{"id":111201,"date":"2026-05-03T06:59:06","date_gmt":"2026-05-03T06:59:06","guid":{"rendered":"https:\/\/mallorcamedicalgroup.com\/innovacion-clinica\/duvet-rhinoplasty\/"},"modified":"2026-05-27T15:15:51","modified_gmt":"2026-05-27T15:15:51","slug":"duvet-rhinoplasty","status":"publish","type":"page","link":"https:\/\/mallorcamedicalgroup.com\/en\/innovacion-clinica\/duvet-rhinoplasty\/","title":{"rendered":"Duvet Rhinoplasty"},"content":{"rendered":"<p>[vc_row row_height_percent=&#8221;0&#8243; override_padding=&#8221;yes&#8221; h_padding=&#8221;2&#8243; top_padding=&#8221;5&#8243; bottom_padding=&#8221;5&#8243; back_color=&#8221;color-wayh&#8221; back_image=&#8221;101408&#8243; back_repeat=&#8221;no-repeat&#8221; back_position=&#8221;center center&#8221; overlay_color=&#8221;color-133e67&#8243; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; column_width_percent=&#8221;100&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; medium_visibility=&#8221;yes&#8221; mobile_visibility=&#8221;yes&#8221; uncode_shortcode_id=&#8221;853362&#8243; back_color_type=&#8221;uncode-palette&#8221; back_size=&#8221;100% auto&#8221; overlay_color_type=&#8221;uncode-palette&#8221;][vc_column column_width_percent=&#8221;100&#8243; position_vertical=&#8221;middle&#8221; gutter_size=&#8221;0&#8243; override_padding=&#8221;yes&#8221; column_padding=&#8221;0&#8243; style=&#8221;dark&#8221; overlay_alpha=&#8221;50&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; shift_y_down=&#8221;0&#8243; z_index=&#8221;0&#8243; medium_width=&#8221;0&#8243; mobile_width=&#8221;0&#8243; width=&#8221;1\/1&#8243; uncode_shortcode_id=&#8221;310002&#8243; mobile_height=&#8221;380&#8243;][vc_custom_heading heading_semantic=&#8221;div&#8221; text_font=&#8221;font-title&#8221; text_size=&#8221;h6&#8243; text_weight=&#8221;500&#8243; text_space=&#8221;fontspace-2px&#8221; uncode_shortcode_id=&#8221;310003&#8243; el_class=&#8221;op05&#8243;]MALLORCA MEDICAL GROUP[\/vc_custom_heading][vc_empty_space empty_h=&#8221;1&#8243;][vc_custom_heading heading_semantic=&#8221;h1&#8243; text_font=&#8221;font-title&#8221; text_size=&#8221;h1&#8243; text_weight=&#8221;700&#8243; uncode_shortcode_id=&#8221;310004&#8243; el_class=&#8221;reducedTopSpace&#8221;]Duvet Rhinoplasty[\/vc_custom_heading][\/vc_column][\/vc_row][vc_row row_height_percent=&#8221;0&#8243; override_padding=&#8221;yes&#8221; h_padding=&#8221;0&#8243; top_padding=&#8221;0&#8243; bottom_padding=&#8221;0&#8243; back_color=&#8221;color-lxmt&#8221; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; column_width_percent=&#8221;100&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; uncode_shortcode_id=&#8221;310010&#8243; back_color_type=&#8221;uncode-palette&#8221;][vc_column column_width_use_pixel=&#8221;yes&#8221; gutter_size=&#8221;3&#8243; override_padding=&#8221;yes&#8221; column_padding=&#8221;2&#8243; overlay_alpha=&#8221;50&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; shift_y_down=&#8221;0&#8243; z_index=&#8221;0&#8243; medium_width=&#8221;0&#8243; mobile_width=&#8221;0&#8243; width=&#8221;1\/1&#8243; uncode_shortcode_id=&#8221;310011&#8243; el_class=&#8221;padR70&#8243;][vc_column_text uncode_shortcode_id=&#8221;310012&#8243; el_class=&#8221;mmg-hero-subtitle-text&#8221;]<strong>Rhinoplasty technique<\/strong> developed at Mallorca Medical Group to prevent the appearance of irregularities of the nasal dorsum in patients with thin skin, by means of a biological mantle of nanogreas enriched with L-PRF.[\/vc_column_text][vc_row_inner limit_content=&#8221;&#8221;][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text uncode_shortcode_id=&#8221;310013&#8243;]<\/p>\n<div class=\"mmg-meta-bar\">\n<div class=\"mmg-meta-item\"><span class=\"mmg-meta-label\">Author<\/span><span class=\"mmg-meta-value\"><a href=\"https:\/\/mallorcamedicalgroup.com\/en\/about-us\/dr-garcia-ceballos\/\">Dr. Jos\u00e9 Ignacio Garc\u00eda Ceballos, M.D.<\/a><\/span><\/div>\n<div class=\"mmg-meta-item\"><span class=\"mmg-meta-label\">Category<\/span><span class=\"mmg-meta-value\">Surgical technique &#8211; Rhinoplasty<\/span><\/div>\n<\/div>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text uncode_shortcode_id=&#8221;310014&#8243;]<\/p>\n<div class=\"mmg-meta-bar\">\n<div class=\"mmg-meta-item\"><span class=\"mmg-meta-label\">Published in<\/span><span class=\"mmg-meta-value\">Cir. Pl\u00e1st. Iberolatinoam., 2024<\/span><\/div>\n<div class=\"mmg-meta-item\"><span class=\"mmg-meta-label\">DOI<\/span><span class=\"mmg-meta-value\"><a href=\"https:\/\/doi.org\/10.4321\/s0376-78922024000400005\" rel=\"noopener\" target=\"_blank\">10.4321\/s0376-78922024000400005<\/a><\/span><\/div>\n<\/div>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row row_height_percent=&#8221;0&#8243; override_padding=&#8221;yes&#8221; h_padding=&#8221;0&#8243; top_padding=&#8221;0&#8243; bottom_padding=&#8221;0&#8243; gutter_size=&#8221;0&#8243; column_width_percent=&#8221;100&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; uncode_shortcode_id=&#8221;310020&#8243;][vc_column gutter_size=&#8221;0&#8243; override_padding=&#8221;yes&#8221; column_padding=&#8221;0&#8243; overlay_alpha=&#8221;50&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; shift_y_down=&#8221;0&#8243; z_index=&#8221;0&#8243; medium_width=&#8221;0&#8243; mobile_width=&#8221;0&#8243; width=&#8221;1\/1&#8243; uncode_shortcode_id=&#8221;310021&#8243;][vc_raw_html]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[\/vc_raw_html][\/vc_column][\/vc_row][vc_row row_height_percent=&#8221;0&#8243; override_padding=&#8221;yes&#8221; h_padding=&#8221;2&#8243; top_padding=&#8221;3&#8243; bottom_padding=&#8221;3&#8243; back_color=&#8221;color-lxmt&#8221; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; column_width_percent=&#8221;100&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; el_id=&#8221;patient&#8221; uncode_shortcode_id=&#8221;310030&#8243; back_color_type=&#8221;uncode-palette&#8221;][vc_column column_width_percent=&#8221;100&#8243; gutter_size=&#8221;3&#8243; overlay_alpha=&#8221;50&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; shift_y_down=&#8221;0&#8243; z_index=&#8221;0&#8243; medium_width=&#8221;0&#8243; mobile_width=&#8221;0&#8243; width=&#8221;1\/1&#8243; uncode_shortcode_id=&#8221;310031&#8243;][vc_custom_heading text_color=&#8221;color-wvjs&#8221; heading_semantic=&#8221;div&#8221; text_font=&#8221;font-title&#8221; text_size=&#8221;h6&#8243; text_weight=&#8221;500&#8243; text_space=&#8221;fontspace-2px&#8221; uncode_shortcode_id=&#8221;310032&#8243; text_color_type=&#8221;uncode-palette&#8221;]For the patient[\/vc_custom_heading][vc_custom_heading text_color=&#8221;color-prif&#8221; text_font=&#8221;font-title&#8221; text_weight=&#8221;700&#8243; uncode_shortcode_id=&#8221;310033&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]Clear, non-technical information[\/vc_custom_heading][vc_column_text uncode_shortcode_id=&#8221;310034&#8243;]The following sections explain what Duvet Rhinoplasty is, who it is intended for and what results it offers, in accessible language.