Objectives:

Describe step by step our open rhinoplasty technique that includes the application of new technologies such as the use of piezoelectric instruments, fibrin-rich plasma and customized 3D cutting guides for performing osteotomies using specific software, as well as our results.

Material and method:

This is a retrospective descriptive study of a series of 1,422 patients who underwent rhinoplasty for feminizing purposes from January 2013 to January 2023.

Results:

Postoperative follow-up ranged from 2 to 109 months. There was no emergency reintervention. The rate of self-revision surgery is 3.14 % (n = 45), with the most common causes being the presence of irregularities on the dorsum, lack of definition or projection of the tip, asymmetry in the nostrils and lateral deviation.

Conclusions:

Rhinoplasty is a surgical procedure that aims to beautify the nose, maintaining or improving its function. The use of appropriate structuring techniques, as well as the use of ultrasonic instruments, fibrin-rich plasma (PRF) and planning of the sculpture and osteotomy using 3D CT and preparation of cutting guides, mean that the predictability improves substantially, as well as the stability of results in the medium and long term.

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