims and nostrils are well supported.
Alar rim retraction,Asymmetric tip,Bifid columella,Bifid tip,Broad dorsum,Bulbous tip,Dorsum ridges,Failed osteotomies,Flat dorsum,Inverted V deformity,Irregular dorsum,Low dorsum,Low radix,Nasal fibrosis,Nasal valve collapse,Open roof deformity,Overprojected tip,Pinched middle vault,Saddle nose deformity,Short upper lateral cartilages,Sunken supratip,Tip bossae,Alar contour rim graft,Columella strut graft,Dorsum regularization,Dorsum replacement graft,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras caudal extension graft,Lateral cruras cephalic resection,Lateral cruras custom made graft,Lateral cruras shortening resection,Lateral cruras strut graft,Medial cruras shortening resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Spreader graft,Tip defatting,Transdomal tip plasty sutures,Triangular cartilages caudal extension graft - photo 26
#26The intraoperative view from top shows the nicely shaped dorsum with slight rhomboidal shape, tip with canonical pentagonal shape and straight alar rims.
Alar rim retraction,Asymmetric tip,Bifid columella,Bifid tip,Broad dorsum,Bulbous tip,Dorsum ridges,Failed osteotomies,Flat dorsum,Inverted V deformity,Irregular dorsum,Low dorsum,Low radix,Nasal fibrosis,Nasal valve collapse,Open roof deformity,Overprojected tip,Pinched middle vault,Saddle nose deformity,Short upper lateral cartilages,Sunken supratip,Tip bossae,Alar contour rim graft,Columella strut graft,Dorsum regularization,Dorsum replacement graft,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras caudal extension graft,Lateral cruras cephalic resection,Lateral cruras custom made graft,Lateral cruras shortening resection,Lateral cruras strut graft,Medial cruras shortening resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Spreader graft,Tip defatting,Transdomal tip plasty sutures,Triangular cartilages caudal extension graft - photo 27
#27The lines remark the fine detail of the nicely shaped dorsum with slight rhomboidal shape, tip with canonical pentagonal shape and straight alar rims.
Alar rim retraction,Asymmetric tip,Bifid columella,Bifid tip,Broad dorsum,Bulbous tip,Dorsum ridges,Failed osteotomies,Flat dorsum,Inverted V deformity,Irregular dorsum,Low dorsum,Low radix,Nasal fibrosis,Nasal valve collapse,Open roof deformity,Overprojected tip,Pinched middle vault,Saddle nose deformity,Short upper lateral cartilages,Sunken supratip,Tip bossae,Alar contour rim graft,Columella strut graft,Dorsum regularization,Dorsum replacement graft,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras caudal extension graft,Lateral cruras cephalic resection,Lateral cruras custom made graft,Lateral cruras shortening resection,Lateral cruras strut graft,Medial cruras shortening resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Spreader graft,Tip defatting,Transdomal tip plasty sutures,Triangular cartilages caudal extension graft - photo 28
#28Intraoperative views of the post-debridement of fibrosis state of the nose and its situation at the very right end of the procedure; note how the dorsal contour is smooth and exempt of irregularities, in spite no camouflage gesture was applied ...Read more
Alar rim retraction,Asymmetric tip,Bifid columella,Bifid tip,Broad dorsum,Bulbous tip,Dorsum ridges,Failed osteotomies,Flat dorsum,Inverted V deformity,Irregular dorsum,Low dorsum,Low radix,Nasal fibrosis,Nasal valve collapse,Open roof deformity,Overprojected tip,Pinched middle vault,Saddle nose deformity,Short upper lateral cartilages,Sunken supratip,Tip bossae,Alar contour rim graft,Columella strut graft,Dorsum regularization,Dorsum replacement graft,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras caudal extension graft,Lateral cruras cephalic resection,Lateral cruras custom made graft,Lateral cruras shortening resection,Lateral cruras strut graft,Medial cruras shortening resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Spreader graft,Tip defatting,Transdomal tip plasty sutures,Triangular cartilages caudal extension graft - photo 29
