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

View album

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.

View album
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.

View album
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.

View album

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.

View album
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.

View album

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.

View album
Rinoplastica gibbi/gobbe prima e dopo


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.

View album
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

View album

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.

View album

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.

Follow us on Instagram and stay tuned!