{"id":111217,"date":"2026-05-01T07:29:56","date_gmt":"2026-05-01T07:29:56","guid":{"rendered":"https:\/\/mallorcamedicalgroup.com\/innovacion-clinica\/clasificacion-rrinoplastia-tejidos\/"},"modified":"2026-05-27T15:05:54","modified_gmt":"2026-05-27T15:05:54","slug":"clasificacion-rinoplastia-tejidos","status":"publish","type":"page","link":"https:\/\/mallorcamedicalgroup.com\/en\/innovacion-clinica\/clasificacion-rinoplastia-tejidos\/","title":{"rendered":"Classification Rhinoplasty Tissues"},"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;754342&#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;201264&#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;797918&#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;154460&#8243; el_class=&#8221;reducedTopSpace&#8221;]Classification of rhinoplasty according to the thickness of soft tissues[\/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;200010&#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;311020&#8243; el_class=&#8221;padR70&#8243;][vc_column_text uncode_shortcode_id=&#8221;133475&#8243; el_class=&#8221;mmg-hero-subtitle-text&#8221;]<strong>Preoperative classificatory system<\/strong> that differentiates two types of patients according to the thickness of the nasal skin envelope and guides surgical planning and the indication of regenerative adjuvants.[\/vc_column_text][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text uncode_shortcode_id=&#8221;168155&#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\">Qualifying System &#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;211770&#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;200008&#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;200009&#8243;][\/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;167536&#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;107029&#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;200022&#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;200023&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]Why we measure the thickness of your skin before surgery[\/vc_custom_heading][vc_column_text uncode_shortcode_id=&#8221;200024&#8243;]The classification is based on a simple fact &#8211; the thickness of the nasal skin &#8211; but has important implications for the final outcome of the surgery.[\/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;168499&#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;108677&#8243; el_class=&#8221;padR70&#8243;][vc_column_text uncode_shortcode_id=&#8221;200032&#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;200033&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]What is this classification and why does it matter?[\/vc_custom_heading][vc_column_text uncode_shortcode_id=&#8221;200034&#8243; el_class=&#8221;reduceTopSpace&#8221;]Before scheduling a rhinoplasty, at Mallorca Medical Group we measure the <strong>thickness of the skin of your nose<\/strong> with a simple instrument called an adipometer. This measurement, which is obtained in seconds and painlessly during the first consultation, is one of the most useful pieces of information to predict how your nose will behave after surgery. <\/p>\n<p>A rhinoplasty, to simplify, modifies the bony and cartilaginous structure that shapes the nose. But that structure is covered by <strong>a skin that acts as a veil<\/strong>: the thinner the skin, the more transparent what is underneath; the thicker the skin, the more it dampens the underlying relief and the more it tends to swell over a long period of time. <\/p>\n<p>It is not a question of &#8220;good skin&#8221; or &#8220;bad skin&#8221;. <strong>Both skins have their own predictable behaviors<\/strong>, each with its advantages and challenges. What changes is how we plan the surgery so that the result is optimal in each case. <\/p>\n<div class=\"mmg-aside\">\n<p><span class=\"mmg-aside-label\">Why is this data so important?<\/span>A technically flawless rhinoplasty can give a disappointing result if we have not correctly anticipated how the skin will respond. Grading allows us to anticipate that response and plan the surgery accordingly, rather than finding out months later. <\/p>\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;191724&#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;480955&#8243; el_class=&#8221;padR70&#8243;][vc_column_text uncode_shortcode_id=&#8221;200042&#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;200043&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]The two types: thin skin and thick skin[\/vc_custom_heading][vc_column_text uncode_shortcode_id=&#8221;200044&#8243; el_class=&#8221;reduceTopSpace&#8221;]Measuring the thickness of the nasal skin envelope allows us to classify the patient into one of two types. <strong>The threshold between the two is 3 millimeters<\/strong> measured at the rhinion (the bony point of the nasal dorsum).