#29Outlining of the planned dorsum and tip profiles before starting with the reconstruction process and the final skeletal frame achieved; this awesome result would have been unfeasible with other technique or procedure.
Alar rim retraction,Asymmetric tip,Bifid columella,Bifid tip,Broad dorsum,Bulbous tip,Dorsum ridges,Failed osteotomies,Flat dorsum,Inverted V deformity,Irregular dorsum,Low dorsum,Low radix,Nasal fibrosis,Nasal valve collapse,Open roof deformity,Overprojected tip,Pinched middle vault,Saddle nose deformity,Short upper lateral cartilages,Sunken supratip,Tip bossae,Alar contour rim graft,Columella strut graft,Dorsum regularization,Dorsum replacement graft,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras caudal extension graft,Lateral cruras cephalic resection,Lateral cruras custom made graft,Lateral cruras shortening resection,Lateral cruras strut graft,Medial cruras shortening resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Spreader graft,Tip defatting,Transdomal tip plasty sutures,Triangular cartilages caudal extension graft - photo 30
#30Original nose (left) and the intraoperative new nasal skeleton (right).
Alar rim retraction,Asymmetric tip,Bifid columella,Bifid tip,Broad dorsum,Bulbous tip,Dorsum ridges,Failed osteotomies,Flat dorsum,Inverted V deformity,Irregular dorsum,Low dorsum,Low radix,Nasal fibrosis,Nasal valve collapse,Open roof deformity,Overprojected tip,Pinched middle vault,Saddle nose deformity,Short upper lateral cartilages,Sunken supratip,Tip bossae,Alar contour rim graft,Columella strut graft,Dorsum regularization,Dorsum replacement graft,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras caudal extension graft,Lateral cruras cephalic resection,Lateral cruras custom made graft,Lateral cruras shortening resection,Lateral cruras strut graft,Medial cruras shortening resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Spreader graft,Tip defatting,Transdomal tip plasty sutures,Triangular cartilages caudal extension graft - photo 31
#31Original nose (left) and the prismatic scheme of the dorsal reconstruction graft three dimensional design the in intraoperative new nasal skeleton (right).
Alar rim retraction,Asymmetric tip,Bifid columella,Bifid tip,Broad dorsum,Bulbous tip,Dorsum ridges,Failed osteotomies,Flat dorsum,Inverted V deformity,Irregular dorsum,Low dorsum,Low radix,Nasal fibrosis,Nasal valve collapse,Open roof deformity,Overprojected tip,Pinched middle vault,Saddle nose deformity,Short upper lateral cartilages,Sunken supratip,Tip bossae,Alar contour rim graft,Columella strut graft,Dorsum regularization,Dorsum replacement graft,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras caudal extension graft,Lateral cruras cephalic resection,Lateral cruras custom made graft,Lateral cruras shortening resection,Lateral cruras strut graft,Medial cruras shortening resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Spreader graft,Tip defatting,Transdomal tip plasty sutures,Triangular cartilages caudal extension graft - photo 32
#32Original nose (left) and the intraoperative new nasal skeleton (right).
Alar rim retraction,Asymmetric tip,Bifid columella,Bifid tip,Broad dorsum,Bulbous tip,Dorsum ridges,Failed osteotomies,Flat dorsum,Inverted V deformity,Irregular dorsum,Low dorsum,Low radix,Nasal fibrosis,Nasal valve collapse,Open roof deformity,Overprojected tip,Pinched middle vault,Saddle nose deformity,Short upper lateral cartilages,Sunken supratip,Tip bossae,Alar contour rim graft,Columella strut graft,Dorsum regularization,Dorsum replacement graft,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras caudal extension graft,Lateral cruras cephalic resection,Lateral cruras custom made graft,Lateral cruras shortening resection,Lateral cruras strut graft,Medial cruras shortening resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Spreader graft,Tip defatting,Transdomal tip plasty sutures,Triangular cartilages caudal extension graft - photo 33
#33Original nose (left) and the prismatic scheme of the dorsal reconstruction graft three dimensional designs the in intraoperative new nasal skeleton (right).

