Osteotomy techniques and use of powewrws instruments has changed in recent years . This panel will be about these changes in recent years

Alberto Lezcano Macchi MD

⁠Doctor of Medicine and Surgery. Degree awarded by the Faculty of Medical Sciences, National University of Asunción.

• Specialist in Otolaryngology. Degree awarded by the National University of Asunción.

Certified by the Paraguayan Society of Otolaryngology and Head and Neck Surgery and the Paraguayan Circle of Physicians. Certification obtained in 2018.

• Specialization in Facial Plastic and Aesthetic Surgery at Hospital IPO, Curitiba, Brazil; degree awarded by UNINGÁ and certified by the Brazilian Ministry of Education (MEC) and the Pan American Association of Otolaryngology and Head and Neck Surgery. 2022–2023.

• Diploma in Rhinoplasty from the Open Interamerican University of Rosario, Argentina. 2022–2023.

Tip surgery in rhinoplasty is very important in the good esthetic outcome of this surgery.

Nasal tip surgery is an important and the most prominent side of the septorhinoplasty prosedure. To define my tip surgery steps and my way of achieving attractive and natural looking tip, I aimed to define my surgical tips.

Rhinoplasty is becoming more and more popular worldwide. Male nose is more challanging compared to female nose dur to the difficulty to get a satisfying and natural result. Surgeon has to make a very accurate preoperative analysis, understand very well the patients’ expectations, evaluate these expectations are realistic or not, and master different surgical methods to achieve a good result.