About me
Presentation | Professional career
Dr Luís Freitas

2020 - Present

Coordinator of the Otorhinolaryngology Unit Hospital Lusíadas Algarve since 2020

2018 - Present

Assistant Hospital Particular do Algarve – Gambelas (since 2018)

2018 - Present

Assistant Centro Universitário do Algarve

2014 - 2018

Assistant Hospital da Luz

2014 - 2018

Assistant Hospital Beatriz ângelo

2008 - 2013

Residence at the Otorhinolaryngology and Cervico-Facial Surgery Service of Centro Hospitalar Lisboa Norte - Hospital Santa Maria (2008-2013)

2006

Graduated in Medicine at the University of Coimbra since 2016

Areas of interest

Specialist in Aesthetic and Functional Surgery of the Nose
RHINOPLASTY
From an early age, the area of rhinology deserved special emphasis in his career. The treatments for aesthetic and functional problems of the nose lead to a constant updating of knowledge.

Member

Sociedade Portuguesa de ORL e Cirurgia Cérvico Facial
Academia Europeia de Cirurgia Plástica Facial - EAFPS
Sociedade Europeia de Rinologia

Rhinoplasty
Nose Surgery
Before After
Nose plastic surgery - rhinoplasty - is the most common facial surgery in the world.
Often seen as just an aesthetic procedure, nowadays it is much more than that. It is a complex surgery but extremely rewarding for both the patient and the surgeon when the results are those previously defined, both in aesthetic and functional terms.
This surgical intervention can be associated with other nasal procedures, (such as the correction of functional aspects of the nose, like nasal septum deviation) that causes, for example, chronic nasal obstruction.
Most of the time, rhinoseptoplasty is performed, which allows correcting of the nasal septum deviations, in order to allow better nasal breathing, and rhinoplasty is performed, to improve the aesthetics of the nose.
The surgeon must, therefore, master the anatomy and surgical concepts as a whole and not by sections, taking into account the aesthetic component and the functional aspect of nasal breathing .
Questions and answers
Have no doubts about the procedure
The nose is an anatomical region of extreme visibility and importance when interacting with other people. Like other procedures, it is a surgery that brings with it many doubts and even certain fears. Is it a safe surgery? Is it painful? Does the recovery take time? Will the results be satisfactory? These are just some of the recurring questions that we intend to clarify.
What is a rhinoplasty?
Rhinoplasty is a surgery indicated for those who are unhappy with the shape of their nose, with the main purpose of correcting deformities, making the nose more harmonious with the face. It may be for correction of birth defects or after trauma or to relieve nasal obstruction.
Is rhinoplasty painful?
In general, rhinoplasty is not very painful and most patients tolerate it easily.
Rhinoplasty has also undergone advances in concepts and techniques over the last decade; thus, despite the apparent aggressiveness, it is almost painless and very well tolerated by the patient. Facial hematomas, mainly periocular (around the eyes), are only present when osteotomies are performed (fractures of the nasal bones for repositioning)
Am I a candidate for a Rhinoplasty? Is it possible to correct the nose functionally and aesthetically in the same surgery?
Each nose is unique, with its own characteristics, requiring an individual analysis.

Rhinoplasty is a procedure that requires a well-informed patient. It is a surgery with very well-defined purposes, so the candidate must know exactly what is intended and what is possible to do with his nose.

What can be done in relation to a given nose requires a very specific knowledge of the anatomy, physiology and functionality by the surgeon, who must understand the surgical concepts as a whole and not by sections taking into account the aesthetic and the functionality aspect of nasal breathing. In fact, as much or more important than having a beautiful nose is having a functional nose. It is important to consider that a beautiful and harmonious nose will also have to be a nose that works.
Is rhinoplasty a safe intervention? I'm afraid of the result.
Rhinoplasty leads to a significant improvement in the appearance of the nose in most patients. Undoubtedly, this surgery is a huge challenge, even for the most experienced surgeon. Is very important a very clear conversation between the doctor and the patient. Simulation programs are sometimes also an excellent tool to facilitate communication.

Although there is a detailed and individual planning for each surgery, in some cases (about 10%) a secondary intervention is necessary, and this revision, as a rule, only takes place one year after the first surgery.
How is a Rhinoplasty performed?
Normally, the surgery is performed inside the nose, leaving no scars. However, sometimes it is necessary to make a small cut at the base of the nose (columella) to "open" the nose and facilitate the access to all structures. This scar is practically imperceptible.
After surgery, does the patient have difficulty breathing through the nose?
Sometimes it is necessary to use a nasal packing in the postoperative period and the patient has to breathe through the mouth. This tampon can be removed the day after surgery, making this discomfort tolerable.

>In the first days after surgery, due to edema secondary to the procedure, there may be difficulty in breathing through the nose, which usually improves with the use of medications prescribed by the surgeon. In most surgeries, an external splint is used, which is usually removed after a week.
What precautions should the patients take after surgery?
In the days following the surgery, you should avoid physical exercise and excessively hot environments to avoid some minor complications such as infection or excessive bleeding for 5-7. You should carefully follow your Surgeon's recommendations to reduce the risk of complications.
Revision rhinoplasty
There are several challenges in a revision rhinoplasty, particularly if it is a patient operated by another doctor, because it is not known which techniques were used previously. The cartilage of the nasal septum, an essential part in rhinoseptoplasty, may have been weakened /wasted making it difficult for the revision surgery to obtain the necessary material for the rhinoplasty. Auricular cartilage can be used and in more complex cases it may even be necessary to use cartilage from the floating ribs (in the inframammary region).
Clinical cases
The before and the after
Clinical cases
Clinical cases
Clinical cases
Clinical cases
Clinical cases
Clinical cases
Other Procedures

Septoplasty

A surgical procedure that corrects deviated nasal septum, improving patients' breathing and well-being.

Sinus/Rhinitis Surgery

Relieves persistent symptoms such as nasal congestion, facial pain, and discharge, providing relief and quality of life.

DCR - Dacryocystorhinostomy

It is a surgical procedure that allows proper drainage of tears, alleviating excessive tearing and preventing recurrent eye infections.

Pediatric Otolaryngology Surgery

It encompasses specialized procedures to treat conditions such as tonsillitis, otitis, and adenoiditis, ensuring the health of children.

Head and Neck Surgery

Surgery of the salivary glands, congenital neck nodules (branchial and thyroglossal cysts), neoplasm of the mouth, larynx, and vocal cords.

Chronic Otitis Media Surgery

It is a solution to treat persistent ear infection, relieving symptoms and preventing long-term hearing damage.

Snoring and Sleep Apnea Surgery (adult and pediatric)

An effective option to treat these disorders, improving sleep quality and respiratory health in both adults and children.
Do you have questions?
Get in touch with me!
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