or why do I go on performing rhinoplasty
As a seasoned otorhinolaryngologist – head and neck surgeon, I’ve delved deep into the intricate relationship between form and function within the human anatomy. Every contour, every curve, holds significance not just in terms of aesthetics but also in how it facilitates our physiological performance.
Over the years, I’ve honed my craft, specializing in head and neck oncologic surgery, lately in the realm of robotic surgery where precision meets innovation. But amidst the complexities of oncologic procedures lies also a profound understanding of the cosmetic implications of oncologic surgery. The concept of ‘oncoplastic’ surgery, blending oncologic principles with aesthetic outcomes, was developed focusing in breast cancer, and was later applied to Neck Cancer, fostered by colleagues for other parts of the world where the social impact of head and neck stigmas can be devastating. Though the cultural context for this situation surely needs to be revisited, the concept itself is still and excellent guiding light.
Of course, TransOral Robotic Surgery (TORS) conveys significant cosmetic benefits apart from the obvious functional ones. In general the development or robotic surgery, further from TORS and through the Remote Access, is likely to have a significant impact, also from the cosmetic standpoint, in head and neck surgery. Scarless thyroid surgery is already a proof. So, this is also solid ground as a starting point.
I have devoted significant efforts along the years to train and develop myself as a Facial Plastic and Reconstructive Surgeon and have been a member of the European Academy of Facial Plastic Surgery (EAFPS) for fifteen years already. I have focused on rhinoplasty.
There is obviously a different scenario when performing a plastic procedure on the nose for diseases like, say, skin cancer, than when the reason is functional (“I cannot breath through my nose!“) or purely cosmetic. However, the basic surgical principles remain the same, and perhaps the latter reason is the least demanding from a technical point of view. Of course, it is also alright for the surgeon sometimes to just change the mood for a while.
Yes, this is a journey of transformation, where artistry meets expertise, and every procedure is a testament to the power of self-expression. So, I do enjoy performing rhinoplasty (and hope my patients enjoy the outcomes).
Jose Granell. May, 2024.
PD. No, it is not possible to perform a robotic rhinoplasty. For now surgeon´s expertise is far better.