Prof. Dr. Miguel Gonçalves Ferreira

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Portugal
Porto
Prof. Dr. Miguel Gonçalves Ferreira

Miguel Gonçalves Ferreira, MD PhD
Rinoplastia e Cirurgia Estética da Face
🌎 Porto | Braga | Lisboa

04/08/2026

Rhinoplasty Art
Behind the scenes
No tip projection
Small details, great results.

02/08/2026

Rhinoplasty Art
Ethnic nose revisional surgery with rib cartilage.
Small details, great results.

01/08/2026

🇵🇹 Rinoplastia de Preservação

A rinoplastia de preservação é uma abordagem moderna que procura respeitar ao máximo as estruturas naturais do nariz. Em vez de remover grandes quantidades de osso e cartilagem, esta técnica preserva a anatomia sempre que possível, contribuindo para um resultado mais natural, uma recuperação mais confortável e uma melhor manutenção da função respiratória quando indicada.

Cada nariz é único, e o plano cirúrgico deve ser personalizado de acordo com as características e objetivos de cada paciente.

Agende uma avaliação para saber se esta técnica é indicada para si.

✨ Resultados naturais. Harmonia facial. Respeito pela anatomia.

—

🇬🇧 Preservation Rhinoplasty

Preservation rhinoplasty is a modern surgical approach designed to preserve as much of the nose’s natural anatomy as possible. Instead of removing large amounts of bone and cartilage, this technique maintains key structures whenever appropriate, helping achieve natural-looking results, a smoother recovery, and preservation of nasal function when indicated.

Every nose is unique, and the surgical plan should always be tailored to each patient’s anatomy and goals.

Schedule a consultation to find out whether preservation rhinoplasty is the right option for you.

✨ Natural results. Facial harmony. Respect for your anatomy.

30/07/2026

Rhinoplasty Art

27/07/2026

Regensburg Facial Plastic Surgery Course
Great

26/07/2026

Rhinoplasty Art.

#الرياض تجميل_الانف جراحة_الانف تجميل_الأنف_الرياض

23/07/2026

THE CRURAL CANTILEVER TIP - NEW 3D TRIPOD DESIGN

👃The Critical Role of the Lateral Crus TAIL

The most vital technical maneuver in this protocol is the

➡️ **total release and mobilization of the lateral crus**, specifically extending to its TAIL.

➡️ **The Malign Torsion Point:** The TAIL of the lateral crus often acts as a pivot of “memory” and tension. If not fully released from the sesamoid complex, it becomes a **malign torsion point**, exerting tethering forces that can warp the graft construct, cause tip asymmetry, or lead to alar collapse post-operatively.

➡️ By suspending (cantilevered) the lateral crus into the **Delta Graft** rather than leaving it tethered to the sesamoid complex, we eliminate these unpredictable forces.
Principles of Success

1. **Eliminate Memory:** Complete mobilization is non-negotiable to prevent late-stage cartilage warping.
2. **Reposition, Avoid tension-heavy “new dome”; reposition the LLC as one unit.
3. **Contour Support:** Use articulated or floating (my favorites) alar rim grafts to ensure external valve stability.

👃 **Primary vs. Secondary Cases:**
In **primaries**, this approach establishes of stability. In **secondaries**, where the sesamoid area is often scarred or distorted, bypassing the original attachments via the Delta Graft cantilever is often the only way to restore symmetric lateral crural tension.

➡️ the Tent effect (we call the Umbrela effect) replaces completely the necessity of support in triangle without support (between lateral crus and floating alar rim grafts)

👌How are you managing the lateral crural tail in your secondary reconstructions?

📕 Published in FPSAM Journal

⚠️ This technical post is designed for surgical trainees and practitioners. It features detailed procedural steps and intraoperative photos that may be sensitive to non-medical viewers.

19/07/2026

🇵🇹 MISS PORTUGAL
Obrigado, Glória Silva, pela confiança na Rinoplastia de Revisão.
Todos os prémios são mais do que merecidos e refletem a sua beleza, simplicidade e generosidade.
Continuamos a trabalhar diariamente para alcançar os melhores resultados.
Muitos parabéns à por mais este reconhecimento! 👏👏🎉🎉

🇬🇧 MISS PORTUGAL
Thank you, Gloria Silva , for your trust in your revision rhinoplasty.
Every award you receive is more than deserved, reflecting your beauty, humility, and generosity.
We will continue working every day to achieve the best possible results.
Congratulations to the on this well-deservea recognition! 👏👏👏🎉🎉

Endereço

R Orfeão Do Porto, 52
Porto
4150-798

Horário de Funcionamento

Segunda-feira

15:00 - 20:00

Telefone

+351915808584

Website

http://www.ferreirafacialplastics.com/

Notificações

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