[\/vc_column_text][\/vc_column][\/vc_row][vc_row row_height_percent=&#8221;0&#8243; override_padding=&#8221;yes&#8221; h_padding=&#8221;3&#8243; top_padding=&#8221;0&#8243; bottom_padding=&#8221;0&#8243; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; column_width_percent=&#8221;100&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; uncode_shortcode_id=&#8221;310040&#8243;][vc_column column_width_percent=&#8221;100&#8243; gutter_size=&#8221;3&#8243; override_padding=&#8221;yes&#8221; column_padding=&#8221;3&#8243; overlay_alpha=&#8221;50&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; shift_y_down=&#8221;0&#8243; z_index=&#8221;0&#8243; medium_width=&#8221;0&#8243; mobile_width=&#8221;0&#8243; width=&#8221;1\/1&#8243; uncode_shortcode_id=&#8221;310041&#8243; el_class=&#8221;padR70&#8243;][vc_column_text uncode_shortcode_id=&#8221;310042&#8243;]<span class=\"mmg-section-num\">&#8211; 01 \/ For the patient<\/span>[\/vc_column_text][vc_custom_heading text_color=&#8221;color-prif&#8221; text_font=&#8221;font-title&#8221; text_weight=&#8221;700&#8243; uncode_shortcode_id=&#8221;310043&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]What is Duvet Rhinoplasty?[\/vc_custom_heading][vc_column_text uncode_shortcode_id=&#8221;310044&#8243; el_class=&#8221;reduceTopSpace&#8221;]<strong>Duvet Rhinoplasty<\/strong> is a rhinoplasty technique developed by Dr. Garcia Ceballos to solve a specific problem: the appearance of <strong>small visible irregularities on the dorsum of the nose<\/strong> after rhinoplasty, especially in patients with thin nasal skin.<\/p>\n<p>In any rhinoplasty, the surgeon reshapes the bones and cartilage that give shape to the nose. When the skin covering this structure is thin, any slight irregularity of the underlying skeleton may become transparent over time and become visible as a ridge, an asymmetry or a step. This is one of the most frequent reasons for dissatisfaction after a technically well-executed rhinoplasty.  <\/p>\n<p>Duvet Rhinoplasty adds to conventional surgery <strong>a protective biological layer obtained from the patient himself<\/strong>: a thin, uniform layer of nano-fat (fat processed to microscopic size) enriched with L-PRF, a regenerative substance derived from the patient&#8217;s blood. This blanket is placed over the nasal skeleton before the skin is closed, and acts as a cushion that conceals any minor irregularities and improves tissue quality in the long term.<\/p>\n<div class=\"mmg-aside\"><span class=\"mmg-aside-label\">Why is it called Duvet?<\/span><br \/>\n<em>Duvet<\/em> <em>means comforter<\/em> in French. The name alludes to the effect of the biological blanket: a fluffy, uniform covering over the nasal architecture, like a thin comforter that softens the contours and hides any folds or irregularities of what lies beneath.<\/div>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row row_height_percent=&#8221;0&#8243; override_padding=&#8221;yes&#8221; h_padding=&#8221;3&#8243; top_padding=&#8221;0&#8243; bottom_padding=&#8221;0&#8243; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; column_width_percent=&#8221;100&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; uncode_shortcode_id=&#8221;310050&#8243;][vc_column column_width_percent=&#8221;100&#8243; gutter_size=&#8221;3&#8243; override_padding=&#8221;yes&#8221; column_padding=&#8221;3&#8243; overlay_alpha=&#8221;50&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; shift_y_down=&#8221;0&#8243; z_index=&#8221;0&#8243; medium_width=&#8221;0&#8243; mobile_width=&#8221;0&#8243; width=&#8221;1\/1&#8243; uncode_shortcode_id=&#8221;310051&#8243; el_class=&#8221;padR70&#8243;][vc_column_text uncode_shortcode_id=&#8221;310052&#8243;]<span class=\"mmg-section-num\">&#8211; 02 \/ For the patient<\/span>[\/vc_column_text][vc_custom_heading text_color=&#8221;color-prif&#8221; text_font=&#8221;font-title&#8221; text_weight=&#8221;700&#8243; uncode_shortcode_id=&#8221;310053&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]Which patients is it aimed at?[\/vc_custom_heading][vc_column_text uncode_shortcode_id=&#8221;310054&#8243; el_class=&#8221;reduceTopSpace&#8221;]Duvet Rhinoplasty is primarily intended for patients who have <strong>thin nasal skin<\/strong>. In these cases, the risk of dorsal irregularities showing after surgery is higher than in patients with thick skin. <\/p>\n<p>The thickness of the skin is measured in the first consultation with a simple instrument called an <strong>adipometer<\/strong>, painless, similar to the one used in nutrition to measure skin folds. According to the thickness obtained, the patient is classified into:<\/p>\n<ul>\n<li><strong>Type I<\/strong> &#8211; thin skin (less than 3 millimeters). This is the group that benefits the most from Duvet Rhinoplasty, because it has a higher probability of visible irregularities after a conventional rhinoplasty.<\/li>\n<li><strong>Type II<\/strong> &#8211; thick skin (3 millimeters or more). In this group the risk is lower and conventional rhinoplasty, complemented with techniques to control inflammation and improve definition, is usually sufficient.<\/li>\n<\/ul>\n<p>It is also a good indication for <strong>secondary rhinoplasty<\/strong>: patients who have already undergone surgery on another occasion and whose nasal dorsum presents visible irregularities that need to be corrected.[\/vc_column_text][\/vc_column][\/vc_row][vc_row row_height_percent=&#8221;0&#8243; override_padding=&#8221;yes&#8221; h_padding=&#8221;3&#8243; top_padding=&#8221;0&#8243; bottom_padding=&#8221;0&#8243; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; column_width_percent=&#8221;100&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; uncode_shortcode_id=&#8221;310060&#8243;][vc_column column_width_percent=&#8221;100&#8243; gutter_size=&#8221;3&#8243; override_padding=&#8221;yes&#8221; column_padding=&#8221;3&#8243; overlay_alpha=&#8221;50&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; shift_y_down=&#8221;0&#8243; z_index=&#8221;0&#8243; medium_width=&#8221;0&#8243; mobile_width=&#8221;0&#8243; width=&#8221;1\/1&#8243; uncode_shortcode_id=&#8221;310061&#8243; el_class=&#8221;padR70&#8243;][vc_column_text uncode_shortcode_id=&#8221;310062&#8243;]<span class=\"mmg-section-num\">&#8211; 03 \/ For the patient<\/span>[\/vc_column_text][vc_custom_heading text_color=&#8221;color-prif&#8221; text_font=&#8221;font-title&#8221; text_weight=&#8221;700&#8243; uncode_shortcode_id=&#8221;310063&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]What are the results?