Monday to Sunday, including holidays: 8h - 20h
Phone number: 282 420 020
Av. S. João de Deus - Parque de Saúde da Misericordia de Portimão,
8500-508 Portimão
Opening Hours
Monday to Friday: 7am - 10pm
Saturdays, Sundays and Bank Holidays: 8 am - 10 pm
Urgent Care
Daily: 8am - 9pm
Clinical Analysis
Monday to Friday: 7am - 8pm
SaturdaySunday and Bank Holidays: 8am - 8pm
Av. General Humberto Delgado, Lote 7 7520-103 Sines
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waiting times
Hospital Particular Alvor
00h11mUrgent Care
Hospital Particular Gambelas
00h00mUrgent Care
00h00mPaediatrics
Hospital Particular da Madeira
Over 1H30Urgent Care
00h00mPaediatrics
Madeira Medical Center
00h00mUrgent Care
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You can also contact us at +351 282 420 400 Algarve | +351 269 630 370 Alentejo | +351 291 003 300 Madeira
(National landline)
Pode ainda contactar-nos através do 282 42 04 00 Algarve | 269 630 370 Alentejo | 291 003 300 Madeira
(Chamada para a rede fixa nacional)
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Otorhinolaryngologist
HPA Magazine 20
Modern rhinoplasty should always be performed by a surgeon dedicated to nasal surgery as a whole, combining both form (aesthetics) and function (breathing) within the same surgical procedure.
The main nasal defects that lead patients to undergo rhinoplasty are a drooping or bulbous nasal tip, a high nasal dorsum (hump), and a deviated nose. One crucial component of aesthetic nasal surgery is the removal and reshaping of the nasal bone. In conventional techniques, a coarse rasp, hammer, and chisel were used for this purpose. This allowed for altering the bony structure to achieve the desired outcome. However, this technique was associated with increased post-operative swelling, hematoma, pain, and less intraoperative control.
In the search for improvements in these aspects, ultrasonic rhinoplasty was developed.
Ultrasonic rhinoplasty (Piezo) involves the use of a delicate electronic device based on ultrasonic wave production, allowing for precise cutting and shaping of compact structures like bone.
This technique enables millimeter-scale cutting and shaping of the nasal bone with less overheating and damage to adjacent structures.
As a result, effective and predictable surgical outcomes are achieved, with improved healing, reduced swelling, hematoma, pain, and post-operative complications. Notably, this technique can provide a virtually painless recovery period.
However, a frequent residual complaint is the occurrence of some nasal congestion in patients who require septal surgery, as a silicone plate is placed intranasally in such cases to maintain the septum alignment. It's worth noting that no nasal packing is used.
In terms of medication, the patient will undergo a seven-day cycle of oral antibiotics, and a healing ointment may be prescribed for the nasal incision area if applicable.
During the immediate post-operative period, minimal care is required: avoiding physical exertion and sleeping with an elevated headrest in the first week, and avoiding prolonged sun exposure in the first three months (generally, the use of a sunscreen with a factor equal to or greater than 50 is recommended during the first year after rhinoplasty).
At the end of the first week, a post-operative consultation is scheduled, during which the molded splint placed on the nasal dorsum is removed, any stitches are taken out (if present), and the nasal silicone plate is removed (in patients who underwent septal surgery). After this week, the patient can return to their normal activities without limitations.
Currently, all of our rhinoplasties are performed using ultrasonic techniques. We believe that Piezo technology is not just the future, but the present of rhinoplasty since it is already an integral part of our daily practice, with dozens of cases utilizing this technology. During the preoperative consultation, various cases of patients who have undergone this technique are shown, and through computer simulation, it is possible to discuss and decide on the desired final outcome.