<\/p>\n<div class=\"mmg-types-grid\">\n<div class=\"mmg-type-card mmg-type-card--I\">\n<div class=\"mmg-type-label\">Type I<\/div>\n<div class=\"mmg-type-name\">Thin skin<\/div>\n<div class=\"mmg-type-threshold\">Thickness &lt; 3 mm<\/div>\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 ' ><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/innovacion-clinica\/clasificacion-rinoplastia-tejidos\/#Typical_behavior\" >Typical behavior<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/innovacion-clinica\/clasificacion-rinoplastia-tejidos\/#Principal_risk\" >Principal risk<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/innovacion-clinica\/clasificacion-rinoplastia-tejidos\/#Recommended_strategy\" >Recommended strategy<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/innovacion-clinica\/clasificacion-rinoplastia-tejidos\/#Typical_behavior-2\" >Typical behavior<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/innovacion-clinica\/clasificacion-rinoplastia-tejidos\/#Principal_risk-2\" >Principal risk<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/innovacion-clinica\/clasificacion-rinoplastia-tejidos\/#Recommended_strategy-2\" >Recommended strategy<\/a><\/li><\/ul><\/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\/clasificacion-rinoplastia-tejidos\/#Instruments\" >Instruments<\/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\/clasificacion-rinoplastia-tejidos\/#Anatomical_reference_point\" >Anatomical reference point<\/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\/clasificacion-rinoplastia-tejidos\/#Measurement_procedure\" >Measurement procedure<\/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\/clasificacion-rinoplastia-tejidos\/#Borderline_cases_and_patients_at_the_threshold\" >Borderline cases and patients at the threshold<\/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\/clasificacion-rinoplastia-tejidos\/#In_Type_I_patients\" >In Type I patients<\/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\/clasificacion-rinoplastia-tejidos\/#In_Type_II_patients\" >In Type II patients<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/innovacion-clinica\/clasificacion-rinoplastia-tejidos\/#Compatibility_with_basic_rhinoplasty_techniques\" >Compatibility with basic rhinoplasty techniques<\/a><\/li><\/ul><\/nav><\/div>\n<h4><span class=\"ez-toc-section\" id=\"Typical_behavior\"><\/span>Typical behavior<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p>The skin reveals the relief of the underlying skeleton. Any slight irregularity of the bone or cartilage tends to become visible after a few months, once the postoperative period has subsided. <\/p>\n<h4><span class=\"ez-toc-section\" id=\"Principal_risk\"><\/span>Principal risk<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<ul>\n<li>Appearance of visible irregularities on the dorsum of the nose<\/li>\n<li>Visualization of bony rims or subtle asymmetries<\/li>\n<li>Late dissatisfaction despite good immediate surgical outcome<\/li>\n<\/ul>\n<h4><span class=\"ez-toc-section\" id=\"Recommended_strategy\"><\/span>Recommended strategy<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p><strong>Duvet Rhinoplasty<\/strong>: intraoperative application of a biologic nanogreasy layer enriched with L-PRF that acts as a regenerative padding and prevents the transparency of irregularities.<\/p>\n<\/div>\n<div class=\"mmg-type-card mmg-type-card--II\">\n<div class=\"mmg-type-label\">Type II<\/div>\n<div class=\"mmg-type-name\">Thick skin<\/div>\n<div class=\"mmg-type-threshold\">Thickness \u2265 3 mm<\/div>\n<h4><span class=\"ez-toc-section\" id=\"Typical_behavior-2\"><\/span>Typical behavior<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p>The skin cushions the underlying relief and masks irregularities well, but tends to a more prolonged inflammatory response and fibrous scarring that can detract from the definition of the nasal contour.<\/p>\n<h4><span class=\"ez-toc-section\" id=\"Principal_risk-2\"><\/span>Principal risk<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<ul>\n<li>Prolonged postoperative inflammation<\/li>\n<li>Loss of contour and tip definition<\/li>\n<li>Final result less refined than desired<\/li>\n<\/ul>\n<h4><span class=\"ez-toc-section\" id=\"Recommended_strategy-2\"><\/span>Recommended strategy<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p><strong>Surgical maneuvers oriented to the definition<\/strong> of the nasal contour and tip, together with postoperative follow-up adapted to accompany the natural evolution of the healing process.<\/p>\n<\/div>\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;813965&#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;187023&#8243; el_class=&#8221;padR70&#8243;][vc_column_text uncode_shortcode_id=&#8221;200052&#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;200053&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]How is it measured?[\/vc_custom_heading][vc_column_text uncode_shortcode_id=&#8221;108979&#8243; el_class=&#8221;reduceTopSpace&#8221;]The measurement is <strong>simple, quick and painless<\/strong>. It is performed during the first consultation with an instrument called a <strong>manual adipometer<\/strong>, similar to the one used in nutritional consultations to measure skin folds.