[\/vc_custom_heading][vc_column_text uncode_shortcode_id=&#8221;310064&#8243; el_class=&#8221;reduceTopSpace&#8221;]The clinical results of the technique were published in the 2024 scientific article in <em>Cirug\u00eda Pl\u00e1stica Ibero-Latinoamericana<\/em>. In the series of patients treated between 2022 and 2023:<\/p>\n<div class=\"mmg-table-wrap\">\n<table class=\"mmg-table\">\n<thead>\n<tr>\n<th>Variable<\/th>\n<th>Outcome<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Average increase in skin thickness of the dorsum<\/td>\n<td><strong>+0.9 mm<\/strong> at 1 year<\/td>\n<\/tr>\n<tr>\n<td>Revision surgeries for irregularities<\/td>\n<td><strong>0 cases<\/strong><\/td>\n<\/tr>\n<tr>\n<td>Patient satisfaction<\/td>\n<td><strong>100%<\/strong> of the series<\/td>\n<\/tr>\n<tr>\n<td>Relevant complications<\/td>\n<td><strong>None<\/strong> documented<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<p>Beyond the numbers, there are three clinical advantages that the technique brings to the patient:<\/p>\n<ol>\n<li><strong>It significantly reduces the risk of visible irregularities<\/strong> of the nasal dorsum after months, which is the most frequent late esthetic problem in thin-skinned patients.<\/li>\n<li><strong>Improves the quality and thickness of the nasal skin<\/strong> in the long term, thanks to the regenerative effect of L-PRF and the contribution of microgranules of own fat.<\/li>\n<li><strong>It uses the patient&#8217;s own materials<\/strong>, without synthetic products or artificial fillers, which minimizes the risk of adverse reactions and guarantees maximum biocompatibility.<\/li>\n<\/ol>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row row_height_percent=&#8221;0&#8243; override_padding=&#8221;yes&#8221; h_padding=&#8221;3&#8243; top_padding=&#8221;0&#8243; bottom_padding=&#8221;0&#8243; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; column_width_percent=&#8221;100&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; uncode_shortcode_id=&#8221;310070&#8243;][vc_column column_width_percent=&#8221;100&#8243; gutter_size=&#8221;3&#8243; override_padding=&#8221;yes&#8221; column_padding=&#8221;3&#8243; overlay_alpha=&#8221;50&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; shift_y_down=&#8221;0&#8243; z_index=&#8221;0&#8243; medium_width=&#8221;0&#8243; mobile_width=&#8221;0&#8243; width=&#8221;1\/1&#8243; uncode_shortcode_id=&#8221;310071&#8243; el_class=&#8221;padR70&#8243;][vc_column_text uncode_shortcode_id=&#8221;310072&#8243;]<span class=\"mmg-section-num\">&#8211; 04 \/ For the patient<\/span>[\/vc_column_text][vc_custom_heading text_color=&#8221;color-prif&#8221; text_font=&#8221;font-title&#8221; text_weight=&#8221;700&#8243; uncode_shortcode_id=&#8221;310073&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]How is it different from a conventional rhinoplasty?[\/vc_custom_heading][vc_column_text uncode_shortcode_id=&#8221;310074&#8243; el_class=&#8221;reduceTopSpace&#8221;]Duvet Rhinoplasty <strong>does not replace<\/strong> conventional rhinoplasty, it <strong>complements<\/strong> it. The same surgical steps are performed &#8211; bone and cartilage remodeling, nasal tip adjustment, septum correction if necessary &#8211; but an additional step is added at the end: the preparation and application of the biological mantle.<\/p>\n<div class=\"mmg-table-wrap\">\n<table class=\"mmg-table\">\n<thead>\n<tr>\n<th>Appearance<\/th>\n<th>Conventional Rhinoplasty<\/th>\n<th>Duvet Rhinoplasty<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Bone and cartilage remodeling<\/strong><\/td>\n<td>Yes<\/td>\n<td>Yes (no change)<\/td>\n<\/tr>\n<tr>\n<td><strong>Biological coverage of the back<\/strong><\/td>\n<td>No<\/td>\n<td>Yes, with nanofat + L-PRF<\/td>\n<\/tr>\n<tr>\n<td><strong>Risk of irregularities in thin skin<\/strong><\/td>\n<td>Higher<\/td>\n<td>Significantly reduced<\/td>\n<\/tr>\n<tr>\n<td><strong>Materials used<\/strong><\/td>\n<td>Only own remodeled tissue<\/td>\n<td>Own tissue + autologous biomaterials<\/td>\n<\/tr>\n<tr>\n<td><strong>Surgical time<\/strong><\/td>\n<td>Standard<\/td>\n<td>+30 to +45 minutes<\/td>\n<\/tr>\n<tr>\n<td><strong>Postoperative<\/strong><\/td>\n<td>Standard<\/td>\n<td>Standard (with slightly more voluminous dorsum in the first weeks)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row row_height_percent=&#8221;0&#8243; override_padding=&#8221;yes&#8221; h_padding=&#8221;2&#8243; top_padding=&#8221;3&#8243; bottom_padding=&#8221;3&#8243; back_color=&#8221;color-lxmt&#8221; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; column_width_percent=&#8221;100&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; el_id=&#8221;technician&#8221; uncode_shortcode_id=&#8221;310080&#8243; back_color_type=&#8221;uncode-palette&#8221; css=&#8221;.vc_custom_1780000001{margin-top: 42px !important;}&#8221;][vc_column column_width_percent=&#8221;100&#8243; gutter_size=&#8221;3&#8243; overlay_alpha=&#8221;50&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; shift_y_down=&#8221;0&#8243; z_index=&#8221;0&#8243; medium_width=&#8221;0&#8243; mobile_width=&#8221;0&#8243; width=&#8221;1\/1&#8243; uncode_shortcode_id=&#8221;310081&#8243;][vc_custom_heading text_color=&#8221;color-wvjs&#8221; heading_semantic=&#8221;div&#8221; text_font=&#8221;font-title&#8221; text_size=&#8221;h6&#8243; text_weight=&#8221;500&#8243; text_space=&#8221;fontspace-2px&#8221; uncode_shortcode_id=&#8221;310082&#8243; text_color_type=&#8221;uncode-palette&#8221;]For the professional[\/vc_custom_heading][vc_custom_heading text_color=&#8221;color-prif&#8221; text_font=&#8221;font-title&#8221; text_weight=&#8221;700&#8243; uncode_shortcode_id=&#8221;310083&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]Technical-scientific block[\/vc_custom_heading][vc_column_text uncode_shortcode_id=&#8221;310084&#8243;]Detailed description of the rationale, procedure, indications, published evidence and limitations of the technique.[\/vc_column_text][\/vc_column][\/vc_row][vc_row row_height_percent=&#8221;0&#8243; override_padding=&#8221;yes&#8221; h_padding=&#8221;3&#8243; top_padding=&#8221;0&#8243; bottom_padding=&#8221;0&#8243; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; column_width_percent=&#8221;100&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; uncode_shortcode_id=&#8221;310090&#8243;][vc_column column_width_percent=&#8221;100&#8243; gutter_size=&#8221;3&#8243; override_padding=&#8221;yes&#8221; column_padding=&#8221;3&#8243; overlay_alpha=&#8221;50&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; shift_y_down=&#8221;0&#8243; z_index=&#8221;0&#8243; medium_width=&#8221;0&#8243; mobile_width=&#8221;0&#8243; width=&#8221;1\/1&#8243; uncode_shortcode_id=&#8221;310091&#8243; el_class=&#8221;padR70&#8243;][vc_column_text uncode_shortcode_id=&#8221;310092&#8243;]<span class=\"mmg-section-num\">&#8211; 05 \/ Technical block<\/span>[\/vc_column_text][vc_custom_heading text_color=&#8221;color-prif&#8221; text_font=&#8221;font-title&#8221; text_weight=&#8221;700&#8243; uncode_shortcode_id=&#8221;310093&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]Clinical problem solved[\/vc_custom_heading][vc_column_text uncode_shortcode_id=&#8221;310094&#8243; el_class=&#8221;reduceTopSpace&#8221;]<strong>Irregularities of the nasal dorsum in the late postoperative period<\/strong> constitute one of the most frequent aesthetic complications in aesthetic rhinoplasty. Its