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Finocchi SPQR rhinoplasty

Valerio Finocchi’s Modified SPQR Cottle Rhinoplasty is an advanced technique within the realm of preservation rhinoplasty, which combines elements of the SPQR (Subperichondrial/Subperiosteal/Preservation/Quick Recovery) method with principles from the Cottle technique. This approach focuses on preserving the nasal anatomy while achieving both functional and aesthetic improvements. Here’s an overview of the key components and benefits of this technique:

Key Components of Modified SPQR Cottle Rhinoplasty:

  1. Subperichondrial and Subperiosteal Dissection:
    • This involves careful dissection under the perichondrium (covering of the cartilage) and periosteum (covering of the bone) to maintain the integrity and blood supply of the nasal structures.
  2. Preservation of Nasal Structures:
    • The technique emphasises preserving the original anatomy of the nose, including the cartilage and bone, to maintain natural contours and structural support.
  3. Functional and Aesthetic Focus:
    • By integrating Cottle’s principles, the technique addresses both functional improvements (such as enhancing nasal airflow) and aesthetic refinements.
  4. Modified Techniques for Specific Adjustments:
    • The modification introduced by Finocchi involves specific adjustments and refinements to the SPQR technique to better address individual patient needs, particularly focusing on achieving quick recovery and natural results.

Procedure Details:

  1. Initial Assessment and Planning:
    • Detailed assessment of the patient’s nasal anatomy and function is conducted. Specific goals for aesthetic and functional improvements are established.
  2. Incision and Access:
    • Typically, an internal incision is made to access the nasal structures. The dissection proceeds under the perichondrium and periosteum to preserve tissue integrity.
  3. Structural Preservation and Adjustment:
    • The dorsal hump is addressed by preserving a central strip of cartilage and bone. Adjustments are made to the surrounding structures to achieve the desired contour while maintaining the natural lines of the nose.
  4. Functional Enhancements:
    • The technique includes steps to improve nasal airflow, often incorporating elements of the Cottle maneuver, which involves repositioning the lateral nasal walls to reduce obstruction and enhance breathing.
  5. Reconstruction and Suturing:
    • Any necessary reconstruction is performed using the preserved structures. Suturing techniques ensure minimal disruption and promote quick recovery.

Advantages of Modified SPQR Cottle Rhinoplasty:

  1. Natural-Looking Results:
    • By preserving the natural anatomy, the technique achieves results that are harmonious with the patient’s facial features.
  2. Enhanced Nasal Function:
    • The incorporation of Cottle’s principles ensures that functional improvements, particularly in terms of nasal airflow, are a primary focus.
  3. Minimally Invasive with Quick Recovery:
    • The preservation approach and careful dissection techniques result in less trauma to the nasal tissues, leading to reduced swelling, bruising, and quicker recovery times.
  4. Structural Stability:
    • Maintaining a central strip of cartilage and bone provides ongoing structural support, contributing to the stability and longevity of the surgical outcomes.

Ideal Candidates:

  • Patients Seeking Natural Results:
    • Ideal for individuals who desire subtle refinements that maintain their natural nasal contours.
  • Patients with Functional Concerns:
    • Suitable for those who have breathing difficulties or other functional issues that need to be addressed alongside aesthetic improvements.
  • First-Time Rhinoplasty Candidates:
    • Well-suited for patients undergoing their first rhinoplasty, especially if they have good nasal structure and seek a preservation approach.
  • Revision Rhinoplasty Candidates:
    • Can also be effective for patients requiring revision rhinoplasty to correct issues from previous surgeries while maintaining as much natural anatomy as possible.


Valerio Finocchi’s Modified SPQR Cottle Rhinoplasty represents a sophisticated blend of preservation rhinoplasty and functional enhancement techniques. By focusing on maintaining natural nasal structures and improving nasal function, this approach offers patients aesthetically pleasing and functionally effective results with a quicker recovery time.

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