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Rinoplastia is a surgical procedure that resizes or reshapes the nose.

This incredible plastic surgery (commonly known as nose job) can provide an ultimate solution for a variety of medical conditions, for example, visible nose bump, skin cancer, a droopy & enlarged nasal tip, and internal nose cancer which may require replacement of several delicate tissues including bone, skin, cartilage & soft tissue.

Here to note, Dr. Sam Rizk is a renowned and experienced facial plastic & reconstructive surgeon, who combines his unique skills to achieve great surgical outcomes. He has already spent around 4 years and completed an in-depth & thorough surgical training from prestigious hospitals, such as New York Hospital Center, Cornell Medical School, and Memorial Sloan- Kettering Cancer Center. This expertized and proficient surgeon regularly attends both international and national plastic surgery conferences to deliver lectures on his own techniques & innovations. Many of his innovations have been already published by famous plastic surgery journals too.

Around 10%-15% of his work is related to reconstructive surgery which is performed after a cancer removal or any trauma (found on face & nose). Dermatologists often refer skin cancers as MOHS excision. Now, a MOHS excision process is a typical micrographic excision that is intended to diligently preserve normal tissues by examining & mapping surgical borders. Dr. Sam Rizk’s nose reconstruction technique is properly coordinated with the dermatologists. Thus as a patient, you’ll get the flexibility to undergo the reconstruction & the excision on the same day. The excision will be performed by your preferred dermatologist and then you’ll undergo a reconstruction under the guidance of a qualified surgeon, Dr. Sam Rizk.

This nose reconstruction may involve just a local tissue flap from any surrounding tissue, a forehead flap, or a composite graft that is composed of skin & cartilage (generally harvested from a patient’s ear). Here’re the details of various types of nose reconstruction as performed in Dr. Sam Rizk’s center.

A forehead flap is one of the oldest yet utmost effective nasal reconstruction surgical treatments. Here, the flap should remain attached to your nose with a pedicle or tissue bridge until a new forehead tissue obtains the normal blood supply from your nose. This process may require a few weeks; then, the pedicle will be removed carefully through a staged surgical procedure & forehead donor site will be successfully repaired.

Another nasal reconstruction technique, localized tissue flap is the best option to consider to cure many various medicinal conditions. Also, this process may involve a rotation flap (a semi-circular flap) that is further rotated into the defect to mobilize a larger portion of tissues or an advancement flap where the tissue is mainly advanced into the defect. A composite graft is another kind of tissue transfer process that is performed when the defect involves cartilage and skin.

After an initial nasal reconstruction, the patients can undergo a cosmetic rhinoplasty or any laser treatment in order to improve the visual appearance of the nose (this can be done typically after one year of initial nasal reconstruction). Dr. Sam Rizk uses microdermabrasion process, a fractionated CO2 laser, or a combination of both in order to improve the visible scars after a nasal reconstruction or nose cancer removal. The cosmetic rinoplastia Sao Paulo typically involves thinning out or debulking the thicker tissue which was transferred into the patient’s nose from the surrounding tissue. The particular skin/tissue is quite thicker than the normal nasal skin. Thus it can create some asymmetry. Also, it is difficult, risky, and pretty complicated process to debulk such tissue (formed right after an initial cancer reconstruction process) since it may compromise the regular blood supply to the nose.

Sometimes, few additional intranasal functional surgeries may also need to be performed to remove a scar tissue/bulky tissue that is blocking the patient’s breathing. In such critical and emergency situations and to improve the victim’s quality of life, the scar removal procedure can be preponed (performed sooner than one year) once a scar tissue or an internal deformity is visible.

In major cancer reconstruction treatments, temporalis fascia or additional rib/costal cartilage may be used in order to build a collapsed nasal bridge from cancer removal. When an internal nasal structure is removed due to severe cancer, your nose can actually collapse due to the sheer lack of support. In those cases, Dr. Rizk recommends the use of rib/costal cartilage from an emergency tissue bank just to build the deformed or collapsed structures including the bridge, nasal tip, or both.

Dr. Rizk, a certified facial plastic surgeon, also regularly visits several third world countries ( in South America & Africa) to offer free nasal reconstructive treatment solutions as a part of his international mission. He even feels that the “Post-Cancer reconstruction” procedure are one of the soul-satisfying & gratifying surgery techniques as these treatments usually have an enormous impact on a patient’s life.

You can find the best surgeons in Sao Paulo for rhinoplasty in this directory