{"id":111210,"date":"2026-05-03T07:08:32","date_gmt":"2026-05-03T07:08:32","guid":{"rendered":"https:\/\/mallorcamedicalgroup.com\/innovacion-clinica\/lprf-rrinoplastia\/"},"modified":"2026-05-27T14:55:00","modified_gmt":"2026-05-27T14:55:00","slug":"lprf-rinoplastia","status":"publish","type":"page","link":"https:\/\/mallorcamedicalgroup.com\/en\/innovacion-clinica\/lprf-rinoplastia\/","title":{"rendered":"lPRF 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;142783&#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;320002&#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;320003&#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;320004&#8243; el_class=&#8221;reducedTopSpace&#8221;]L-PRF in aesthetic 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;320005&#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;320006&#8243; el_class=&#8221;padR70&#8243;][vc_column_text uncode_shortcode_id=&#8221;320007&#8243; el_class=&#8221;mmg-hero-subtitle-text&#8221;]Application of <strong>fibrin rich in leukocytes and platelets<\/strong> as an autologous biological adjuvant in rhinoplasty. Obtained from the patient himself, without anticoagulants or chemical activators, it forms &#8211; together with the nanofat &#8211; the biological mantle of <em>Duvet Rhinoplasty<\/em>.[\/vc_column_text][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text uncode_shortcode_id=&#8221;320008&#8243;]<\/p>\n<div class=\"mmg-meta-bar fgdsgfdsf\">\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\">Regenerative Medicine &#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;320009&#8243;]<\/p>\n<div class=\"mmg-meta-bar fgdsgfdsf\">\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;320010&#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;320011&#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;320012&#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;320013&#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;320014&#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;320015&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]A biological material obtained from your own blood[\/vc_custom_heading][vc_column_text uncode_shortcode_id=&#8221;320016&#8243;]L-PRF is a regenerative adjuvant that is prepared during surgery from a small sample of your blood. No synthetics or materials from someone else.[\/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;320017&#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;320018&#8243; el_class=&#8221;padR70&#8243;][vc_column_text uncode_shortcode_id=&#8221;320019&#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;320020&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]What is L-PRF?[\/vc_custom_heading][vc_column_text uncode_shortcode_id=&#8221;320021&#8243; el_class=&#8221;reduceTopSpace&#8221;]<strong>L-PRF<\/strong> stands for <em>Leukocyte and Platelet-Rich Fibrin<\/em>, which in English can be translated as <strong>leukocyte- and platelet-rich fibrin<\/strong>. Behind the technical name is a simple idea: it is a small portion of your own blood that, through a centrifugation process, is separated into its components and a natural matrix rich in regenerative elements is obtained. <\/p>\n<p>This matrix, which has a gelatinous and malleable consistency, contains <strong>activated platelets<\/strong>, <strong>leukocytes<\/strong> (the cells of the immune system) and an important reservoir of <strong>growth factors<\/strong>: the molecules that the body uses naturally to repair and regenerate tissues. The difference is that in L-PRF these elements are concentrated and trapped in a fibrin network that releases them in a sustained manner for several days after application. <\/p>\n<p>In plastic surgery, L-PRF has earned a place as an <strong>autologous biological adjuvant<\/strong> &#8211; which means that it is obtained from the patient himself and is not rejected &#8211; of growing application in various interventions where the aim is to improve the quality of the treated tissues.<\/p>\n<div class=\"mmg-aside\"><span class=\"mmg-aside-label\">Why do we say &#8220;autologous&#8221;?