[\/vc_column_text][vc_single_image media=&#8221;109884&#8243; media_width_use_pixel=&#8221;yes&#8221; uncode_shortcode_id=&#8221;200057&#8243; media_width_pixel=&#8221;500&#8243;][vc_column_text uncode_shortcode_id=&#8221;547212&#8243; el_class=&#8221;reduceTopSpace&#8221;]The measurement procedure is as simple as that:<\/p>\n<ol>\n<li>The doctor applies the adipometer to the skin of the rhinion (the bony spot on the back of your nose), without pressing uncomfortably.<\/li>\n<li>The instrument measures skinfold thickness in millimeters.<\/li>\n<li>The values are noted and classified as <strong>Type I<\/strong> (&lt; 3 mm) or <strong>Type II<\/strong> (\u2265 3 mm).<\/li>\n<li>This information, together with the rest of the assessment, defines the personalized surgical plan.<\/li>\n<\/ol>\n<p>The measurement does not require any prior preparation on your part and is done in the same session as the first consultation. If in your case the result is just at the threshold (around 3 mm), we will evaluate other factors &#8211; history, general characteristics of the facial skin, aesthetic objective &#8211; to decide which of the two strategies is best suited.[\/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;117819&#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;161808&#8243; el_class=&#8221;padR70&#8243;][vc_column_text uncode_shortcode_id=&#8221;200062&#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;200063&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]What does it mean for my treatment?[\/vc_custom_heading][vc_column_text uncode_shortcode_id=&#8221;200064&#8243; el_class=&#8221;reduceTopSpace&#8221;]The classification <strong>does not change the type of surgery<\/strong> performed &#8211; it will still be a rhinoplasty, with its corresponding surgical steps &#8211; but the complementary decisions that are made around it:<\/p>\n<ul>\n<li><strong>If it is Type I (thin skin)<\/strong>, planning will include Duvet Rhinoplasty with biologic nanogreasy and L-PRF mantle, to prevent visible dorsal irregularities. The surgery is likely to be about 30-45 minutes longer because of the preparation of adjuvant materials. <\/li>\n<li><strong>If it is Type II (thick skin)<\/strong>, the planning will prioritize the technical maneuvers to maximize the definition of the nasal contour and tip. The postoperative period may require longer follow-up to follow the natural evolution of healing, which is characteristically slower in this type of wrap. <\/li>\n<\/ul>\n<p>In both cases the objective is the same: to <strong>obtain the best possible result adapted to your anatomy<\/strong>, not to apply a single technique that fits all patients equally.<\/p>\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;110096&#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;119841&#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;200072&#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;200073&#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;200074&#8243;]Rationale, classification criteria, measurement methodology, therapeutic implications and limitations of the classification system.[\/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;207244&#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;485867&#8243; el_class=&#8221;padR70&#8243;][vc_column_text uncode_shortcode_id=&#8221;200082&#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;200083&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]Basis of the classification system[\/vc_custom_heading][vc_column_text uncode_shortcode_id=&#8221;200084&#8243; el_class=&#8221;reduceTopSpace&#8221;]The postoperative behavior of the nasal skin envelope is one of the factors with the greatest impact on the final aesthetic outcome of rhinoplasty, yet it has historically received less attention than bone and cartilage remodeling. Modern surgery has refined protocols for nasal skeletal modification, but the criteria for anticipating and modulating the envelope response have traditionally been more subjective. <\/p>\n<p>The proposed classification is based on a reproducible clinical observation: <strong>the thickness of the soft tissue of the nasal dorsum is the most consistent predictor of postoperative behavior<\/strong>, both in terms of the transparency of the underlying relief and the inflammatory and scar response. This observation, contrasted in our own clinical series, motivated the development of a dichotomous system that makes it possible to <strong>convert a qualitative assessment into a measurable and reproducible variable.<\/strong> <\/p>\n<p>The threshold of 3 mm was established from the analysis of the clinical series of Dr. Garcia Ceballos as a turning point in the behavior of the envelope: below this value, the risk of transparency of irregularities predominates; above this value, the risk of prolonged inflammation and fibrous scarring predominates.