incidence is particularly high in patients with thin nasal skin envelope (thickness &lt; 3 mm), where the tissue transparency allows the visualization of any irregularity of the underlying bone and cartilage skeleton, either by imperfections of the remodeling, by small natural asymmetries, or by the scar consolidation itself. <\/p>\n<p>The classic techniques to mitigate this problem &#8211; careful bone polishing, use of crushed cartilage grafts, application of temporary fascia or perichondrium &#8211; offer <strong>partially satisfactory results<\/strong> but do not eliminate the incidence. Fascia grafts add donor site morbidity; shredded cartilage may be unevenly resorbed; and none of these techniques improves the quality of the skin envelope itself. <\/p>\n<p>Duvet Rhinoplasty proposes a different approach: instead of adding a solid tissue graft on the back, it <strong>provides a bioactive biological mantle<\/strong> (L-PRF-enriched nanofat) that simultaneously fulfills two functions:<\/p>\n<ol>\n<li><strong>Mechanical function<\/strong>: distributes skin pressure evenly over the back, optically smoothing the irregularities of the underlying skeleton.<\/li>\n<li><strong>Regenerative function<\/strong>: it provides growth factors and adipocyte progenitors that progressively improve the thickness and quality of the skin envelope over the following months.<\/li>\n<\/ol>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row row_height_percent=&#8221;0&#8243; override_padding=&#8221;yes&#8221; h_padding=&#8221;3&#8243; top_padding=&#8221;0&#8243; bottom_padding=&#8221;0&#8243; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; column_width_percent=&#8221;100&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; uncode_shortcode_id=&#8221;310100&#8243;][vc_column column_width_percent=&#8221;100&#8243; gutter_size=&#8221;3&#8243; override_padding=&#8221;yes&#8221; column_padding=&#8221;3&#8243; overlay_alpha=&#8221;50&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; shift_y_down=&#8221;0&#8243; z_index=&#8221;0&#8243; medium_width=&#8221;0&#8243; mobile_width=&#8221;0&#8243; width=&#8221;1\/1&#8243; uncode_shortcode_id=&#8221;310101&#8243; el_class=&#8221;padR70&#8243;][vc_column_text uncode_shortcode_id=&#8221;310102&#8243;]<span class=\"mmg-section-num\">&#8211; 06 \/ Technical block<\/span>[\/vc_column_text][vc_custom_heading text_color=&#8221;color-prif&#8221; text_font=&#8221;font-title&#8221; text_weight=&#8221;700&#8243; uncode_shortcode_id=&#8221;310103&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]Basis of the technique[\/vc_custom_heading][vc_column_text uncode_shortcode_id=&#8221;150851&#8243; el_class=&#8221;reduceTopSpace&#8221;]<\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_83 ez-toc-wrap-left counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Tabla de Contenidos<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/innovacion-clinica\/duvet-rhinoplasty\/#Component_1_Nanofat\" >Component 1: Nanofat<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/innovacion-clinica\/duvet-rhinoplasty\/#Component_2_L-PRF\" >Component 2: L-PRF<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/innovacion-clinica\/duvet-rhinoplasty\/#Combination_the_synergistic_effect\" >Combination: the synergistic effect<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/innovacion-clinica\/duvet-rhinoplasty\/#Preoperative_evaluation\" >Preoperative evaluation<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/innovacion-clinica\/duvet-rhinoplasty\/#Preparation_of_L-PRF\" >Preparation of L-PRF<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/innovacion-clinica\/duvet-rhinoplasty\/#Obtaining_and_processing_of_nanograsses\" >Obtaining and processing of nanograsses<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/innovacion-clinica\/duvet-rhinoplasty\/#Combination_and_application\" >Combination and application<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/innovacion-clinica\/duvet-rhinoplasty\/#Associated_conventional_rhinoplasty\" >Associated conventional rhinoplasty<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/innovacion-clinica\/duvet-rhinoplasty\/#Closure_and_postoperative_period\" >Closure and postoperative period<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/innovacion-clinica\/duvet-rhinoplasty\/#Indications\" >Indications<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/innovacion-clinica\/duvet-rhinoplasty\/#Contraindications\" >Contraindications<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/innovacion-clinica\/duvet-rhinoplasty\/#Recognized_limitations\" >Recognized limitations<\/a><\/li><\/ul><\/nav><\/div>\n<h3><span class=\"ez-toc-section\" id=\"Component_1_Nanofat\"><\/span>Component 1: Nanofat<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>The nanofat is obtained from the patient&#8217;s own adipose tissue (typically from the infraumbilical area or flanks) by means of small volume liposuction. The extracted fat is processed by controlled mechanical emulsification until a homogeneous suspension of micrometer size is obtained. This processing <strong>removes mature adipocytes<\/strong> but <strong>preserves the vascular stromal fraction<\/strong>, rich in adipocyte mesenchymal stem cells, growth factors and extracellular matrix proteins.<\/p>\n<p>Unlike conventional fat grafting, nanofat does not provide significant volume &#8211; the adipocyte material is fragmented &#8211; but it does provide a regenerative substrate of high biological value, ideal for improving tissue quality in regions where volumetric augmentation is not sought, such as the nasal skin envelope.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Component_2_L-PRF\"><\/span>Component 2: L-PRF<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>L-PRF is obtained by centrifugation of the patient&#8217;s peripheral blood without the use of anticoagulants, according to the protocol described by Choukroun. The resulting product is a <strong>three-dimensional matrix of autologous fibrin<\/strong> that retains in its lattice activated platelets, leukocytes, and a sustained reservoir of growth factors (PDGF, TGF-\u03b2, VEGF, IGF-1, EGF) that are progressively released for 7-14 days after application.<\/p>\n<p>Unlike classic PRP, L-PRF does not require anticoagulants or exogenous activators, which makes it an entirely autologous product that is easy to handle intraoperatively. Its gelatinous and malleable consistency facilitates its application as anatomical surface coverage.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Combination_the_synergistic_effect\"><\/span>Combination: the synergistic effect<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>The <strong>combination of nanofat with L-PRF<\/strong> produces a biological mantle with complementary properties: the nanofat provides the cellular and matrix substrate, while the L-PRF acts as a gel-like vehicle that holds the nanofat in position on the nasal dorsum and releases the growth factors that stimulate graft integration and regeneration of the underlying skin envelope.