<\/span>Autologous means &#8220;from the patient&#8217;s own. It is the opposite of heterologous (from another person) or synthetic (artificially manufactured). The fact that L-PRF is autologous is important: it eliminates the risk of immune reactions, rejection and disease transmission, because the body does not detect anything foreign in what is applied to it.  <\/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;320022&#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;320023&#8243; el_class=&#8221;padR70&#8243;][vc_column_text uncode_shortcode_id=&#8221;320024&#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;320025&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]How is it prepared?[\/vc_custom_heading][vc_column_text uncode_shortcode_id=&#8221;320026&#8243; el_class=&#8221;reduceTopSpace&#8221;]The process of obtaining the L-PRF is <strong>simple, fast and entirely ambulatory<\/strong>. It is performed in the operating room at the beginning of the surgery, with no need for prior preparation by the patient beyond the usual fasting for any intervention. <\/p>\n<div class=\"mmg-types-grid\">\n<div class=\"mmg-type-card mmg-type-card--I\">\n<div class=\"mmg-type-label\">Step 1<\/div>\n<div class=\"mmg-type-name\">Extraction<\/div>\n<p>Standard venous puncture to obtain a small sample of blood from the patient, in tubes without anticoagulant.<\/p>\n<\/div>\n<div class=\"mmg-type-card mmg-type-card--II\">\n<div class=\"mmg-type-label\">Step 2<\/div>\n<div class=\"mmg-type-name\">Centrifugation<\/div>\n<p>The tubes are immediately centrifuged in specific equipment for a few minutes.<\/p>\n<\/div>\n<\/div>\n<div class=\"mmg-types-grid\">\n<div class=\"mmg-type-card mmg-type-card--I\">\n<div class=\"mmg-type-label\">Step 3<\/div>\n<div class=\"mmg-type-name\">Fibrin clot<\/div>\n<p>The natural fibrin clot rich in platelets, leukocytes and growth factors is separated from each tube.<\/p>\n<\/div>\n<div class=\"mmg-type-card mmg-type-card--II\">\n<div class=\"mmg-type-label\">Step 4<\/div>\n<div class=\"mmg-type-name\">Application<\/div>\n<p>The clot is processed to the proper consistency and combined with the nanofat before being applied to the nasal dorsum.<\/p>\n<\/div>\n<\/div>\n<p>This entire process is performed during the surgery itself, so it <strong>does not require additional visits<\/strong> or specific prior preparation. The only added inconvenience for the patient is the withdrawal of blood, equivalent to that of a standard blood test.[\/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;320027&#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;320028&#8243; el_class=&#8221;padR70&#8243;][vc_column_text uncode_shortcode_id=&#8221;320029&#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;320030&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]What is L-PRF used for in your rhinoplasty?[\/vc_custom_heading][vc_column_text uncode_shortcode_id=&#8221;320031&#8243; el_class=&#8221;reduceTopSpace&#8221;]In the context of rhinoplasty, L-PRF has a specific role: to <strong>combine with nanogreas to form the biological mantle<\/strong> that is applied on the nasal dorsum in patients with thin skin, within the framework of <a href=\"https:\/\/mallorcamedicalgroup.com\/en\/innovacion-clinica\/duvet-rhinoplasty\/\">Duvet Rhinoplasty<\/a>.<\/p>\n<p>In this combination, each component provides a different function:<\/p>\n<ul>\n<li><strong>Nanofat<\/strong> provides the cell substrate: tiny particles of your own fat with regenerative cells and biological matrix.<\/li>\n<li><strong>L-PRF<\/strong> acts as a gel-like vehicle that holds the nanofat in position on the nasal dorsum and, at the same time, releases growth factors that stimulate graft integration and regeneration of the overlying skin for days.<\/li>\n<\/ul>\n<p>The result is a <strong>thin, autologous, bioactive biological covering<\/strong> that protects the nasal dorsum against the transparency of irregularities of the underlying skeleton and progressively improves the quality of the skin envelope 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;320032&#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;320033&#8243; el_class=&#8221;padR70&#8243;][vc_column_text uncode_shortcode_id=&#8221;320034&#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;320035&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]Is it the same as the much talked about PRP?