<\/p>\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;723891&#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;557280&#8243; el_class=&#8221;padR70&#8243;][vc_column_text uncode_shortcode_id=&#8221;200092&#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;200093&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]Measurement methodology[\/vc_custom_heading][vc_column_text uncode_shortcode_id=&#8221;200094&#8243; el_class=&#8221;reduceTopSpace&#8221;]<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Instruments\"><\/span>Instruments<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><strong>Standard manual adipometer<\/strong>, similar to the one used in nutritional anthropometry for skinfold measurements. The choice of instrumentation responds to criteria of simplicity, reproducibility and universal availability in the office, without the need for specific technology. <\/p>\n<h3><span class=\"ez-toc-section\" id=\"Anatomical_reference_point\"><\/span>Anatomical reference point<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><strong>Rhinion<\/strong>, the middle bony point of the nasal dorsum corresponding to the junction of the nasal bone with the upper lateral cartilages. This location has been selected because: <\/p>\n<ul>\n<li>This is the area of maximum visual exposure of the nasal dorsum and, therefore, the most relevant for the perceived esthetic result.<\/li>\n<li>It presents less anatomical variability between patients than the more distal areas (supratip, tip).<\/li>\n<li>This is the region where the main bone remodeling is performed and where the biological mantle is applied in Type I patients.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Measurement_procedure\"><\/span>Measurement procedure<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ol>\n<li>Patient in seated position, head in Frankfurt plane.<\/li>\n<li>Palpatory identification of the rhinion.<\/li>\n<li>Gentle pinching of the skin fold with the adipometer, without excessive compression of the tissue.<\/li>\n<li>Direct reading in millimeters after stabilization of the value (typically 2-3 seconds).<\/li>\n<li>Repeat measurement and averaging of values to reduce variability.<\/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;853682&#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;122368&#8243; el_class=&#8221;padR70&#8243;][vc_column_text uncode_shortcode_id=&#8221;200102&#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;200103&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]Classification and classification criteria[\/vc_custom_heading][vc_column_text uncode_shortcode_id=&#8221;200104&#8243; el_class=&#8221;reduceTopSpace&#8221;]<\/p>\n<div class=\"mmg-table-wrap\">\n<table class=\"mmg-table\">\n<thead>\n<tr>\n<th>Type<\/th>\n<th>Thickness<\/th>\n<th>Expected behavior<\/th>\n<th>Surgical strategy<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Type I<\/strong><\/td>\n<td>&lt;  3 mm<\/td>\n<td>Increased risk of transparency of irregularities of the bony and cartilaginous skeleton. Generally favorable healing. Rapidly appreciable postoperative result.  <\/td>\n<td>Rhinoplasty + Duvet Rhinoplasty (biological nanogreasy + L-PRF). Emphasis on careful bone polishing and smoothness of the reconstructed contour. <\/td>\n<\/tr>\n<tr>\n<td><strong>Type II<\/strong><\/td>\n<td>\u2265 3 mm<\/td>\n<td>Lower risk of transparency of irregularities. Tendency to prolonged inflammation and subcutaneous fibrosis. Potential loss of contour and tip definition.  <\/td>\n<td>Rhinoplasty with emphasis on contour and tip definition maneuvers. Longer postoperative follow-up, adapted to the characteristic inflammatory behavior of the thick envelope. <\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<h3><span class=\"ez-toc-section\" id=\"Borderline_cases_and_patients_at_the_threshold\"><\/span>Borderline cases and patients at the threshold<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>In patients with values close to 3 mm, the decision is individualized considering additional factors:<\/p>\n<ul>\n<li><strong>History:<\/strong> previous rhinoplasty, trauma, previous skin infections that may have modified the envelope.<\/li>\n<li><strong>General characteristics of facial skin:<\/strong> seborrhea, predisposition to fibrosis, scar quality documented in other interventions.<\/li>\n<li><strong>Aesthetic objective:<\/strong> magnitude of the desired change, need for extensive bone modifications.<\/li>\n<li><strong>Age and skin elasticity: a<\/strong> modulating factor in the behavior of the envelope.