About Me


Pietro is currently acting as:

- President, International Federation of Facial Plastic Surgery Societies (IFFPSS)

-Immediate Past-President, European Academy of Facial Plastic Surgery (EAFPS)
 - Board Member, Italian Academy of Rhinology (IAR) www.accademiarinologia.it 

 -Immediate Past-President, Italian ORL Society of Facial Plastic  Surgery www.aicef-chirurgiaplasticafacciale.it 

 - Presidential Council, European Confederation of Otorhinolaryngology 
   and Head & Neck Surgery (CEORL-HNS) www.ceorlhns.org


Pietro graduated from the University of Bologna, Laurea in Medicina e Chirurgia cum laude. Pietro specialized in Otorhinolaryngology and Cervico-Facial Surgery, University of Sienna, Italy.
Pietro completed several fellowships in rhinoplasty, facial plastic surgery and rhinology in top level university centres, in Europe and USA.

Pietro Palma is Fellow of American College of Surgeons (FACS) www.facs.org

      Pietro Palma is a member of American Academy of Facial 
Surgery www.aafprs.org 



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Pietro has published numerous scientific papers, mainly covering the topics of rhinoplasty. His paper on Hybrid Rhinoplasty has been published in the journal Archives of Facial Plastic Surgery in 2010.
Pietro co-authored two textbooks.
Pietro authored several chapters in reference international textbooks:
- Advanced Therapy in Facial Plastic and Reconstructive Surgery (Thomas, published by PMPH-USA)
- European Manual of Medicine - Otolaryngology, Head and Neck Surgery (Anniko et al, published by Springer)
- Rhinoplasty: A Practical Guide (Godin, published by Thieme)
- Current Opinion in Otolaryngology & Head and Neck Surgery (published by Wolters Kluver Health - Lippincott Williams & Wilkins)
- Rhinoplasty: The Experts’ Reference (Sclafani, published by Thieme)

Chapters in press for international reference textbooks:
- Master Techniques in Otolaryngology - Head and Neck Surgery (Myers, published by Lippincott Williams & Wilkins)
- Ethnic Considerations in Facial Plastic Surgery (Cobo, published by Thieme)
- International Textbook of Otolaryngologic Principles and Practice (Paparella, published by Jaypee Medical Publishers)
- Practical Otolaryngology-Head & Neck Surgery: A Symptom-Oriented Approach (Ahmad, Morton and Giles, published by Jaypee Medical Publishers)
- Secondary Rhinoplasty by the Global Masters (Rohrich & Ahmad, published by Quality Medical Publishing- CRC Press)
Co-editor in chief www.RhinoplastyArchive.com - the world's first free, online textbook on rhinoplasty surgery
Pietro is currently working on a textbook on Endonasal Rhinoplasty.

- Department of Otorhinolaryngology Head & Neck Surgery, University of Insubria-Varese, Italy (Director: Prof. Paolo Castelnuovo)
- Clinical Professor, Dept of Otorhinolaryngology, University of Insubria-Varese, Italy
- Corresponding member, German Society of Otorhinolaryngology, Head and Neck Surgery www.hno.org/en/


Teaching worldwide
Pietro is world reknown rhinoplasty surgeon and lecturer and has been invited to lecture and/or operate in a large number of conferences and courses: Austria, Belgium, Brazil, Chile, China, Colombia, Croatia, Denmark, Egypt, Emirates, Finland, France, Germany, Great Britain, Greece, Hungary, India, Iran, Ireland, Israel, Korea, Kuwait, Lebanon, Lithuania, Mexico, Morocco, Norway, Poland, Portugal, Russia, Serbia, Spain, Switzerland, The Netherlands, Tunisia, Turkey, Ukraine, USA and Venezuela.
Pietro has served for 10 years as the editorial board member or the scientific journal Archives of Facial Plastic Surgery http://archfaci.jamanetwork.com

Innovation in teaching
Pietro has organized many meetings, both national and international, on rhinoplasty and facial plastic surgery.

