Dr Pietro Palma specializes exclusively in rhinoplasty and revision rhinoplasty. Our patients benefit of highest levels of expertise, empathy, dedication and ethics. Patient is in the center of our practice. The essential principles at the foundation of the patients' rhinoplasty journey with us are: Credibility. Competence. Coherence.
I recently had the pleasure of undergoing a procedure with Dr. Palma, who was recommended to me by a trusted friend. I chose him for the extremely natural results I had seen in his previous work, and I can confirm that my expectations were fully met. In the past, my nose was very pronounced and gave me a harsh expression. After the surgery, my face has gained a new light and harmony: everything is more balanced, elegant, and naturally harmonious. Dr. Palma listened carefully to all my requests and executed them with precision, delivering results that far exceeded my expectations. I cannot recommend him highly enough!
I'm 50 years old and have considered rhinoplasty for ages. I have met with the best surgeons in London, Paris and Milan. At last I have found Professor Palma. I have chosen him for three very important reasons and I am so very happy I did: 1) he only 'does' noses. No other aesthetic surgery. He has an incredible amount of experience and deep knowledge of the subject, as you can understand from the first visit with him. 2) he has a background in otorhinolaryngology, which means he is extremely respectful of the dynamics of breathing and never sacrifices them for aesthetics. 3) he is as respectful of the patients as he is of the harmony of their face. He listened and took into account what I asked but also did a perfectly harmonious job for my face. If you want a 'barbie nose from Tiktok' this is not your surgeon. If you'd like a nose which is the best version of your nose and blends in perfectly with your face, then Professor Palma is your man. Forever grateful!
I started out with a sweet nose, albeit a little wider than I would have liked. I unfortunately let another surgeon touch it in hopes of making a small improvement and it backfired. My nose ended up with the tip overly turned up and my nostrils much bigger and more visible, and a more bulbous tip. A rod in my nose ended up crooked and previous surgeon removed it, thank God. But I came to truly hate my nose and was terrified at having someone else fix it. It took me 3 years of searching and I finally settled on Dr. Palma. One of the best decisions of my life. Whereas there were red flags with everyone else I looked at, there were none with Dr. Palma. My consult with him was hugely validating and confirmed my hopes that he would be able to fix the previous surgeon's mistakes. He exceeded all my expectations with a very difficult surgery: derotating my nose, making my tip less bulbous, and slimming the overall profile. This procedure did end up introducing the slightest bump on my ridge but it is imperceptible and does not bother me at all. I ended up with a nose that I love even more than my original. The nose I always wanted. Dr. Palma is deeply intelligent, technically, emotionally, and artistically. I thank my lucky stars that I found him. Also, I adored my week in Milan! I am from California and the trip was not only worth it, but enjoyable.
My experience with Doctor Pietro Palma, has been amazing, from the day I had my first consultstion until the day of the surgery as well as the aftercare. I am really happy with the results 6 months post my closed rhinoplasty. I couldn’t have chosen a better doctor than Pietro Palma!
After an unsuccessful surgery almost 15 years ago and then several small sporting accidents, I had finally decided to repair my nose. I had been putting this off during those years, in part because I had not come across a surgeon who I felt understood my needs and most importantly, the importance of the structure and physiology of the nose, and how it should “fit” with the rest of facial features. On meeting with Dr. Palma, he calmly studied my case and identified the problem areas, broken down into sections or areas that needed work, with each one then undergoing careful consideration to come up with the overall strategy to produce the final result. This level of detail and process is something that I had not come across before and generated much more confidence in me to choose him as my surgeon. I’m glad to say that the operation was a success, each area was addressed and repaired, with the parts coming together to produce the whole. The pre-operative instructions and expectations were clear and we were both on the “same page” when it came to what he was going to do. The stay at the clinic was extremely comfortable and I felt well taken care of. Post-operative pain was essentially non-existent and once the bandaging was removed I was able to resume normal life with some limitations regarding sun exposure and physical activity. Throughout the entire process I felt assured in Dr. Palma. He worked methodically and carefully, without rushing in any aspect. He is clearly a gifted doctor and a very good human being. We are now four months post-procedure and I have gained immeasurably in confidence. The aesthetic and symmetrical aspects of my nose have improved enormously, as well as the overall structure. The problems of the past seem a world away. Thank you Dr. Palma and your team, for your professionalism, care and skill in helping me through this difficult journey.
Professor Pietro Palma is an extraordinary surgeon. My 15 year old son had a rhinoplasty and rhinoseptoplasty. From the beginning, Professor Palma proved to be professional, attentive and competent. His philosophy and reasoning during consultations exemplified his decades of experience and was always reassuring. Professor Palma was honest and as parents we appreciated his individual sensitivity towards our son who was going through an important experience. Our son is thrilled with the results and the surgery has given him newfound confidence. We thank Professor Palma and his entire team and I would highly recommend him as your surgeon.
