Nose tip sculpting

Nose tip sculpting prima e dopo Creating a natural-looking nose tip sculpting with a subtle interplay of lights and shadow is the result of sophisticated techniques adapted to specific patient’s anatomy

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Revision rhinoplasty

Revision rhinoplasty before and after photo Minimally invasive surgery or structural reconstructions will provide patients that had multiple operations with noticeable benefits, but not every patient can be helped.

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Sotto ruotato

Drooping tip

Drooping tip before and after Here the nose is simply less-than-elegant. Changing both tip position and columellar contour will provide the patient with a more natural and youthful appearance.

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5over projected nose

Big, over-projected nose

Reduction rhinoplasty before and after Simply, a nose too large for the face. Reducing the nasal size requires modification of several anatomical elements to achieve an harmonious dorsum-tip-lip relationship.

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twisted-nose

Twisted nose

Twisted nose A twisted nose provides the surgeon with unique challenges. It is very hard to create a perfectly straight nose, but significant improvements are frequently achieved.

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naso a sella rinoplastica milano

Saddle nose

Rhinoplasty saddle nose before and after This complex functional and aesthetic problem requires reconstruction of the nose, either segmental or total rebuilding. I only use tissue from the patient, mostly cartilage.

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Rhinoplasty for men

Rhinoplasty male before and after Male rhinoplasty is not “feminizing” the nose, but correcting nasal imbalances while preserving the masculine nose features, typically a prominent, straighter bridge.

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Rinoplastica gibbi/gobbe prima e dopo

Humps&humps

Rhinoplasty hump/bump before and after The commonest problem in rhinoplasty. But not every hump is just a hump. Most of the times also tip position has to be changed to create a more balanced profile line.

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Rinoplastica casi speciali prima e dopo 1

Special cases

Special cases rhinoplasty before and after  Patients may present with highly unique and unusual problems. A sophisticated analysis and a tailor-made approach pave the way for a successful outcome

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7 days after

Rhinoplasty before and after 7 day Boxing Day… The removal of the dressings is a wondrous moment. in few weeks, a reduction of swelling and tip over-rotation will give her the nose what she always wanted.

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Rhinoplasty before and after

The following images are some examples of patients who have had rhinoplasty, whether primary or secondary, under the care of Prof. Palma. Please remember that rhinoplasty is never the same operation twice. Each case is unique. Therefore, each patient’s result is also unique and cannot be replicated exactly for another patient. The are many complex reasons why there cannot be a cookie-cutter approach to rhinoplasty. However, if you consider the absolute unique qualities of each human being, it becomes apparent that there are equally specific anatomical limitations that place boundaries on what can be achieved. This situation is made more complex by the presence of past trauma, previous rhinoplasty or septorhinoplasty surgeries, underlying skin disorders, and a myriad of other vital factors such as the patient’s ethnicity, individual desires, understanding of surgical limitations, and unique anatomy.
In summary, the human nose cannot simply be molded into any shape with impunity. The limitations placed on the surgeon by anatomical features can be difficult to grasp. However, if you consider the fact that the nose is covered by multiple layers of fat and muscle which are usually not operable, then the limitation of only operating on cartilage and bone become apparent. I always advise my patients on what is achievable in their unique circumstances. Although many cases can be improved with surgery, you may have to accept that in certain circumstances, adjunctive treatments for dermatological conditions might become necessary. Similarly, some patients cannot be helped by surgery, and must accept that any further operations would carry too many risks and should therefore be avoided. At all times, I will convey my message to you with utmost sensitivity and truthfulness. The complexities of rhinoplasty are difficult for experts to grasp and convey to patients. Please give yourself adequate time to fully digest a rhinoplasty expert’s advice: he/she has your best interest at heart.

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YOUnique Rhinoplasty ®

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Aug 1

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There are evenings that never truly end. ⠀ This photograph was taken in 2014 during an IFFPSS World Congress. ⠀ What followed was one of those unforgettable nights that stretched into the early hours, listening to Bob Simons. ⠀ Bob was a remarkable storyteller. ⠀ He had the rare gift of making history come alive. Through his memories, the pioneers of American rhinoplasty—Goldman, Diamond, Cottle, Anderson, and so many other extraordinary figures—were no longer names in textbooks, but real people, with their vision, their struggles, their triumphs, and even their contradictions. ⠀ He spoke of surgeons who devoted their entire lives to mastering their craft, and of those exceptional few who also became true leaders: people able to imagine a future that did not yet exist and inspire others to build it. ⠀ From him, I learned that genuine leadership is born from an unwavering passion for one’s profession and from the ability to see beyond the present. ⠀ Bob and I also shared a deep passion for endonasal rhinoplasty. ⠀ Over the years, he generously shared technical insights and surgical pearls that became part of my own practice. ⠀ His wisdom did not end with me; it has quietly reached every patient who has benefited from those lessons. ⠀ Looking back, I realize that our conversations were never only about rhinoplasty. ⠀ They were about curiosity. About excellence. About mentorship. About friendship. And about the responsibility each generation has to pass knowledge on to the next. ⠀ Those of us who had the privilege of knowing him feel poorer today, yet profoundly grateful to have spent part of our professional lives standing on the shoulders of a giant. ⠀ Sit tibi terra levis, Bobby. ⠀ #rhinoplasty #rinoplastica #endonasalrhinoplasty #master