<\/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; uncode_shortcode_id=&#8221;198470&#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;302399&#8243; el_class=&#8221;padR70&#8243;][vc_column_text uncode_shortcode_id=&#8221;200112&#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;200113&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]Therapeutic implications[\/vc_custom_heading][vc_column_text uncode_shortcode_id=&#8221;200114&#8243; el_class=&#8221;reduceTopSpace&#8221;]<\/p>\n<h3><span class=\"ez-toc-section\" id=\"In_Type_I_patients\"><\/span>In Type I patients<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>The main indication is the <strong>intraoperative application of the biological mantle of <a href=\"https:\/\/mallorcamedicalgroup.com\/en\/innovacion-clinica\/duvet-rhinoplasty\/\">Duvet Rhinoplasty<\/a><\/strong> (L-PRF-enriched nanofat), applied on the remodeled nasal dorsum before skin closure. The objective is twofold: mechanical prevention of the transparency of irregularities in the short and medium term, and regenerative improvement of the skin envelope in the long term. <\/p>\n<p>Additionally, in this group, priority is given to <strong>meticulous bone polishing<\/strong>, avoiding leaving abrupt edges or transitions in the underlying skeleton that could become transparent despite the biological covering.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"In_Type_II_patients\"><\/span>In Type II patients<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>The strategy focuses on <strong>surgical maneuvers aimed at maximizing contour definition<\/strong> and postoperative management adapted to the expected behavior of the envelope: <\/p>\n<ul>\n<li>Surgical maneuvers to enhance tip definition and dorso-supratip transition.<\/li>\n<li>Specific attention to the prolonged inflammatory behavior characteristic of this type of envelope.<\/li>\n<li>Longer postoperative follow-up, with staggered visits during the first year, to follow the natural evolution of the healing process.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Compatibility_with_basic_rhinoplasty_techniques\"><\/span>Compatibility with basic rhinoplasty techniques<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>The classification is <strong>independent of the surgical approach used<\/strong> (open vs. closed), the underlying technique (structural, sparing, conservative) and the instrumentation used (conventional rhinoplasty, ultrasonic). It functions as an additional layer of planning that is superimposed on the usual technical decisions.<\/p>\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;744879&#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;148855&#8243; el_class=&#8221;padR70&#8243;][vc_column_text uncode_shortcode_id=&#8221;200122&#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;200123&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]Recognized limitations and future development[\/vc_custom_heading][vc_column_text uncode_shortcode_id=&#8221;200124&#8243; el_class=&#8221;reduceTopSpace&#8221;]<\/p>\n<ul>\n<li><strong>Simplified dichotomous system.<\/strong>  The classification into two types prioritizes clinical utility and reproducibility over granularity.<\/li>\n<li><strong>Single variable considered.<\/strong>  The thickness of the envelope is a relevant but not the only predictor. Other variables &#8211; cutaneous elasticity, vascularization, periosteal status &#8211; may modulate postoperative behavior. <\/li>\n<li><strong>Operator-residual measurement dependence.<\/strong>  Although the adipometer reduces subjectivity, the measurement retains an operator-dependent component. Standardization would require specific training protocols. <\/li>\n<li><strong>Evidence of a single surgeon.<\/strong>  The system was developed and validated in the author&#8217;s own clinical series. Its external validation by independent teams would be desirable. <\/li>\n<li><strong>Absence of comparison with advanced instrumental techniques.<\/strong>  High-frequency cutaneous ultrasound would allow more accurate thickness measurements. Cross-validation between adipometer and instrumental techniques would be useful. <\/li>\n<\/ul>\n<p>Despite these limitations, the classification fulfills its main objective: to offer the surgeon a simple, reproducible tool, applicable in the office without additional equipment, which improves surgical planning with respect to subjective qualitative assessment.<\/p>\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;117745&#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;213702&#8243; el_class=&#8221;padR70&#8243;][vc_column_text uncode_shortcode_id=&#8221;200132&#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;200133&#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;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;115611&#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=\"\/rinoplastia\/\">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;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;203256&#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;349037&#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;200142&#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;200143&#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 the purpose of classifying the rhinoplasty patient according to skin thickness?