Plastic surgeon
CMP 68891 · RNE 40888
Experience, medical judgment and planning.
Rhinoplastyin Lima withDr. Ricardo Cruz
Rhinoplasty in Lima with Dr. Ricardo Cruz is planned individually around nasal anatomy, skin type, facial proportions, medical history and each patient’s goals, to define the most suitable technique and approach for their case.
“First I understand your anatomy. Then I define the technique.” Dr. Ricardo Cruz
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Plastic surgery training
UNMSM · Hospital Daniel Alcides Carrión
Rhinoplasty fellowship
Preservation · Madrid 2023
International speaker
Rhinoplasty Congress · Buenos Aires 2025
Real rhinoplasty cases: before and after
Rhinoplasty is more than an aesthetic change. It requires experience, training and an artistic view of the face. My experience supports an ethical, personalized approach adapted to each patient.
Would you like to know what can be evaluated in your case?
Request an evaluationWhat is rhinoplasty and which aspects of the nose can be evaluated?
Rhinoplasty is surgery that can modify certain structures of the nose to address its shape, proportions and relationship with the rest of the face. During the evaluation, Dr. Ricardo Cruz examines the bridge, tip, projection, width, asymmetries, skin characteristics and facial proportions to determine which changes may be appropriate for each case.
Not every nose needs the same treatment, and not every aspect can be changed in the same way. The indication and plan are therefore defined individually according to anatomy, medical history and each patient’s goals.
Bridge
Tip
Projection
Width
Asymmetries
Skin
Facial proportions
“Rhinoplasty is more than an aesthetic change: it is a procedure that requires training, experience and an artistic vision of the face.”
Rhinoplasty techniques and approaches
There is no single technique for every nose. The surgical approach depends on nasal anatomy, skin characteristics, structures that need to be preserved or reinforced, medical history and each patient’s goals.
Dr. Ricardo Cruz may combine different techniques and resources within an individual plan, choosing those most suitable for each case.
Technique
Preservation rhinoplasty
This approach seeks to preserve selected nasal structures when the anatomy and the desired changes allow it.
Whether preservation is suitable depends on an individual assessment of the bridge, tip and structural support.
Nasal anatomy
Nasal bridge
Nasal structures
Technique
Ultrasonic rhinoplasty
Ultrasonic rhinoplasty uses piezoelectric instruments, a technology that allows certain maneuvers on the nasal bones to be performed with greater precision.
The choice of this technique depends on the bone work required in each case.
Nasal bones
Ultrasonic technology
Precision
Technique
Ultrasonic preservation rhinoplasty
Ultrasonic preservation rhinoplasty combines a preservation approach with ultrasonic technology to retain certain nasal structures and perform the necessary bone work more precisely when the case requires it, integrating both resources into one surgical plan.
The choice of this technique depends on each patient’s anatomy and specific needs.
- Nasal structures
- Ultrasonic technology
Surgical planning
Technique
Hybrid rhinoplasty
Hybrid rhinoplasty combines principles of preservation and structural surgery when a nose needs to retain certain structures while others must be modified or reinforced.
The choice and combination of these techniques depend on each patient’s anatomy and specific needs.
Preservation
Structural surgery
Personalized planning
Combination of approaches
Technique
Structural rhinoplasty
Structural rhinoplasty is used when the nose needs reinforcement, reconstruction or greater support in one of its parts. Rather than changing only its external shape, it also addresses the internal structures that help maintain nasal stability.
Unlike preservation approaches, it may require modifying or reconstructing certain structures when needed. The choice of this technique depends on each patient’s anatomy and needs.
Nasal support
Reconstruction- Surgical planning
Not sure which approach may suit your case?
Request an evaluationHow I plan and accompany your rhinoplasty
Before choosing a technique, I need to understand what you want to change and what you expect from the procedure. During your evaluation, I analyze your case and explain which options may be considered, their limitations and what surgery involves. My goal is for you to make an informed decision with realistic expectations.
My work does not end in the operating room. Throughout recovery, I continue to support you, answer your questions and review how your nose evolves over time. Each follow-up visit helps me assess whether your recovery is progressing according to the plan we defined together from the start.
- Surgical judgment supported by continuing education and training in Peru and abroad.
- I prioritize natural results that respect each face’s identity and expression.
- I choose the technique according to your anatomy, not a trend or a single method.