[\/vc_custom_heading][vc_column_text uncode_shortcode_id=&#8221;320036&#8243; el_class=&#8221;reduceTopSpace&#8221;]Not exactly. <strong>PRP<\/strong> (platelet-rich plasma) is probably the best known autologous biomaterial, popularized by its use in aesthetic medicine for facial and hair treatments. Both PRP and L-PRF are obtained from the patient&#8217;s blood, but <strong>have important differences<\/strong> in their preparation, handling and what they provide.  <\/p>\n<div class=\"mmg-table-wrap\">\n<table class=\"mmg-table\">\n<thead>\n<tr>\n<th>Feature<\/th>\n<th>L-PRF<\/th>\n<th>PRP<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Form<\/strong><\/td>\n<td>Natural fibrin gelatinous matrix<\/td>\n<td>Liquid<\/td>\n<\/tr>\n<tr>\n<td><strong>Anticoagulants<\/strong><\/td>\n<td>Not required<\/td>\n<td>Yes, usually citrate<\/td>\n<\/tr>\n<tr>\n<td><strong>Chemical activators<\/strong><\/td>\n<td>Not required<\/td>\n<td>Generally yes (calcium chloride, thrombin)<\/td>\n<\/tr>\n<tr>\n<td><strong>Factor release<\/strong><\/td>\n<td>Sustained for 7-14 days<\/td>\n<td>Rapid, within hours<\/td>\n<\/tr>\n<tr>\n<td><strong>Surgical handling<\/strong><\/td>\n<td>Solid, manipulable, holds position<\/td>\n<td>Liquid, immediate dispersion<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<p><strong>L-PRF is particularly suitable for reconstructive or cosmetic surgery<\/strong> where a material is needed to maintain its position in a given area and slowly release its regenerative factors. <strong>They are not substitutes: they are tools with different use profiles<\/strong>.[\/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;320037&#8243; back_color_type=&#8221;uncode-palette&#8221; css=&#8221;.vc_custom_1777704550608{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;320038&#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;320039&#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;320040&#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;320041&#8243;]Biological basis, procurement protocol according to Choukroun, combination with nanofat and intraoperative application in the context of aesthetic rhinoplasty.[\/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;320042&#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;320043&#8243; el_class=&#8221;padR70&#8243;][vc_column_text uncode_shortcode_id=&#8221;320044&#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;320045&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]Biological basis[\/vc_custom_heading][vc_column_text uncode_shortcode_id=&#8221;320046&#8243; el_class=&#8221;reduceTopSpace&#8221;]L-PRF, first described by Choukroun in 2001, is a second-generation autologous concentrate derived from peripheral blood that belongs to the broader family of <em>platelet concentrates<\/em> used in regenerative surgery. Its distinguishing feature compared to conventional PRP preparations is that it is obtained <strong>without the use of anticoagulants or exogenous activators<\/strong>, which allows the natural formation of a fibrin clot that <strong>retains circulating platelets and leukocytes in its three-dimensional lattice<\/strong>, together with a reservoir of progressively releasable growth factors. <\/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\/lprf-rinoplastia\/#Functional_composition\" >Functional composition<\/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\/lprf-rinoplastia\/#Release_kinetics\" >Release kinetics<\/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\/lprf-rinoplastia\/#Material_required\" >Material required<\/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\/lprf-rinoplastia\/#Procedure\" >Procedure<\/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\/lprf-rinoplastia\/#Operating_parameters\" >Operating parameters<\/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\/lprf-rinoplastia\/#Contribution_of_nanograss\" >Contribution of nanograss<\/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\/lprf-rinoplastia\/#Contribution_of_L-PRF\" >Contribution of L-PRF<\/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\/lprf-rinoplastia\/#Combination_process\" >Combination process<\/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\/lprf-rinoplastia\/#Main_indications_in_rhinoplasty\" >Main indications in