&#8221; tab_id=&#8221;faq-1&#8243;][vc_column_text uncode_shortcode_id=&#8221;200144&#8243;]The thickness of the nasal skin determines how the dorsum behaves after rhinoplasty. Thin skins are at greater risk of revealing irregularities of the underlying bony or cartilaginous skeleton; thick skins are more prone to fibrous scarring and prolonged inflammation. Classifying the patient before surgery makes it possible to anticipate these behaviors and to plan the surgical technique and regenerative adjuvants in a personalized way.[\/vc_column_text][\/vc_accordion_tab][vc_accordion_tab gutter_size=&#8221;2&#8243; column_padding=&#8221;2&#8243; title=&#8221;How is nasal skin thickness measured?&#8221; tab_id=&#8221;faq-2&#8243;][vc_column_text uncode_shortcode_id=&#8221;200145&#8243;]By means of a manual adipometer, a simple instrument similar to the one used in nutrition to measure skin folds. The measurement is performed in the office, is painless and takes seconds. It is measured in the middle bone dorsum, where skin thickness is more relevant to predict postoperative behavior.[\/vc_column_text][\/vc_accordion_tab][vc_accordion_tab gutter_size=&#8221;2&#8243; column_padding=&#8221;2&#8243; title=&#8221;What is the difference between Type I and Type II?&#8221; tab_id=&#8221;faq-3&#8243;][vc_column_text uncode_shortcode_id=&#8221;200146&#8243;]Type I corresponds to patients with thin skin (thickness less than 3 mm). In this group the risk of visible dorsal irregularities after surgery is high. Type II corresponds to patients with thick skin (3 mm or more); in this group the risk of irregularities is lower but there is a greater tendency to prolonged inflammation and loss of definition. Each type receives an adapted treatment.[\/vc_column_text][\/vc_accordion_tab][vc_accordion_tab gutter_size=&#8221;2&#8243; column_padding=&#8221;2&#8243; title=&#8221;Does this classification change the type of rhinoplasty I will have?&#8221; tab_id=&#8221;faq-4&#8243;][vc_column_text uncode_shortcode_id=&#8221;200147&#8243;]It does not change the fundamental surgical procedure, which continues to be a rhinoplasty. It changes the complementary decisions: in Type I patients it typically incorporates Duvet Rhinoplasty with nanogreasy and L-PRF biological mantle; in Type II patients it prioritizes techniques to control inflammation and improve contour definition.[\/vc_column_text][\/vc_accordion_tab][vc_accordion_tab gutter_size=&#8221;2&#8243; column_padding=&#8221;2&#8243; title=&#8221;Is it an internationally recognized classification?&#8221; tab_id=&#8221;faq-5&#8243;][vc_column_text uncode_shortcode_id=&#8221;200148&#8243;]It is a proprietary classification developed by Dr. Garc\u00eda Ceballos and published in 2024 in Cirug\u00eda Pl\u00e1stica Ibero-Latinoamericana, a peer-reviewed scientific journal with Ibero-Latin American circulation. As with any recent scientific contribution, its international adoption will depend on its reproduction and validation by other teams in the coming years.[\/vc_column_text][\/vc_accordion_tab][vc_accordion_tab gutter_size=&#8221;2&#8243; column_padding=&#8221;2&#8243; title=&#8221;What if my thickness is right at the limit, around 3 mm?&#8221; tab_id=&#8221;faq-6&#8243;][vc_column_text uncode_shortcode_id=&#8221;200149&#8243;]In borderline cases the decision is individualized by evaluating other factors: history (previous rhinoplasty, trauma), aesthetic expectations, general facial skin characteristics, factors predisposing to fibrosis or atrophy. The classification is an orientative tool, not an automatism: each patient receives a personalized evaluation.[\/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;607635&#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;987510&#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;200162&#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;200163&#8243; text_color_type=&#8221;uncode-palette&#8221; el_class=&#8221;reducedTopSpace&#8221;]Complementary contributions to the classification[\/vc_custom_heading][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text uncode_shortcode_id=&#8221;471015&#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 derived from classification, specifically indicated in Type I patients. It combines conventional reshaping with the application of a biologic nanogreasy mantle enriched with L-PRF.<\/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;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=\"https:\/\/mallorcamedicalgroup.com\/en\/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=\"https:\/\/mallorcamedicalgroup.com\/en\/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][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;177675&#8243; text_color_type=&#8221;uncode-palette&#8221;]Do you want to know your type before considering rhinoplasty?[\/vc_custom_heading][vc_column_text text_lead=&#8221;yes&#8221; uncode_shortcode_id=&#8221;190349&#8243;]The classification is performed at the first consultation by means of a simple measurement. It will help you understand what to expect from surgery and what surgical strategy is most appropriate in your case. 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