  RATE THIS CASE FOR THE COMMUNITY

How much did you like the case?
How much has been useful to you?
Ranking
Usefulness
Popularity

  TECHNICALITIES

  • AREAS

  • TREATMENTS

    Reconstruction Rhinoplasty
    Revision Rhinoplasty
  • DIAGNOSES APPLICABLE

    Alar rim retraction
    Asymmetric tip
    Bifid columella
    Bifid tip
    Broad dorsum
    Bulbous tip
    Dorsum ridges
    Failed osteotomies
    Flat dorsum
    Inverted V deformity
    Irregular dorsum
    Low dorsum
    Low radix
    Nasal fibrosis
    Nasal valve collapse
    Open roof deformity
    Overprojected tip
    Pinched middle vault
    Saddle nose deformity
    Short upper lateral cartilages
    Sunken supratip
    Tip bossae
  • TECHNIQUES EMPLOYED

    Alar contour rim graft
    Columella strut graft
    Dorsum regularization
    Dorsum replacement graft
    Extended columella strut graft
    Intercrural columella plasty sutures
    Interdomal tip plasty sutures
    Lateral cruras batten graft
    Lateral cruras caudal extension graft
    Lateral cruras cephalic resection
    Lateral cruras custom made graft
    Lateral cruras shortening resection
    Lateral cruras strut graft
    Medial cruras shortening resection
    Onlay dorsum graft
    Onlay radix graft
    Onlay supratip graft
    Open approach incision
    Rib cartilage graft harvesting
    Spreader graft
    Tip defatting
    Transdomal tip plasty sutures
    Triangular cartilages caudal extension graft

