Rhinoplasty refers to nasal surgery in which only an improvement of nasal aesthetics is sought. it is literally vital, it is not the same as, for example, hand, elbow or foot surgery.


After many years of performing the closed technique and the open technique and verifying the limitations of both techniques that make the results unpredictable and that the nose looks unnatural, I began to consider in 2007 the need to design a new technique more Natural logic and much more predictable, especially when it comes to nasal tip surgery.

In 2010 the present in the annual meeting American Academy of Facial Plastic and Reconstructive Surgery 2010 20-23 Boston September 2010. A personal modified external rhinoplasty without columelar incisión .

I put this title to the presentation to explain that with this technique an anatomical exposure is possible similar to that achieved with external rhinoplasty, being able to perform the same resection, suture or graft placement maneuvers but without the need for an external incision.

After more than 10 years of performing this technique I have been able to verify how the results are optimal achieving a functional nose that breathes perfectly with a very natural “look” so that the nose “disappears” from the face without attracting any attention at all.

I am proud of this award and it encourages me to continue studying and perfecting the technique in order to make the patients who come to me happy to improve their aesthetics and functionality or both at the same time.


The idea of ​​designing a more reliable and safe technique with very natural results comes after many years of performing rhinoplasties with the closed and open or external techniques and being fully aware of the limitations of both techniques.

The main technical problem of closed rhinoplasty is that it fails to adequately expose the anatomy of the nasal tip with which it is not possible to understand why the patient has the shape of the nasal tip in a certain way. endonasal level allows us to expose the nasal dorsum but not the medial and intermediate crura of the lateral cartilages, we can only visualize a part of the lateral crura with which we can only assess how much alar cartilage of the lateral crura we have eliminated but we do not know if the amount of alar cartilage that we have left is symmetrical, with which the nasal tips tend to be asymmetric and / or unnatural.

Regarding open or external rhinoplasty, its main drawback is the external scar, always more or less visible, and which is exposed to great tension if we perform functional surgery with correction of the nasal septum and / or turbinates, in addition to the result of the surgical maneuvers that We only do it with certainty when we close the columellar incision, which is the end of the intervention and there are not many possibilities for correction, for all this the noses also present an unnatural operated nose looK.

My technique has numerous advantages, there is no visible external scar, the anatomical exposure that is achieved is very similar to external rhinoplasty with which we can understand why a nose has a certain shape and what are the appropriate maneuvers for its correction and also with just reposition the skin and we see the result of the same without the need to wait for the end of the intervention with which if we are satisfied we continue to progress in the surgery.