There are evenings that never truly end.
⠀
This photograph was taken in 2014 during an IFFPSS World Congress.
⠀
What followed was one of those unforgettable nights that stretched into the early hours, listening to Bob Simons.
⠀
Bob was a remarkable storyteller.
⠀
He had the rare gift of making history come alive. Through his memories, the pioneers of American rhinoplasty—Goldman, Diamond, Cottle, Anderson, and so many other extraordinary figures—were no longer names in textbooks, but real people, with their vision, their struggles, their triumphs, and even their contradictions.
⠀
He spoke of surgeons who devoted their entire lives to mastering their craft, and of those exceptional few who also became true leaders: people able to imagine a future that did not yet exist and inspire others to build it.
⠀
From him, I learned that genuine leadership is born from an unwavering passion for one’s profession and from the ability to see beyond the present.
⠀
Bob and I also shared a deep passion for endonasal rhinoplasty.
⠀
Over the years, he generously shared technical insights and surgical pearls that became part of my own practice.
⠀
His wisdom did not end with me; it has quietly reached every patient who has benefited from those lessons.
⠀
Looking back, I realize that our conversations were never only about rhinoplasty.
⠀
They were about curiosity.
About excellence.
About mentorship.
About friendship.
And about the responsibility each generation has to pass knowledge on to the next.
⠀
Those of us who had the privilege of knowing him feel poorer today, yet profoundly grateful to have spent part of our professional lives standing on the shoulders of a giant.
⠀
Sit tibi terra levis, Bobby.
⠀
#rhinoplasty #rinoplastica #endonasalrhinoplasty #master ...

32 0

younique_rhinoplasty

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Jul 27

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🇮🇹 Per sei anni ho avuto il privilegio di lavorare accanto al Prof. Sulsenti, il mio Maestro e mentor. ⠀ Quando avevo l’età di Filippo, collaborai intensamente con lui alla revisione e all’aggiornamento della seconda edizione di questo libro, contribuendo a renderlo attuale per una nuova generazione di chirurghi. ⠀ Oggi, nell’ultimo giorno di lavoro prima della pausa estiva, ho voluto affidare questo libro al Dr. Filippo Omenetti, Junior Associate di YOUnique Rhinoplasty. ⠀ Questo gesto riguarda la continuità di una cultura professionale. ⠀ Una cultura costruita sullo studio continuo, sul rigore scientifico, sulla postura etica e sulla dedizione completa ai nostri pazienti. ⠀ Le tecniche evolvono. I valori, invece, meritano di essere custoditi, vissuti e trasmessi. ⠀ 🇬🇧 For six years, I had the privilege of working alongside Professor Sulsenti, my mentor and teacher. ⠀ When I was Filippo’s age, I worked closely with him on the revision and modernization of the second edition of this book, helping prepare it for a new generation of surgeons. ⠀ Today, on our last working day before the summer break, I wanted to place this book in the hands of Dr. Filippo Omenetti, Junior Associate at YOUnique Rhinoplasty. ⠀ This gesture is about the continuity of a professional culture. ⠀ A culture built on lifelong learning, scientific rigor, ethical integrity, and complete dedication to our patients. ⠀ Techniques evolve. Values deserve to be preserved, lived, and passed on. ⠀ #rhinoplastyexpert #rinoplasticamilano #closedrhinoplasty #rinoplasticachiusa #noscarrhinoplasty

🇮🇹 Per sei anni ho avuto il privilegio di lavorare accanto al Prof. Sulsenti, il mio Maestro e mentor.
⠀
Quando avevo l’età di Filippo, collaborai intensamente con lui alla revisione e all’aggiornamento della seconda edizione di questo libro, contribuendo a renderlo attuale per una nuova generazione di chirurghi.
⠀
Oggi, nell’ultimo giorno di lavoro prima della pausa estiva, ho voluto affidare questo libro al Dr. Filippo Omenetti, Junior Associate di YOUnique Rhinoplasty.
⠀
Questo gesto riguarda la continuità di una cultura professionale.
⠀
Una cultura costruita sullo studio continuo, sul rigore scientifico, sulla postura etica e sulla dedizione completa ai nostri pazienti.
⠀
Le tecniche evolvono.
I valori, invece, meritano di essere custoditi, vissuti e trasmessi.
⠀
🇬🇧 For six years, I had the privilege of working alongside Professor Sulsenti, my mentor and teacher.
⠀
When I was Filippo’s age, I worked closely with him on the revision and modernization of the second edition of this book, helping prepare it for a new generation of surgeons.
⠀
Today, on our last working day before the summer break, I wanted to place this book in the hands of Dr. Filippo Omenetti, Junior Associate at YOUnique Rhinoplasty.
⠀
This gesture is about the continuity of a professional culture.
⠀
A culture built on lifelong learning, scientific rigor, ethical integrity, and complete dedication to our patients.
⠀
Techniques evolve.
Values deserve to be preserved, lived, and passed on.
⠀
#rhinoplastyexpert #rinoplasticamilano #closedrhinoplasty #rinoplasticachiusa #noscarrhinoplasty ...

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