<\/p>\n<p>The result is a thin, autologous, bioactive mantle that is applied directly to the nasal skeleton prior to skin closure, with progressive resorption and tissue remodeling over the following months.[\/vc_column_text][\/vc_column][\/vc_row][vc_row row_height_percent=&#8221;0&#8243; override_padding=&#8221;yes&#8221; h_padding=&#8221;3&#8243; top_padding=&#8221;0&#8243; bottom_padding=&#8221;0&#8243; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; column_width_percent=&#8221;100&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; uncode_shortcode_id=&#8221;310110&#8243;][vc_column column_width_percent=&#8221;100&#8243; gutter_size=&#8221;3&#8243; override_padding=&#8221;yes&#8221; column_padding=&#8221;3&#8243; overlay_alpha=&#8221;50&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; shift_y_down=&#8221;0&#8243; z_index=&#8221;0&#8243; medium_width=&#8221;0&#8243; mobile_width=&#8221;0&#8243; width=&#8221;1\/1&#8243; uncode_shortcode_id=&#8221;310111&#8243; el_class=&#8221;padR70&#8243;][vc_column_text uncode_shortcode_id=&#8221;310112&#8243;]<span class=\"mmg-section-num\">&#8211; 07 \/ Technical block<\/span>[\/vc_column_text][vc_custom_heading text_color=&#8221;color-prif&#8221; text_font=&#8221;font-title&#8221; text_weight=&#8221;700&#8243; uncode_shortcode_id=&#8221;310113&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]Surgical procedure[\/vc_custom_heading][vc_column_text uncode_shortcode_id=&#8221;104261&#8243; el_class=&#8221;reduceTopSpace&#8221;]<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Preoperative_evaluation\"><\/span>Preoperative evaluation<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Measurement of the thickness of the nasal skin envelope with manual adipometer at the medial osseous dorsum. Classification of the patient according to the criteria described in the <a href=\"https:\/\/mallorcamedicalgroup.com\/en\/innovacion-clinica\/clasificacion-rinoplastia-tejidos\/\" target=\"_blank\" rel=\"noopener\">classification of rhinoplasty according to soft tissue thickness<\/a>:<\/p>\n<ul>\n<li><strong>Type I<\/strong>: &lt; 3 mm &#8211; main indication for Duvet Rhinoplasty.<\/li>\n<li><strong>Type II<\/strong>: \u2265 3 mm &#8211; selective indication, according to individual assessment.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Preparation_of_L-PRF\"><\/span>Preparation of L-PRF<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>At the beginning of the surgery, standard venous extraction is performed (typically 4 x 10 mL tubes without anticoagulant) and immediate centrifugation according to protocol (approximately 2700 rpm for 12 minutes in a dedicated centrifuge). L-PRF clots are obtained and processed in a compression box to obtain thin membranes or fragmented according to the intended application.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Obtaining_and_processing_of_nanograsses\"><\/span>Obtaining and processing of nanograsses<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Small volume liposuction (10-20 mL) in selected donor area, with fine cannula and low suction pressure to preserve the vascular stromal fraction. The extracted fat is decanted, washed with saline, and emulsified by repeated passage (typically 30 passages) between two syringes connected by a luer-lock connector of decreasing diameter, until a homogeneous suspension of characteristic milky appearance is obtained.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Combination_and_application\"><\/span>Combination and application<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>The nanofat is mixed with the fragmented L-PRF in a ratio of approximately 1:1, obtaining a manageable matrix that is applied directly on the remodeled nasal dorsum by means of a fine cannula or specific instruments, after completing all the steps of the rhinoplasty and before skin closure.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Associated_conventional_rhinoplasty\"><\/span>Associated conventional rhinoplasty<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>The rhinoplasty procedure itself &#8211; open or closed approach, osteotomies, modification of the bony and cartilaginous dorsum, tip adjustment, functional septoplasty if applicable &#8211; is performed according to the surgeon&#8217;s technical preferences and the specific indications of the case. Duvet Rhinoplasty is <strong>compatible with any basic rhinoplasty technique<\/strong>, whether structural, preservation or conservation.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Closure_and_postoperative_period\"><\/span>Closure and postoperative period<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Standard skin closure and nasal splinting according to standard protocol. The postoperative period does not differ substantially from that of a conventional rhinoplasty, except for a <strong>slightly larger volume of the nasal dorsum during the first 2-4 weeks<\/strong> due to the biological mantle, which resolves progressively with the integration of the graft.[\/vc_column_text][\/vc_column][\/vc_row][vc_row row_height_percent=&#8221;0&#8243; override_padding=&#8221;yes&#8221; h_padding=&#8221;3&#8243; top_padding=&#8221;0&#8243; bottom_padding=&#8221;0&#8243; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; column_width_percent=&#8221;100&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; uncode_shortcode_id=&#8221;310120&#8243;][vc_column column_width_percent=&#8221;100&#8243; gutter_size=&#8221;3&#8243; override_padding=&#8221;yes&#8221; column_padding=&#8221;3&#8243; overlay_alpha=&#8221;50&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; shift_y_down=&#8221;0&#8243; z_index=&#8221;0&#8243; medium_width=&#8221;0&#8243; mobile_width=&#8221;0&#8243; width=&#8221;1\/1&#8243; uncode_shortcode_id=&#8221;310121&#8243; el_class=&#8221;padR70&#8243;][vc_column_text uncode_shortcode_id=&#8221;310122&#8243;]<span class=\"mmg-section-num\">&#8211; 08 \/ Technical block<\/span>[\/vc_column_text][vc_custom_heading text_color=&#8221;color-prif&#8221; text_font=&#8221;font-title&#8221; text_weight=&#8221;700&#8243; uncode_shortcode_id=&#8221;310123&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]Published results[\/vc_custom_heading][vc_column_text uncode_shortcode_id=&#8221;310124&#8243; el_class=&#8221;reduceTopSpace&#8221;]Clinical data on the technique were published in <em>Cirug\u00eda Pl\u00e1stica Ibero-Latinoamericana<\/em>, Vol. 50, No. 4, 2024, on a series of patients operated on between 2022 and 2023 with a minimum follow-up of one year.