Middle vault and dorsum spreader or spacer grafting is an essential tool in structure, ethnic, custom, revision and reconstructive rhinoplasties,whenever the nasal wall upper lateral cartilages collapse down to the soft cartilaginous septum, the dorsum is pinched, there is inverted V deformity, the dorsum has hourglass shape or is excessively narrow, there is a pinched nasal valve, the nasal pyramid needs stabilization, dorsum onlay grafts are unstable, etc, being the ideal donor sites the nasal septum, ear concha and the rib, with or without temporalis fascia camouflage grafting to hide its visibility in thin skin noses.
It is considered a highly demanding technique of high difficulty, long consuming in the operating room and pretty much artistic in terms of its versatility, allowing full deployment of creativity reshaping noses.
This gesture can be done by either closed or open approach rhinoplasties, notwithstanding the open approach is a must of safety, reliability and precision for its execution.
Patients warning: only highly experienced surgeons who have underwent optimal training and have performed already a large number of closed and open approach structure and non structure rhinoplasties should execute high end rhinoplasty cases, should they feel capable and comfortable with the challenge.
TECHNICALITIES
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AREAS
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TREATMENTS
Custom Rhinoplasty
Ethnic Rhinoplasty
Reconstruction Rhinoplasty
Revision Rhinoplasty
Structure Rhinoplasty
Synonyms
Celebrity Nose Job | Celebrity Rhinoplasty | Complex Nose Job | Complex Rhinoplasty | Custom Nose Job | Ethnic Nose Job | Grafting Nose Job | Grafting Rhinoplasty | Made to Order Nose Job | Made to Order Rhinoplasty | Non Caucasian Nose Job | Non Caucasian Rhinoplasty | Open Structure Nose Job | Open Structure Rhinoplasty | Perfectioning Nose Job | Perfectioning Rhinoplasty | Personalized Nose Job | Personalized Rhinoplasty | Racial Nose Job | Racial Rhinoplasty | Rebuild Nose Job | Rebuild Rhinoplasty | Reconstruction Nose Job | Remedial Nose Job | Remedial Rhinoplasty | Repair Nose Job | Repair Rhinoplasty | Reshaping Nose Job | Reshaping Rhinoplasty | Results Improvement Nose Job | Results Improvement Rhinoplasty | Revision Nose Job | Secondary Nose Job | Secondary Rhinoplasty | Supporting Nose Job | Supporting Rhinoplasty | Tailor Made Nose Job | Tailor Made Rhinoplasty
DR. ALEJANDRO NOGUEIRA'S SPREADER GRAFT CASES PHOTO GALLERY
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CONTACT US
DISCLAIMER
- All the reviews, ratings and opinions have been freely and voluntarily written and sent by real people with the intention to issue their feedback about their own first account experience regarding the services of Dr. Alejandro Nogueira, the Medical Team and the facilities where the treatments were performed or the assistance provided.
- Despite exhaustive verification measures, it is impossible to guarantee the authenticity of the reviews, ratings and opinions received; moreover, it cannot be confirmed that these are patients really attended by Dr. Alejandro Nogueira or that the review corresponds to the reality of the assistance received, much less that the rating and opinion are a fair criticism close to an adequate one value judgment, either for its favourable spirit as well as unfavourable to the reputation of the parties involved.
- It is up to the reader’s criterion to give more or less credibility to the reviews, ratings and opinions published at its own account and risk, once it is informed that their level of trustworthiness cannot be guaranteed, that all criticism is subjective or cognitively biased and that, although realistic and weightedly fair, a review cannot be extrapolated beyond the individual experience of a patient with a given treatment, a particular medical problem and with a unique and individualized technical application to their case, so it will be something that it will never be repeated in other patients, neither with regard to their technical planning nor regarding their evolution, much less in their results.
- All reviews, ratings and opinions go through a moderation and editing process prior to publication, in order to guarantee, as far as possible, their quality, the philosophy of user’s help and guidance, their compliance with editorial policies, proofreading correction, their anonymization, third parties protection and their translation; there is the possibility that the published reviews differ substantially from the original version submitted or that it is decided not to publish those that are considered low quality ones, and therefore of no help to users, or for breaching the principles of proportionality, failure to pose a reasonable criticism and lack of adherence to the limits of freedom of expression, being fully and discretionarily reserved the right of admission, moderation, editing and publication of the submitted reviews.
- Previous satisfied patients of a physician do not guarantee future successful patients' experiences or happiness about the treatments and their overall management.
- Reviews, ratings and opinions are mere guidance background aiming to help the patients in their decision-making process, providing an average overview of Dr. Alejandro Nogueira's work; no one of them can be considered as an obligation of any particular grade of satisfaction nor a commitment for the achievement of any specific success, therefore you should not base your subjective expectations on them.
- Every patient's individual satisfaction is somehow unpredictable, since this will depend on multiple particular, frequently unpredictable and sometimes uncontrollable expectation factors of a very much subjective, cultural, psychological and intellectual kind.
- Even when you feel very similar to another patient in their experience, your grade of satisfaction will likely vary significantly, because you are a unique person and every individual has not only a completely unique psyche, but also uniquely individualistic assessment capacities, expectation tendencies and acceptance processes, some of which are unpredictable even in very well mentally balanced patients who reflect adequately and do all the other right and recommended assessments before and after their procedure.
- All images are genuine, trustworthy and real standard views of the "before" situation and the long term settled "after" actual results of Dr. Alejandro Nogueira’s work, as well as true intraoperative surgical views and authentic technical or clinical scenarios depicting real practice hands-on cases belonging to Dr. Alejandro Nogueira's skills and expertise.
- No other professional but Dr. Alejandro Nogueira himself as leading and executing surgeon has carried out the techniques, procedures and surgeries shown in the galleries.
- No images were staged, digitally edited or modified in any way, except for cropping, adjusting and resizing to fit gallery format, removing identifiable elements and blanking with anonymity purposes.
- The images of results, treatments, techniques and clinical situations are mere guidance examples aiming to help the patients in their decision-making process, providing an average overview of Dr. Alejandro Nogueira's work; no one of them can be considered as an obligation of any particular results nor a commitment for the application of any specific techniques, therefore you should not base your results expectations on them.
- Every patient has to be assessed individually in order to establish a customized prognosis of results and design an individual surgical plan, being somehow unpredictable the real final outcome of any procedure as well the surgical gestures applied during the intervention, since they will depend on multiple particular, frequently unpredictable and sometimes uncontrollable factors.
- Even when you feel that you look very similar to another patient in their images, your results will likely vary significantly, because you are a unique person and every individual has not only a completely unique physique, but also uniquely individualistic body healing capacities, scarring tendencies and recovery processes, some of which are unpredictable even in very-healthy patients who rest adequately and do all the other right and prescribed things before and after their procedure.
- Previous successful results of a physician do not guarantee future successful procedures and patient's satisfaction.
- The images may display content that is graphic in nature showing explicit surgery, clinical events and that may depict partial or total nudity; if you find such material offensive or you are sensitive to it you should not use this feature and should exercise caution before accessing other explicit features of the website.
- The images are appropriate for a mature-only audience; if you are under the age of 18 you should not view the content of this website.
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