rhinoplasty<\/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\/lprf-rinoplastia\/#Published_results\" >Published results<\/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\/lprf-rinoplastia\/#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\/lprf-rinoplastia\/#Recognized_limitations\" >Recognized limitations<\/a><\/li><\/ul><\/nav><\/div>\n<h3><span class=\"ez-toc-section\" id=\"Functional_composition\"><\/span>Functional composition<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>The resulting product has three functionally relevant components:<\/p>\n<ul>\n<li><strong>Natural fibrin matrix<\/strong>, slowly polymerized without exogenous intervention, with flexible three-dimensional architecture that favors cell migration and angiogenesis.<\/li>\n<li><strong>Platelet and leukocyte concentrate<\/strong>, physiologically activated during the coagulation process, with progressive release of its granular content.<\/li>\n<li><strong>Reservoir of growth factors<\/strong>: PDGF (Platelet-Derived Growth Factor), TGF-\u03b21 (Transforming Growth Factor beta), VEGF (Vascular Endothelial Growth Factor), IGF-1 (Insulin-like Growth Factor), EGF (Epidermal Growth Factor), among others.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Release_kinetics\"><\/span>Release kinetics<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Unlike activated PRP, where the release of growth factors is massive in the first few hours, L-PRF has <strong>sustained release kinetics for 7-14 days<\/strong> thanks to the gradual entrapment of platelets and leukocytes in the fibrin matrix. This kinetic is more physiological and better adapted to the natural process of tissue healing, which requires growth signals throughout the proliferative phase, not only at the initial moment.[\/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;320047&#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;320048&#8243; el_class=&#8221;padR70&#8243;][vc_column_text uncode_shortcode_id=&#8221;320049&#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;320050&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]Procurement protocol[\/vc_custom_heading][vc_column_text uncode_shortcode_id=&#8221;320051&#8243; el_class=&#8221;reduceTopSpace&#8221;]<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Material_required\"><\/span>Material required<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Standard venous extraction system.<\/li>\n<li>Glass or plastic tubes with activating surface, without anticoagulant (typically 4 units of 10 mL).<\/li>\n<li>Specific centrifuge for L-PRF, calibrated according to Choukroun protocol.<\/li>\n<li>Compressor box (PRF Box) for obtaining membranes or sterile forceps for clot processing.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Procedure\"><\/span>Procedure<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ol>\n<li><strong>Venous extraction<\/strong> at the beginning of the surgery, once the line has been cannulated. Complete filling of the tubes without anticoagulant. <\/li>\n<li><strong>Immediate centrifugation<\/strong> according to established protocol (parameters of approximately 2700 rpm \u00d7 12 minutes in standard Choukroun centrifuge; specific parameters may vary according to the equipment used).<\/li>\n<li><strong>Recovery of the clot<\/strong> from each tube. After centrifugation, three phases are distinguished: acellular plasma in the upper part, L-PRF clot in the middle part (the fraction of interest) and erythrocytes in the lower part. The central clot is removed by sectioning with scissors the erythrocyte transition zone, preserving a small portion of adherent erythrocytes to maintain the viability of the platelets close to the interface.  <\/li>\n<li><strong>Processing according to use<\/strong>: for combination with nanofat, the coagulum is fragmented into small portions or lightly pressed to obtain a malleable consistency; for application as a membrane, the PRF Box is used to obtain thin sheets of uniform thickness.