<\/p>\n<div class=\"mmg-table-wrap\">\n<table class=\"mmg-table\">\n<thead>\n<tr>\n<th>Variable<\/th>\n<th>Outcome<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Increase in skin thickness of the dorsum<\/strong> (Type I, at 12 months)<\/td>\n<td>+0.9 mm on average<\/td>\n<\/tr>\n<tr>\n<td><strong>Reinterventions for dorsal irregularities<\/strong><\/td>\n<td>0 cases<\/td>\n<\/tr>\n<tr>\n<td><strong>Relevant intraoperative or postoperative complications<\/strong><\/td>\n<td>None documented<\/td>\n<\/tr>\n<tr>\n<td><strong>Patient satisfaction<\/strong><\/td>\n<td>Discharge in 100% of the series<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<p>These data support the hypothesis that the combination of nanofat + L-PRF, applied as a biological mantle on the nasal dorsum in patients with thin skin, <strong>effectively prevents the appearance of late visible irregularities<\/strong> and produces measurable improvements of the skin envelope, without adding relevant morbidity to the procedure.[\/vc_column_text][\/vc_column][\/vc_row][vc_row row_height_percent=&#8221;0&#8243; override_padding=&#8221;yes&#8221; h_padding=&#8221;3&#8243; top_padding=&#8221;0&#8243; bottom_padding=&#8221;0&#8243; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; column_width_percent=&#8221;100&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; uncode_shortcode_id=&#8221;310130&#8243;][vc_column column_width_percent=&#8221;100&#8243; gutter_size=&#8221;3&#8243; override_padding=&#8221;yes&#8221; column_padding=&#8221;3&#8243; overlay_alpha=&#8221;50&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; shift_y_down=&#8221;0&#8243; z_index=&#8221;0&#8243; medium_width=&#8221;0&#8243; mobile_width=&#8221;0&#8243; width=&#8221;1\/1&#8243; uncode_shortcode_id=&#8221;310131&#8243; el_class=&#8221;padR70&#8243;][vc_column_text uncode_shortcode_id=&#8221;310132&#8243;]<span class=\"mmg-section-num\">&#8211; 09 \/ Technical block<\/span>[\/vc_column_text][vc_custom_heading text_color=&#8221;color-prif&#8221; text_font=&#8221;font-title&#8221; text_weight=&#8221;700&#8243; uncode_shortcode_id=&#8221;310133&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]Indications, contraindications and limitations[\/vc_custom_heading][vc_column_text uncode_shortcode_id=&#8221;310134&#8243; el_class=&#8221;reduceTopSpace&#8221;]<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Indications\"><\/span>Indications<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Primary rhinoplasty in patient Type I (skin envelope &lt; 3 mm).<\/li>\n<li>Secondary rhinoplasty with irregular dorsum, residual skin asymmetries or atrophy of the envelope.<\/li>\n<li>Patients with high aesthetic expectations in whom the quality of the long-term result is to be maximized.<\/li>\n<li>Selective indication in Type II in cases with marked alterations of the nasal skeleton or when the aesthetic trajectory of the patient justifies it.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Contraindications\"><\/span>Contraindications<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Significant hematologic disorders that contraindicate venous collection or safe handling of the patient&#8217;s blood.<\/li>\n<li>Active anticoagulant treatment not susceptible to perioperative suspension.<\/li>\n<li>Active infectious processes in the donor area of the nanograss or on the face.<\/li>\n<li>Insufficient donor adipose tissue (patients with very low body mass index).<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Recognized_limitations\"><\/span>Recognized limitations<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>The technique adds <strong>surgical time<\/strong> (estimated at 30-45 minutes for the preparation of the components).<\/li>\n<li>It requires the availability of a <strong>specific centrifuge for L-PRF<\/strong> and instruments for nanograss processing.<\/li>\n<li>The <strong>immediate postoperative volume<\/strong> of the nasal dorsum is slightly larger than in conventional rhinoplasty, which should be anticipated by the patient.<\/li>\n<li>The published evidence is from <strong>single-surgeon clinical series<\/strong>; prospective multicenter comparative studies would be desirable to strengthen the evidence.<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row row_height_percent=&#8221;0&#8243; override_padding=&#8221;yes&#8221; h_padding=&#8221;3&#8243; top_padding=&#8221;0&#8243; bottom_padding=&#8221;4&#8243; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; column_width_percent=&#8221;100&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; el_id=&#8221;resources&#8221; uncode_shortcode_id=&#8221;310140&#8243;][vc_column column_width_percent=&#8221;100&#8243; gutter_size=&#8221;3&#8243; override_padding=&#8221;yes&#8221; column_padding=&#8221;3&#8243; overlay_alpha=&#8221;50&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; shift_y_down=&#8221;0&#8243; z_index=&#8221;0&#8243; medium_width=&#8221;0&#8243; mobile_width=&#8221;0&#8243; width=&#8221;1\/1&#8243; uncode_shortcode_id=&#8221;310141&#8243; el_class=&#8221;padR70&#8243;][vc_column_text uncode_shortcode_id=&#8221;310142&#8243;]<span class=\"mmg-section-num\">\u2014 10<\/span>[\/vc_column_text][vc_custom_heading text_color=&#8221;color-prif&#8221; text_font=&#8221;font-title&#8221; text_weight=&#8221;700&#8243; uncode_shortcode_id=&#8221;310143&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]Associated resources[\/vc_custom_heading][vc_row_inner limit_content=&#8221;&#8221;][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text uncode_shortcode_id=&#8221;108756&#8243;]<\/p>\n<div class=\"mmg-meta-bar fgdsgfdsf\">\n<div class=\"mmg-meta-item\"><span class=\"mmg-meta-label\" style=\"margin-bottom: 8px;\">BLOG ARTICLE<\/span><span class=\"mmg-meta-value\"><a href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/advance-in-rhinoplasty\/\">Innovative Rhinoplasty Methodology<\/a><\/span><span class=\"mmg-meta-value\">Summary of the method with videos of the surgical technique.<\/span><a class=\"mmg-meta-label\" style=\"display: block; margin-top: 8px;\" href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/advance-in-rhinoplasty\/\">GO TO RESOURCE<\/a><\/div>\n<\/div>\n<p>[\/vc_column_text][vc_column_text uncode_shortcode_id=&#8221;186784&#8243;]<\/p>\n<div class=\"mmg-meta-bar fgdsgfdsf\">\n<div class=\"mmg-meta-item\"><span class=\"mmg-meta-label\" style=\"margin-bottom: 8px;\">PROCEDURE<\/span><span class=\"mmg-meta-value\"><a href=\"\/rinoplastia\/\">Rhinoplasty at Mallorca Medical Group<\/a><\/span><span class=\"mmg-meta-value\">General information about rhinoplasty as a procedure.<\/span><a class=\"mmg-meta-label\" style=\"display: block; margin-top: 8px;\" href=\"https:\/\/mallorcamedicalgroup.com\/en\/rhinoplasty\/\" target=\"_blank\" rel=\"noopener\">GO TO RESOURCE<\/a><\/div>\n<\/div>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text uncode_shortcode_id=&#8221;194855&#8243;]<\/p>\n<div class=\"mmg-meta-bar fgdsgfdsf\">\n<div class=\"mmg-meta-item\"><span class=\"mmg-meta-label\" style=\"margin-bottom: 8px;\">SCIENTIFIC PUBLICATION<\/span><span class=\"mmg-meta-value\"><a href=\"https:\/\/ibamplastsurg.org\/article\/2024\/50\/4\/Method-for-preventing-nasal-dorsum-irregularities\" target=\"_blank\" rel=\"noopener\">Cir. Pl\u00e1st. Iberolatinoam. 