  DR. ALEJANDRO NOGUEIRA'S SIMILAR CASES PHOTO GALLERY *

  CONTACT US

  DISCLAIMER

  • This information is indicative only and does not represent an obligation with patients or a prediction of forthcoming events, since is based on statistical means for large groups of patients, with the variability that implies, and the biased experience of medical professionals.
  • Medicine and Surgery are not exact sciences, therefore it is not possible to foretell the most likely evolution neither establish the most suitable management for each individual case until the moment the physicians can preoperatively evaluate the patient and receive feedback about the postoperative.
  • One surgical process can't be fully predictable or be rigidly scheduled on a previous protocol, so the management plan may be modified at any time based on the requirements that could be considered as necessary or most suitable.
  • Healing is an imprecise and always unpredictable process due to the uniqueness nature of each patient; even with your physician prioritising post-op patient care excellence and scar minimisation techniques and treatments your evolution and results may be likely different to the information contained on this website, therefore your physician cannot guarantee any specific scenario and outcome commitment regarding your procedures.
  • Remember that all surgery is likely to produce lasting swelling and a lifetime permanent scar, which is likely to partially evolve over approximately 12 to 18 months or longer because this is an issue of unpredictable kind; some patients may be prone to permanent swelling and bad scarring.
  • Information on our website is not a substitute for a personalised, individual consultation that includes a physical examination, history taking, a discussion of the potential risks including potential common complications, pros and cons of various procedural options, and the likely outcome expectations of your surgical procedure. Only an in-person consultation and examination can help your physician to provide you with information about what you, personally, as a unique individual, can expect.
  • Dr. Alejandro Nogueira's opinions, indications, procedures, techniques and methods of diagnosis, treatment and management change frequently as new information is available due to scientific knowledge and state-of-the-art medical practice progress; we aim to keep information updated, but it is possible that some information may have been superseded and is in process of being added to our website, therefore it may not represent Dr. Alejandro Nogueira's most current methods or protocols.
  • All images are genuine, trustworthy and real standard views of the "before" situation and the long term settled "after" actual results of Dr. Alejandro Nogueira’s work, as well as true intraoperative surgical views and authentic technical or clinical scenarios depicting real practice hands-on cases belonging to Dr. Alejandro Nogueira's skills and expertise.
  • No other professional but Dr. Alejandro Nogueira himself as leading and executing surgeon has carried out the techniques, procedures and surgeries shown in the galleries.
  • No images were staged, digitally edited or modified in any way, except for cropping, adjusting and resizing to fit gallery format, removing identifiable elements and blanking with anonymity purposes.
  • The images of results, treatments, techniques and clinical situations are mere guidance examples aiming to help the patients in their decision-making process, providing an average overview of Dr. Alejandro Nogueira's work; no one of them can be considered as an obligation of any particular results nor a commitment for the application of any specific techniques, therefore you should not base your results expectations on them.
  • Every patient has to be assessed individually in order to establish a customized prognosis of results and design an individual surgical plan, being somehow unpredictable the real final outcome of any procedure as well the surgical gestures applied during the intervention, since they will depend on multiple particular, frequently unpredictable and sometimes uncontrollable factors.
  • Even when you feel that you look very similar to another patient in their images, your results will likely vary significantly, because you are a unique person and every individual has not only a completely unique physique, but also uniquely individualistic body healing capacities, scarring tendencies and recovery processes, some of which are unpredictable even in very-healthy patients who rest adequately and do all the other right and prescribed things before and after their procedure.
  • Previous successful results of a physician do not guarantee future successful procedures and patient's satisfaction.
  • The images may display content that is graphic in nature showing explicit surgery, clinical events and that may depict partial or total nudity; if you find such material offensive or you are sensitive to it you should not use this feature and should exercise caution before accessing other explicit features of the website.
  • The images are appropriate for a mature-only audience; if you are under the age of 18 you should not view the content of this website.
  • All the prices and quotations visible on our website belong to or are calculated out of the reduced price list and do already enjoy by default a -20% discount from the standard price list for our treatments as compensating remuneration for the release and transfer of the intellectual property, the rights of image, the medical records and the personal data of our patients for scientific dissemination, medical teaching, public communication, commercial promotion, advertising marketing, commercial exploitation and disclosure in general, unless they express the opposite at their surgery day booking by opting for the standard prices. External Link READ MORE ABOUT BENEFITS OF THE COLLABORATIVE MODEL
  • Our prices are quotations valid for the majority of cases operated on; notwithstanding a few cases are non standard, atypical, requiring exceptional resources and, therefore, needing customized quote calculation; do seek the advice of our Medical and Sales Teams to find out whether your case lies within the standard protocol of management, which actually is the most likely scenario.
  • Standard quotations do cover the planned protocol of management, including preoperative consultation with the surgeon, preanesthesia examination, basic preoperative tests, surgeon, anesthetist and assistant fees, planned operating room, rental time, regular intraoperative surgical supplies (materials, drugs, etc.), agreed implants (breast, etc.), one recommended postoperative garment (brassiere, corset, etc.), 1 hour recovery unit stay, individual ward room, regular hospital supplies (materials, drugs, etc.) and postoperative office-based care.
  • Not included in standard quotations are, among others, non basic preoperative tests, pre and postoperative consultant referrals for assessment, additional garments, non hospital supplies (materials, drugs, etc.), postoperative tests and any kind of postoperative re-interventions, postoperative medical or surgical emergencies and costs exceeding the planned protocol of management like unplanned, unforeseeable and unavoidable extended surgical time rental of the operating room, extended hospital stay in standard ward or Intensive Care Unit (ICU) room and all the associated costs with any hospital-based assistance of complications, medicalized repatriation, hostelry accommodation, maintenance and travel costs; we do not take account of any costs not within the scheduled treatment pre and postoperative planned and agreed management.
  • We do not offer trip packages; the patient is bound to organize and pay for any trip, accommodation, food, transport, etc.
  • Prices do include the V.A.T.
  • Prices do not include any kind of travel or revision insurance; do read about the Surgery Shield for revision surgery here should you wish to be covered in such a case.
  • Treatments are payable in Euros only; we do not accept other currencies as payment of the treatments.
  • Any currency conversion is non accurate and has indicative purposes only.
  • Combo Specials discounts are percentages of reduction applied on the retail price of the standard quotations for the treatments of the price list; these discounts are not applicable on non standard cases, customized quotations and charges not included in the standard quotations.
  • The treatments Breast implants custom XL or Breast reconstruction autologous and the Surgery Shield for any body area treament is expressly excluded from any price reduction, discount and promotion, among them the Combo Specials.
  • Combo Specials are applied and calculated for each purchase of treatments to be performed simultaneously; Combo Specials are not allowed on treatments to be performed in different anesthetic procedures or different surgical episodes; any given purchase of treatments to be performed simultaneously may include more than one Combo Special.
  • One given treatment cannot be affected by more than one discount, be it Combo Specials or other discounts; in the event of a conflict due to the coincidence of more than one Combo Specials discount affecting a given treatment, the discount that produces the greatest gross discount in favor of the patient calculated at the given treatment in conflict level will be applied.
  • The marbellia's General Combo Special only applies to treatments other than those affected by treatment-specific Combo Specials at any given purchase of treatments to be performed simultaneously; for the calculation of the marbellia's General Combo Special all the treatments affected by treatment-specific Combo Specials are considered a single treatment.
  • Any urgent matter of medical or commercial kind must be addressed through our Telephone Assistance which is operative 24/7/365 to contact with the Medical Team or through our Telephone Support which is available in office hours to contact with the Sales Team.
  • Priority but non urgent medical or commercial assistance is available by selecting priority option in the corresponding Online Consultation or Customer Support form.
  • Non urgent and non priority medical consultations may be carried out using the regular Online Consultation or Customer Support form without priority selection.
  • To apply for a face-to-face medical meeting use the In Person Consultation form.
  • If you wish to apply for treatment dates use the Surgery Day Booking form.