<\/li>\n<\/ol>\n<h3><span class=\"ez-toc-section\" id=\"Operating_parameters\"><\/span>Operating parameters<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<div class=\"mmg-table-wrap\">\n<table class=\"mmg-table\">\n<thead>\n<tr>\n<th>Parameter<\/th>\n<th>Reference value<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Extraction volume<\/strong><\/td>\n<td>Approximately 40 mL (4 tubes \u00d7 10 mL)<\/td>\n<\/tr>\n<tr>\n<td><strong>Tubes<\/strong><\/td>\n<td>Without anticoagulant, with coagulation-activating surface<\/td>\n<\/tr>\n<tr>\n<td><strong>Centrifugation<\/strong><\/td>\n<td>~2700 rpm \u00d7 12 minutes (standard Choukroun protocol)<\/td>\n<\/tr>\n<tr>\n<td><strong>Total preparation time<\/strong><\/td>\n<td>15-20 minutes from extraction to ready-to-use product<\/td>\n<\/tr>\n<tr>\n<td><strong>Window of use<\/strong><\/td>\n<td>The product should be used in the same surgical act, without storage.<\/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;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;320052&#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;320053&#8243; el_class=&#8221;padR70&#8243;][vc_column_text uncode_shortcode_id=&#8221;320054&#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;320055&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]Combination with nanogreasing: the biological mantle[\/vc_custom_heading][vc_column_text uncode_shortcode_id=&#8221;320056&#8243; el_class=&#8221;reduceTopSpace&#8221;]In the context of aesthetic rhinoplasty, L-PRF is not applied in isolation but combined with autologous nanofat, forming what in the context of <a href=\"https:\/\/mallorcamedicalgroup.com\/en\/innovacion-clinica\/duvet-rhinoplasty\/\">Duvet Rhinoplasty<\/a> is called a <strong>biological mantle<\/strong>. The synergy between the two materials provides what neither of them alone can offer. <\/p>\n<h3><span class=\"ez-toc-section\" id=\"Contribution_of_nanograss\"><\/span>Contribution of nanograss<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Regenerative cell substrate (adipocytic mesenchymal stem cells, vascular stromal fraction).<\/li>\n<li>Bioactive extracellular matrix.<\/li>\n<li>Minimum volume of tissue supply in the recipient site.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Contribution_of_L-PRF\"><\/span>Contribution of L-PRF<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Gelatinous vehicle that keeps the nanograss in position on the nasal dorsum.<\/li>\n<li>Sustained reservoir of growth factors during the critical integration phase (7-14 days).<\/li>\n<li>Angiogenic and cell migration stimulus.<\/li>\n<li>Modulation of the local inflammatory response.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Combination_process\"><\/span>Combination process<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Once the nanofat (by mechanical emulsification of the lipoaspirate) and L-PRF (by centrifugation and processing) have been obtained, both materials are mixed in a ratio of approximately 1:1 until a <strong>manageable and homogeneous matrix<\/strong> is obtained that retains the necessary consistency to remain in the recipient area for the time necessary for its integration. This combined matrix is applied directly to the remodeled nasal dorsum prior to skin closure.[\/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;320057&#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;320058&#8243; el_class=&#8221;padR70&#8243;][vc_column_text uncode_shortcode_id=&#8221;320059&#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;320060&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]Application in rhinoplasty and clinical evidence[\/vc_custom_heading][vc_column_text uncode_shortcode_id=&#8221;320061&#8243; el_class=&#8221;reduceTopSpace&#8221;]The application of L-PRF combined with nanofat was documented in the 2024 publication in <em>Cirug\u00eda Pl\u00e1stica Ibero-Latinoamericana<\/em> on a series of patients with thin nasal skin (Type I <a href=\"\/innovacion-clinica\/clasificacion-rinoplastia-tejidos\/\">classification according to soft tissue thickness<\/a>) operated on between 2022 and 2023, with a minimum follow-up of 12 months.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Main_indications_in_rhinoplasty\"><\/span>Main indications in rhinoplasty<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Type I patients (nasal skin envelope &lt; 3 mm) candidates for primary rhinoplasty.<\/li>\n<li>Secondary rhinoplasty with irregular dorsum or atrophy of the skin envelope.