2024 &#8211; Complete DOI   <\/a><\/span><span class=\"mmg-meta-value\">Access to the original article with methodology, results and bibliography.<\/span><a class=\"mmg-meta-label\" style=\"display: block; margin-top: 8px;\" href=\"https:\/\/ibamplastsurg.org\/article\/2024\/50\/4\/Method-for-preventing-nasal-dorsum-irregularities\" target=\"_blank\" rel=\"noopener\">GO TO RESOURCE<\/a><\/div>\n<\/div>\n<p>[\/vc_column_text][vc_column_text uncode_shortcode_id=&#8221;127797&#8243;]<\/p>\n<div class=\"mmg-meta-bar fgdsgfdsf\">\n<div class=\"mmg-meta-item\"><span class=\"mmg-meta-label\" style=\"margin-bottom: 8px;\">AUTHOR<\/span><span class=\"mmg-meta-value\"><a href=\"https:\/\/mallorcamedicalgroup.com\/en\/about-us\/dr-garcia-ceballos\/\">Academic curriculum of Dr. Garc\u00eda Ceballos<\/a><\/span><span class=\"mmg-meta-value\">Training, accreditations, publications and patents.<\/span><a class=\"mmg-meta-label\" style=\"display: block; margin-top: 8px;\" href=\"https:\/\/mallorcamedicalgroup.com\/en\/about-us\/dr-garcia-ceballos\/\">GO TO RESOURCE<\/a><\/div>\n<\/div>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row row_height_percent=&#8221;0&#8243; override_padding=&#8221;yes&#8221; h_padding=&#8221;3&#8243; top_padding=&#8221;3&#8243; bottom_padding=&#8221;3&#8243; overlay_alpha=&#8221;50&#8243; equal_height=&#8221;yes&#8221; gutter_size=&#8221;3&#8243; column_width_percent=&#8221;100&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; el_id=&#8221;faq&#8221; uncode_shortcode_id=&#8221;310150&#8243;][vc_column column_width_percent=&#8221;100&#8243; gutter_size=&#8221;3&#8243; override_padding=&#8221;yes&#8221; column_padding=&#8221;3&#8243; overlay_alpha=&#8221;50&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; shift_y_down=&#8221;0&#8243; z_index=&#8221;0&#8243; medium_width=&#8221;0&#8243; mobile_width=&#8221;0&#8243; width=&#8221;1\/1&#8243; uncode_shortcode_id=&#8221;310151&#8243; el_class=&#8221;padR70&#8243;][vc_custom_heading text_color=&#8221;color-wvjs&#8221; heading_semantic=&#8221;div&#8221; text_font=&#8221;font-title&#8221; text_size=&#8221;h6&#8243; text_weight=&#8221;500&#8243; text_space=&#8221;fontspace-2px&#8221; uncode_shortcode_id=&#8221;310152&#8243; text_color_type=&#8221;uncode-palette&#8221;]FAQ[\/vc_custom_heading][vc_custom_heading text_color=&#8221;color-prif&#8221; text_font=&#8221;font-title&#8221; text_size=&#8221;h1&#8243; text_weight=&#8221;700&#8243; uncode_shortcode_id=&#8221;310153&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]Frequently Asked Questions[\/vc_custom_heading][vc_accordion sign=&#8221;plus&#8221; el_class=&#8221;acThis&#8221;][vc_accordion_tab gutter_size=&#8221;2&#8243; column_padding=&#8221;2&#8243; title=&#8221;What is Duvet Rhinoplasty?&#8221; tab_id=&#8221;faq-dr-1&#8243;][vc_column_text uncode_shortcode_id=&#8221;310154&#8243;]Duvet Rhinoplasty is a rhinoplasty technique developed by Dr. Jos\u00e9 Ignacio Garc\u00eda Ceballos that combines conventional bone and cartilage remodeling with the application of a layer of L-PRF-enriched nanogreasy on the nasal skeleton. It is specifically designed to prevent the appearance of visible dorsal irregularities in patients with thin skin.[\/vc_column_text][\/vc_accordion_tab][vc_accordion_tab gutter_size=&#8221;2&#8243; column_padding=&#8221;2&#8243; title=&#8221;Why is it called Duvet Rhinoplasty?&#8221; tab_id=&#8221;faq-dr-2&#8243;][vc_column_text uncode_shortcode_id=&#8221;310155&#8243;]Duvet means &#8220;comforter&#8221; in French. The name alludes to the effect of the biological nanofat blanket with L-PRF: a uniform, fluffy covering over the nasal skeleton that acts as a cushion, smoothing the contour and preventing bone or cartilage irregularities from showing through the thin skin.[\/vc_column_text][\/vc_accordion_tab][vc_accordion_tab gutter_size=&#8221;2&#8243; column_padding=&#8221;2&#8243; title=&#8221;Which patients is it aimed at?&#8221; tab_id=&#8221;faq-dr-3&#8243;][vc_column_text uncode_shortcode_id=&#8221;310156&#8243;]Rhinoplasty patients with thin nasal skin (Type I according to Dr. Garcia Ceballos classification, thickness less than 3 mm), who are at higher risk of visible dorsal irregularities after conventional rhinoplasty. It is also applicable in secondary rhinoplasty with irregular dorsum or residual skin asymmetries.[\/vc_column_text][\/vc_accordion_tab][vc_accordion_tab gutter_size=&#8221;2&#8243; column_padding=&#8221;2&#8243; title=&#8221;What are the results of Duvet Rhinoplasty?&#8221; tab_id=&#8221;faq-dr-4&#8243;][vc_column_text uncode_shortcode_id=&#8221;310157&#8243;]In the study published in 2024 in Cirug\u00eda Pl\u00e1stica Ibero-Latinoamericana, patients with thin skin treated with the technique showed an average increase of 0.9 mm in the skin thickness of the nasal dorsum one year after the intervention, without the need for revision surgeries due to irregularities and with high patient satisfaction.[\/vc_column_text][\/vc_accordion_tab][vc_accordion_tab gutter_size=&#8221;2&#8243; column_padding=&#8221;2&#8243; title=&#8221;Does Duvet Rhinoplasty use synthetic or someone else&#8217;s products?&#8221; tab_id=&#8221;faq-dr-5&#8243;][vc_column_text uncode_shortcode_id=&#8221;310158&#8243;]No. Both nanograse and L-PRF are autologous materials: they come from the patient himself. The nanofat is obtained by small volume liposuction at the time of surgery, and the L-PRF is prepared by centrifugation of a small sample of the patient&#8217;s blood. No synthetic fillers or donor tissues are used.[\/vc_column_text][\/vc_accordion_tab][vc_accordion_tab gutter_size=&#8221;2&#8243; column_padding=&#8221;2&#8243; title=&#8221;Does it lengthen the surgical or postoperative time?&#8221; tab_id=&#8221;faq-dr-6&#8243;][vc_column_text uncode_shortcode_id=&#8221;310159&#8243;]The preparation of the nanofat and L-PRF adds approximately 30-45 minutes to the standard procedure. The postoperative period follows the usual rhinoplasty guidelines, with the difference that the nasal dorsum may feel slightly bulkier for the first few weeks due to the biological mantle. This sensation progressively normalizes.[\/vc_column_text][\/vc_accordion_tab][vc_accordion_tab gutter_size=&#8221;2&#8243; column_padding=&#8221;2&#8243; title=&#8221;Is the technique reproducible by other surgeons?&#8221; tab_id=&#8221;faq-dr-7&#8243;][vc_column_text uncode_shortcode_id=&#8221;310160&#8243;]Yes. The Duvet Rhinoplasty is described in detail in the scientific publication of 2024, with methodology, classification criteria, technique of obtaining and application, and results, which allows its reproduction by any surgeon trained in rhinoplasty and management of fat grafts and autologous biomaterials.