I’ve been wanting to get Rhinoplasty for a very long time due to my nose being wide, asymmetric, and having a drooping tip. I chose Prof Palma after reading the positive reviews on here and then doing my own research and finding out he has 30 years of experience in the field and the fact he does only rhinoplasty. When I met him for the consultation he was very professional and honest/realistic about the possible outcome. He explained all the procedure and possible risks in detail. I went ahead with the operation, which was Closed Rhinoplasty (so no outer scars!) and I couldn’t be happier with the results! It actually exceeded my expectations. Results are natural and the nose suits my facial features. My nose is no longer crooked and i got rid of the drooping tip and can finally breathe! I’d recommend him to anyone looking to get a Rhinoplasty.
I had my nose surgery during April 2022. I arrived from Greece to Milan some days before, and stayed there for one week after surgery. My wish was that the outcome looks as natural as possible to my face, while maintaining the functional capacity of the nose. The result came out even better than expected, and prof. Palma made me feel safe throughout the whole procedure. This was also one of the reasons i have chosen to undergo surgery with Mr. Palma. His experience and expertise made me feel secure. I am still recovering as considering to my breathing, since it is just 2 months from surgery, but the aesthetic outcome is already perfect, it could not be better i believe. My overall experience was very good, the personel at the clinic (Casa di Cura La Madonnina) was kind and helpful and i am really happy with the result! Thank you again for everything!
Six months ago I underwent rhinoplasty surgery for which I had relied on Professor Palma and his staff. I am definitely satisfied with the result and glad I chose the professor. Although I had never liked my nose, I was not convinced that I wanted to undergo the operation, I was afraid of not recognizing myself anymore or even worse not seeing myself well with the "new nose". Dr. Palma, however, immediately gave me confidence and I felt I was in good hands. He immediately understood what I wanted, a natural nose that did not alter too much my face, and the result proves it. Another fundamental aspect is the availability of the professor even in the post-operative period, he really followed me with care and continuity.
On Jan 13th I had a closed rhinoseptoplasty and turbinoplasty with Prof. Palma. I can't just recommend the Professor enough: everything went smoothly and the final result is even beyond my expectations. In addition to some functional issues, my nose was slightly over-projected and with a bulbous tip. I needed a very fine work and looked for a minimal change, rather than a drastic change simply because my nose didn't need it. I never trusted any doctor in the past in trying to improve my nose, I was too scared I couldn't recognise myself in the mirror or ended up with nose that looked "redone". When I bumped into Prof. Palma's Instagram and website, I was really impressed by the natural results of his work. When I discovered that he's a renowned expert in closed technique, teaching it everywhere around the globe , and read all the positive reviews, I booked a VC call from Singapore, where I'm based. I appreciated that Prof. Palma's assistant asked me first to send my pictures together with what I didn't like about my nose and what I desired to change. Then, during the VC call with Prof. Palma, he showed me the modified pictures, based on my request and based on how he envisioned the change. The simulation was just perfect: the minimal and natural change I wanted. In the pre-operation, on the day of the surgery and after the Professor and his entire team were just top-notch. La Clinica La Madonnina in Milan is excellent, the service was great and I felt in really good hands, considering that, due to COVID, you can't have anyone accompany you in the clinic. The Professor even put me in contact with a fellow trusted surgeon in Singapore in case I'll need any follow-up visits. Today is the 19th day after the surgery and the result is already amazing. I know it will improve and that I'll need to be patient but I can already say that I'm 100% satisfied with the result and the whole experience. I can't thank Prof. Palma enough: he's just a professional and caring doctor who listens to his patients and wants to provide the highest possible service. I can't wait to show him his work in 6 months when I'll get back to Italy. Last, I want to thank all his staff: Laura (his assistant) is amazing, she answered all my million questions by WhatsApp; Dr Buratto (the assistant surgeon) was super kind in the surgery room and Dr Cucciato (the anesthetist) is also a great professional who stopped a couple times after the surgery to check on me while I was recovering.
Nose asymmetry is a very frequent condition encountered in rhinoplasty. For sure it can be corrected but you should expect a residual asymmetry albeit unnoticeable to the "standard" oberver's eyes. Proper diagnosis and accurate planning is as important as precise, delicate surgery. In my personal experience, endonasal approach provides better result. But this is a matter of personal choice.
You have a specific configuration of your tip cartilages called cephalic malposition of lateral crura. Their correction needs advanced tip surgery. There are different technical options, each one with advantages and drawbacks. Thick skin and flimsy cartilages are unfavorable conditions to achieve a defined, sculpted tip. However, significant improvements can be achieved but you need an in-person consultation for a proper understanding of possibilities and limitations of surgery,
It is always a matter of how much narrowing.Obviously, you need to correct the caudal septum and the base of the columella in order to get a better airway. Maybe also the position of the lateral crus would deserve specific surgical attention.Good luck!