<\/li>\n<li>Selected Type II cases with marked alterations of the nasal skeleton or high aesthetic expectations.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Published_results\"><\/span>Published results<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<div class=\"mmg-table-wrap\">\n<table class=\"mmg-table\">\n<thead>\n<tr>\n<th>Variable evaluated<\/th>\n<th>Outcome at 12 months<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Increase in skin thickness of the dorsum<\/strong> (Type I patients)<\/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 results are consistent with the available evidence on the use of L-PRF in other surgical contexts (maxillofacial surgery, periodontal surgery, chronic wound management), where improvement of scar quality, acceleration of tissue regeneration processes and reduction of inflammatory response have been documented.[\/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;320062&#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;320063&#8243; el_class=&#8221;padR70&#8243;][vc_column_text uncode_shortcode_id=&#8221;320064&#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;320065&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]Contraindications and limitations[\/vc_custom_heading][vc_column_text uncode_shortcode_id=&#8221;320066&#8243; el_class=&#8221;reduceTopSpace&#8221;]<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Contraindications\"><\/span>Contraindications<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li><strong>Significant hematological disorders<\/strong> affecting platelet function or coagulation (severe thrombocytopenia, thrombocytopathies, coagulopathies).<\/li>\n<li><strong>Active anticoagulant therapy<\/strong> not susceptible to perioperative suspension, since natural fibrin clot formation depends on the intact coagulation cascade.<\/li>\n<li><strong>Active<\/strong> systemic or surgical site <strong>infectious processes<\/strong>.<\/li>\n<li>Patients undergoing <strong>active oncological treatments<\/strong> or with a recent oncological history that contraindicates the administration of growth factors.<\/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><strong>Operator-dependent variability.<\/strong>  The quality of the final product depends on factors such as the time between extraction and centrifugation, the integrity of the tubes used or the manual processing of the clot. It requires standardized protocol and training. <\/li>\n<li><strong>Product for immediate use.<\/strong>  L-PRF must be used in the same surgical procedure, with no possibility of storage or preservation. This limits its use to planned procedures with available equipment and material. <\/li>\n<li><strong>Inter-patient reproducibility.<\/strong>  Platelet concentration and response to centrifugation vary between patients according to individual factors (age, hematocrit, concomitant medication), which introduces biological variability intrinsic to the product.<\/li>\n<li><strong>Clinical evidence in limited rhinoplasty.<\/strong>  Although the use of L-PRF is well documented in other surgical contexts, its specific application in aesthetic rhinoplasty has a still small literature base, in which the series published in 2024 constitutes one of the references.<\/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;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; el_id=&#8221;resources&#8221; uncode_shortcode_id=&#8221;320067&#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;320068&#8243; el_class=&#8221;padR70&#8243;][vc_column_text uncode_shortcode_id=&#8221;320069&#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;320070&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]Associated resources[\/vc_custom_heading][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text uncode_shortcode_id=&#8221;320071&#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;320072&#8243;]<\/p>\n<div class=\"mmg-meta-bar fgdsgfdsf\">\n<div class=\"mmg-meta-item\"><span class=\"mmg-meta-label\" style=\"margin-bottom: 8px;\">SPECIALTY<\/span><span class=\"mmg-meta-value\"><a href=\"https:\/\/mallorcamedicalgroup.com\/en\/procedures\/regenerative-medicine\/\">Regenerative Medicine at MMG<\/a><\/span><span class=\"mmg-meta-value\">Other clinical uses of regenerative medicine at Mallorca Medical Group.