[\/vc_column_text][\/vc_accordion_tab][\/vc_accordion][vc_empty_space empty_h=&#8221;1&#8243;][\/vc_column][\/vc_row][vc_row row_height_percent=&#8221;0&#8243; override_padding=&#8221;yes&#8221; h_padding=&#8221;3&#8243; top_padding=&#8221;2&#8243; bottom_padding=&#8221;2&#8243; back_color=&#8221;color-lxmt&#8221; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; column_width_percent=&#8221;100&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; el_id=&#8221;cluster&#8221; uncode_shortcode_id=&#8221;310170&#8243; back_color_type=&#8221;uncode-palette&#8221; css=&#8221;.vc_custom_1780000002{margin-top: 42px !important;}&#8221;][vc_column column_width_percent=&#8221;100&#8243; gutter_size=&#8221;3&#8243; override_padding=&#8221;yes&#8221; column_padding=&#8221;3&#8243; overlay_alpha=&#8221;50&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; shift_y_down=&#8221;0&#8243; z_index=&#8221;0&#8243; medium_width=&#8221;0&#8243; mobile_width=&#8221;0&#8243; width=&#8221;1\/1&#8243; uncode_shortcode_id=&#8221;310171&#8243; el_class=&#8221;padR70&#8243;][vc_custom_heading text_color=&#8221;color-wvjs&#8221; heading_semantic=&#8221;div&#8221; text_font=&#8221;font-title&#8221; text_size=&#8221;h6&#8243; text_weight=&#8221;500&#8243; text_space=&#8221;fontspace-2px&#8221; uncode_shortcode_id=&#8221;310172&#8243; text_color_type=&#8221;uncode-palette&#8221;]Cluster Rhinoplasty &#8211; Publication 2024[\/vc_custom_heading][vc_custom_heading text_color=&#8221;color-prif&#8221; text_font=&#8221;font-title&#8221; text_size=&#8221;h1&#8243; text_weight=&#8221;700&#8243; uncode_shortcode_id=&#8221;310173&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]Complementary contributions to Duvet Rhinoplasty[\/vc_custom_heading][vc_row_inner limit_content=&#8221;&#8221;][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text uncode_shortcode_id=&#8221;688149&#8243;]<\/p>\n<div class=\"mmg-meta-bar fgdsgfdsf\">\n<div class=\"mmg-meta-item\"><span class=\"mmg-meta-label\" style=\"margin-bottom: 8px;\">Contribution 02<\/span><span class=\"mmg-meta-value\"><a href=\"\/innovacion-clinica\/lprf-rinoplastia\/\">L-PRF in aesthetic rhinoplasty<\/a><\/span><span class=\"mmg-meta-value\">Application of leukocyte- and platelet-rich fibrin as an autologous biological adjuvant. Rationale, procurement protocol, combination with nanograss and clinical evidence. <\/span><a class=\"mmg-meta-label\" style=\"display: block; margin-top: 8px;\" href=\"\/innovacion-clinica\/lprf-rinoplastia\/\">GO TO PAGE<\/a><\/div>\n<\/div>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text uncode_shortcode_id=&#8221;173417&#8243;]<\/p>\n<div class=\"mmg-meta-bar fgdsgfdsf\">\n<div class=\"mmg-meta-item\"><span class=\"mmg-meta-label\" style=\"margin-bottom: 8px;\">Contribution 02<\/span><span class=\"mmg-meta-value\"><a href=\"\/innovacion-clinica\/lprf-rinoplastia\/\">L-PRF in aesthetic rhinoplasty<\/a><\/span><span class=\"mmg-meta-value\">Application of leukocyte- and platelet-rich fibrin as an autologous biological adjuvant. Rationale, procurement protocol, combination with nanograss and clinical evidence. <\/span><a class=\"mmg-meta-label\" style=\"display: block; margin-top: 8px;\" href=\"\/innovacion-clinica\/lprf-rinoplastia\/\">GO TO PAGE<\/a><\/div>\n<\/div>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row row_height_percent=&#8221;0&#8243; override_padding=&#8221;yes&#8221; h_padding=&#8221;2&#8243; top_padding=&#8221;3&#8243; bottom_padding=&#8221;3&#8243; back_color=&#8221;color-133e67&#8243; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; column_width_percent=&#8221;100&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; el_id=&#8221;technician&#8221; uncode_shortcode_id=&#8221;161428&#8243; back_color_type=&#8221;uncode-palette&#8221;][vc_column column_width_percent=&#8221;100&#8243; align_horizontal=&#8221;align_center&#8221; gutter_size=&#8221;3&#8243; style=&#8221;dark&#8221; overlay_alpha=&#8221;50&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; shift_y_down=&#8221;0&#8243; z_index=&#8221;0&#8243; medium_width=&#8221;0&#8243; mobile_width=&#8221;0&#8243; width=&#8221;1\/1&#8243; uncode_shortcode_id=&#8221;821331&#8243;][vc_row_inner limit_content=&#8221;&#8221;][vc_column_inner width=&#8221;2\/12&#8243;][\/vc_column_inner][vc_column_inner column_width_percent=&#8221;100&#8243; align_horizontal=&#8221;align_center&#8221; gutter_size=&#8221;3&#8243; style=&#8221;dark&#8221; overlay_alpha=&#8221;50&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; shift_y_down=&#8221;0&#8243; z_index=&#8221;0&#8243; medium_width=&#8221;0&#8243; mobile_width=&#8221;0&#8243; width=&#8221;8\/12&#8243; uncode_shortcode_id=&#8221;249122&#8243;][vc_custom_heading text_color=&#8221;color-xsdn&#8221; heading_semantic=&#8221;div&#8221; text_font=&#8221;font-title&#8221; text_weight=&#8221;500&#8243; text_space=&#8221;fontspace-2px&#8221; uncode_shortcode_id=&#8221;544307&#8243; text_color_type=&#8221;uncode-palette&#8221;]Are you a candidate for Duvet Rhinoplasty?[\/vc_custom_heading][vc_column_text text_lead=&#8221;yes&#8221; uncode_shortcode_id=&#8221;604545&#8243;]The indication is evaluated in consultation by measuring the nasal skin thickness, assessment of the case and review of history. Book an initial consultation to find out if the technique is applicable to your situation.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;2\/12&#8243;][\/vc_column_inner][\/vc_row_inner][vc_row_inner limit_content=&#8221;&#8221;][vc_column_inner width=&#8221;1\/3&#8243;][\/vc_column_inner][vc_column_inner column_width_percent=&#8221;100&#8243; align_horizontal=&#8221;align_center&#8221; gutter_size=&#8221;3&#8243; style=&#8221;dark&#8221; overlay_alpha=&#8221;50&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; shift_y_down=&#8221;0&#8243; z_index=&#8221;0&#8243; medium_width=&#8221;0&#8243; mobile_width=&#8221;0&#8243; width=&#8221;1\/3&#8243; uncode_shortcode_id=&#8221;249122&#8243;][vc_button button_color=&#8221;color-xsdn&#8221; wide=&#8221;yes&#8221; text_skin=&#8221;yes&#8221; custom_typo=&#8221;yes&#8221; font_family=&#8221;font-default&#8221; font_weight=&#8221;400&#8243; letter_spacing=&#8221;fontspace-2px&#8221; border_width=&#8221;0&#8243; link=&#8221;url:https%3A%2F%2Fmallorcamedicalgroup.ofimedic.com%2Fdefault.aspx|title:BOOK%20A%20CONSULTATION|&#8221; uncode_shortcode_id=&#8221;397309&#8243; el_class=&#8221;customButton customButtonNS&#8221; button_color_type=&#8221;uncode-palette&#8221;]BOOK FIRST CONSULTATION[\/vc_button][vc_button button_color=&#8221;color-xsdn&#8221; wide=&#8221;yes&#8221; text_skin=&#8221;yes&#8221; custom_typo=&#8221;yes&#8221; font_family=&#8221;font-default&#8221; font_weight=&#8221;400&#8243; letter_spacing=&#8221;fontspace-2px&#8221; border_width=&#8221;0&#8243; link=&#8221;url:https%3A%2F%2Fmallorcamedicalgroup.com%2Fen%2Finnovacion-clinica%2F|title:BOOK%20A%20CONSULTATION|&#8221; uncode_shortcode_id=&#8221;439859&#8243; el_class=&#8221;customButton customButtonNS2&#8243; button_color_type=&#8221;uncode-palette&#8221;]VIEW ALL CONTRIBUTIONS[\/vc_button][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][\/vc_column_inner][\/vc_row_inner][vc_raw_js]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[\/vc_raw_js][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row row_height_percent=&#8221;0&#8243; 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