In 2001 he established together with prof. Paolo Castelnuovo the world-famous biennial “International Milano Masterclass” www.milanomasterclass.it. Milano Masterclass is the largest rhinoplasty course in Europe and regularly hosts global leaders in rhinoplasty as Faculty members. The last edition was attended by more than 700 participants coming from 67 different countries.
In 2014 Pietro has initiated the pilot project eXlsa, Extreme Live Surgery Arena
www.extremelivesurgery.com. eXlsa features a unique format: only live surgery on extreme cases, no lectures, and instant interaction surgeons/audience on the operative dilemmas that haunt the surgeon at every turn and moment. eXlsa presents challenging cases from the fields of cosmetic rhinoplasty, revision rhinoplasty, septal perforation repair surgery, and complex ear and nose reconstruction.
Pietro is co-editor of Rhinoplasty Archive www.RhinoplastyArchive.com, the world’s first free, online surgical textbook on rhinoplasty surgery.

Rhinoplasty: My way

Rhinoplasty is a very significant operation that can potentially alter the way you view yourself, and even improve your nasal airflow. My approach to rhinoplasty includes meticulous planning and assessment of the patient, listening to the patient’s requests, and creating a game plan that is unique to that particular patient’s aims and desires. You may have already seen examples of noses on the Internet that are unnatural, unbalanced, or look artificial. These are practices that I avoid at all times. The concept of a YOUnique Rhinoplasty forms the central axiom of my approach: each operation is tailor-made for the patient as every patient’s face and desires are unique. 
My goal consists in creating a nose that is balanced to the individual patient’s facial features so that the ultimate result looks absolutely natural.

Which rhinoplasty?
Traditionally, rhinoplasty has been divided into external and endonasal or “closed” types.
 During and external rhinoplasty, the surgeon makes an incision on the outside of the nose, in a region called columella. This allows the surgeon to expose the cartilages and bones of the nose to full view. Many rhinoplasty centers around the world practice open rhinoplasty. This operation might leave a visible scar even when the columellar incision has been placed and closed correctly. Usually, it is barely visible. During an external approach, the nose has to be deconstructed and then reconstructed to regain its stability. However, this is often not required for the majority of patients who desire an aesthetic improvement. 
In other centers, the emphasis is totally on a closed technique where incisions are hidden within the nose. This approach makes it more difficult for the surgeon to visualize the nasal structures, especially the nasal tip. In the classical “closed” rhinoplasty, the emphasis is mainly on bone and cartilage reduction. In experienced hands it can achieve excellent results. 

I have developped a hybrid technique, already described and published in the prestigious journal Archives of Facial Plastic Surgery. Hybrid approach means that an external incision will NOT be made and therefore, a scar on the outside of the nose cannot form. The advantage of the hybrid approach, compared to the standard closed reduction rhinoplasty, is that most of the techniques of the external approach can be used to elegantly reshape the size, angles, curves, or proportions of the nose. One could think of this approach as a “scar-free” rhinoplasty technique that takes advantage of the best of both worlds of open and closed rhinoplasty. The endonasal “hybrid” technique provides an excellent alternative to the more aggressive external approach as it allows for minimally invasive techniques whenever possible, and more extensive surgery when necessary. The hybrid approach permits the maximum of surgical versatility, which is the key in aesthetic rhinoplasty.

Treating form and function
The nose consists of bones and several sets of cartilages that are bound to each other to form three distincs arches: superior bony arch (solid), middle cartilaginous arch (semi-flexible), and inferior cartilaginous arch, made by tip cartilages and ligaments (flexible). While airflow can be affected by the integrity of this supporting scaffold, the lining of the nose is a highly complex organ that responds to many factors such as changes in temperature, humidity, hormones, and to diseases like allergic and non-allergic rhinitis. Therefore, if your nose has problems with airflow, I might recommend medical therapy for the underlying problem of the nasal lining, or suggest a combination of surgery and medicine. There are a whole range of medicines and other minimally invasive procedures that are available for the treatment of nasal airflow problems. Many patients who seek rhinoplasty also suffer from sinus problems. For these individuals a combination of rhinoplasty and minimally-invasive endoscopic surgery (FESS) can be appropriate. I have been trained in management of nasal and sinus diseases and can therefore combine aesthetic rhinoplasty and functional nasal-sinus surgery. Endoscopic surgery involves putting refined micro-cameras in the nose to directly visualize the operative field using sophisticated micro-instruments. There are no external incisions and the recovery time is much shorter compared to the traditional methods.

The sensation of free airflow through a previously blocked nose, creates a feeling of relief and liberation for a seemingly relentless symptom. Designed to ensure physical well-being, free nasal airflow is also a vehicle for psychological wellness. However, one should not lose sight of the fact that the sensation of nasal airflow is a highly complicated phenomenon and not simply related to the architecture of the nose.