<\/span><a class=\"mmg-meta-label\" style=\"display: block; margin-top: 8px;\" href=\"https:\/\/mallorcamedicalgroup.com\/en\/procedures\/regenerative-medicine\/\">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;320073&#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:\/\/doi.org\/10.4321\/s0376-78922024000400005\" 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:\/\/doi.org\/10.4321\/s0376-78922024000400005\" target=\"_blank\" rel=\"noopener\">GO TO RESOURCE<\/a><\/div>\n<\/div>\n<p>[\/vc_column_text][vc_column_text uncode_shortcode_id=&#8221;320074&#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_text uncode_shortcode_id=&#8221;320075&#8243;]<\/p>\n<div class=\"mmg-biblio\">\n<p><span class=\"mmg-biblio-label\">Main bibliographic reference<\/span><\/p>\n<ol>\n<li><span class=\"mmg-author-self\">Garc\u00eda Ceballos JI<\/span>. Methodology for prevention of nasal dorsum irregularities in aesthetic rhinoplasty: classification according to soft tissue thickness and application of L-PRF-enriched nanograss. <em>Cirug\u00eda Pl\u00e1stica Ibero-Latinoamericana<\/em>, 2024; 50(4). <a href=\"https:\/\/doi.org\/10.4321\/s0376-78922024000400005\" rel=\"noopener\" target=\"_blank\">DOI: 10.4321\/s0376-78922024000400005<\/a> <\/li>\n<\/ol>\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;3&#8243; top_padding=&#8221;0&#8243; bottom_padding=&#8221;0&#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;320076&#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;320077&#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;320078&#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;320079&#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 L-PRF?&#8221; tab_id=&#8221;faq-1&#8243;][vc_column_text uncode_shortcode_id=&#8221;320080&#8243;]L-PRF<em>(Leukocyte and Platelet-Rich Fibrin<\/em>) is an autologous biomaterial, i.e. obtained from the patient himself, which is prepared by centrifugation of a peripheral blood sample. The resulting product is a natural fibrin matrix that retains platelets, leukocytes and a reservoir of growth factors that are progressively released when the material is applied to the treated tissue.[\/vc_column_text][\/vc_accordion_tab][vc_accordion_tab gutter_size=&#8221;2&#8243; column_padding=&#8221;2&#8243; title=&#8221;Is it the same as PRP?&#8221; tab_id=&#8221;faq-2&#8243;][vc_column_text uncode_shortcode_id=&#8221;320081&#8243;]Not exactly. PRP (platelet-rich plasma) is a liquid that is also obtained from the patient&#8217;s blood, but requires the use of anticoagulants and, usually, chemical activators to release the growth factors. L-PRF is obtained without anticoagulants or activators, resulting in a more stable, more surgically manageable natural fibrin gel matrix with sustained release of growth factors for days rather than hours.[\/vc_column_text][\/vc_accordion_tab][vc_accordion_tab gutter_size=&#8221;2&#8243; column_padding=&#8221;2&#8243; title=&#8221;What is L-PRF used for in rhinoplasty?&#8221; tab_id=&#8221;faq-3&#8243;][vc_column_text uncode_shortcode_id=&#8221;320082&#8243;]In aesthetic rhinoplasty, L-PRF is used in combination with nanofat as a biological mantle applied to the remodeled nasal dorsum. It has two functions: to provide sufficient volume to prevent the irregularities of the bony and cartilaginous skeleton from showing through the thin skin, and to promote regeneration of the skin envelope thanks to the growth factors it releases.[\/vc_column_text][\/vc_accordion_tab][vc_accordion_tab gutter_size=&#8221;2&#8243; column_padding=&#8221;2&#8243; title=&#8221;Is blood from another person used?&#8221; tab_id=&#8221;faq-4&#8243;][vc_column_text uncode_shortcode_id=&#8221;320083&#8243;]No. L-PRF is obtained exclusively from the patient&#8217;s own blood, collected in the operating room by means of a standard venous puncture at the beginning of the surgery. As it is an autologous material, the risk of immunological reaction, disease transmission or rejection is practically nil.[\/vc_column_text][\/vc_accordion_tab][vc_accordion_tab gutter_size=&#8221;2&#8243; column_padding=&#8221;2&#8243; title=&#8221;Is L-PRF reabsorbed over time?&#8221; tab_id=&#8221;faq-5&#8243;][vc_column_text uncode_shortcode_id=&#8221;320084&#8243;]Yes. L-PRF, like all fibrin, is a biological material that is progressively resorbed over the weeks following surgery. But its function is not to remain a filler: what it provides is a matrix that releases growth factors in a sustained manner for 7-14 days, stimulating the integration of the accompanying nano-fat and the regeneration of the skin envelope. The benefit on skin quality is long-lasting.[\/vc_column_text][\/vc_accordion_tab][vc_accordion_tab gutter_size=&#8221;2&#8243; column_padding=&#8221;2&#8243; title=&#8221;Are there any side effects?&#8221; tab_id=&#8221;faq-6&#8243;][vc_column_text uncode_shortcode_id=&#8221;320085&#8243;]Due to its autologous nature, side effects are minimal. No relevant adverse reactions have been documented in the series published by Dr. Garc\u00eda Ceballos. The blood collection necessary to prepare the L-PRF is the only added inconvenience, equivalent to that of a standard blood test.[\/vc_column_text][\/vc_accordion_tab][vc_accordion_tab gutter_size=&#8221;2&#8243; column_padding=&#8221;2&#8243; title=&#8221;Can L-PRF be used if I take anticoagulants?&#8221; tab_id=&#8221;faq-7&#8243;][vc_column_text uncode_shortcode_id=&#8221;320086&#8243;]Active anticoagulation therapy is a relative contraindication, because L-PRF is based precisely on the natural formation of a fibrin clot. In patients on anticoagulant therapy, the possibility of perioperative suspension is assessed individually according to the usual guidelines, in coordination with the physician responsible for treatment.[\/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;320089&#8243; back_color_type=&#8221;uncode-palette&#8221; css=&#8221;.vc_custom_1777704587521{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;320090&#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;320091&#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;320092&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]Complementary contributions to the use of the L-PRF[\/vc_custom_heading][vc_column_text uncode_shortcode_id=&#8221;320093&#8243;]L-PRF is one of the three axes of the methodological framework published in <em>Cirug\u00eda Pl\u00e1stica Ibero-Latinoamericana<\/em> in 2024. The following two sheets develop the other two: the surgical technique that uses it as an adjuvant and the classification system that guides its indication.[\/vc_column_text][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text uncode_shortcode_id=&#8221;320094&#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 01<\/span><span class=\"mmg-meta-value\"><a href=\"https:\/\/mallorcamedicalgroup.com\/en\/innovacion-clinica\/duvet-rhinoplasty\/\">Duvet Rhinoplasty<\/a><\/span><span class=\"mmg-meta-value\">Rhinoplasty technique that combines conventional rhinoplasty with the intraoperative application of a biologic nanogreasy mantle enriched with L-PRF to prevent nasal dorsal irregularities in patients with thin skin.<\/span><a class=\"mmg-meta-label\" style=\"display: block; margin-top: 8px;\" href=\"https:\/\/mallorcamedicalgroup.com\/en\/innovacion-clinica\/duvet-rhinoplasty\/\">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;694957&#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\/clasificacion-rinoplastia-tejidos\/\">Classification according to the thickness of the soft tissues<\/a><\/span><span class=\"mmg-meta-value\">Preoperative classificatory system guiding the indication of L-PRF according to the thickness of the nasal skin envelope measured at the rhinion: Type I (&lt; 3 mm) and Type II (\u2265 3 mm).<\/span><a class=\"mmg-meta-label\" style=\"display: block; margin-top: 8px;\" href=\"\/innovacion-clinica\/clasificacion-rinoplastia-tejidos\/\">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][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;221441&#8243; text_color_type=&#8221;uncode-palette&#8221;]Do you want to know if the L-PRF is applicable in your case?[\/vc_custom_heading][vc_column_text text_lead=&#8221;yes&#8221; uncode_shortcode_id=&#8221;182367&#8243;]The indication for L-PRF in rhinoplasty is assessed in consultation after measurement of nasal skin thickness and overall assessment of the case. 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][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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