- I preserve the structures worth keeping and modify only those your case requires.
What is the rhinoplasty process like, from evaluation through recovery?
The process begins with a personalized medical evaluation and continues through planning, surgery and postoperative follow-up. Each stage helps clarify which approach may suit your anatomy, how to prepare and what recovery may involve.
What is decided during a rhinoplasty evaluation?
The evaluation helps us understand what you would like to change and whether rhinoplasty may be appropriate for you. Dr. Ricardo Cruz reviews your nasal anatomy, skin type, facial proportions, medical history and goals.
Previous nasal surgeries, when applicable, and other relevant factors are also considered to define the possibilities and develop an individual surgical plan.
The evaluation helps determine:
Whether rhinoplasty may be appropriate for you.- Which aspects of the nose can be assessed.
- Which technique or combination of techniques may be suitable.
- Which structures should be preserved, modified or reinforced.
- Which tests and preparation are needed before surgery.
- Which risks, limitations and expectations matter for your anatomy.
How is the surgical procedure planned?
The operation follows the plan defined during your evaluation. The choice of technique depends on your nasal anatomy and on which structures need to be preserved, modified or supported.
Before surgery, your doctor explains the preparation, the expected scope of the procedure and the limitations relevant to your case.
The surgical plan considers:
- The technique suited to your anatomy.
- The structures requiring work or support.
- The medical preparation and instructions before surgery.
How is recovery monitored?
After surgery, follow-up appointments help review healing, answer questions and adapt care instructions to your progress.
Swelling gradually changes and the nose continues to evolve over time. The pace of recovery and return to activities varies for each patient.
Follow-up helps to:
- Review the early recovery period.
- Guide care and the return to activities.
- Observe how the result evolves over time.
Request your first evaluationTake the first step with a personalized assessment.
Request an evaluation
Recovery after rhinoplasty: step-by-step progress
Illustrative recovery timeline. Recovery times may vary between patients.Patient: Joi Sánchez
Before
1 week
3 months
6 months
1 year
Rhinoplasty in Lima: questions and cases explained by Dr. Ricardo Cruz
Short videos in which Dr. Ricardo Cruz explains common questions, before-and-after situations and cases that call for an individual assessment.
Common questionThe video could not be played. Please try again.Can a rib cartilage graft collapse?
Clinical caseThe video could not be played. Please try again.Case: Deviated nose after 3 rhinoplasties
Common questionThe video could not be played. Please try again.Can the result be simulated before rhinoplasty?
Clinical caseThe video could not be played. Please try again.Case: Swelling after rhinoplasty
Watch more videos on TikTokFrequently asked questions about rhinoplasty in Lima
How much does rhinoplasty cost in Lima?
The cost of rhinoplasty in Lima can vary according to your anatomy, the complexity of the case, the technique selected and the resources needed for surgery. After your evaluation and surgical plan are defined, you will receive a final estimate detailing what is included and any possible additional costs.
How do I know which type of rhinoplasty I need?
The type of rhinoplasty and technique are not determined by the aesthetic change you want alone. The evaluation considers your nasal anatomy, skin type, internal structures, medical history, previous surgeries and goals to define which approach may suit your case.
What types and approaches to rhinoplasty are there?
Rhinoplasty can be classified in several ways. By purpose, it may be aesthetic, functional or both. By surgical history, it may be primary when it is the first nasal surgery or secondary/revision when there has been a previous operation.
There are also different surgical approaches, such as open or closed rhinoplasty, and techniques including preservation, ultrasonic, hybrid and structural rhinoplasty. The choice depends on the anatomy and needs of each case.
What is the difference between aesthetic and functional rhinoplasty?
Aesthetic rhinoplasty primarily aims to change the shape and proportions of the nose, while functional rhinoplasty addresses structural issues that may affect breathing. In some patients, both goals can be considered within the same surgical plan. The cost may vary according to the type and complexity of the procedure.
What is the difference between primary and secondary rhinoplasty?
Primary rhinoplasty is a first nasal surgery. Secondary or revision rhinoplasty is performed on a nose that has already been operated on and may require different planning because of changes to its structures.
When will I see the final result of a rhinoplasty?
Changes may be visible from the early stages, but swelling continues to subside and the nose gradually becomes more defined. This process can take several months, and the result may continue to refine until around the first year, depending on the patient.
Can I bring a photograph of the nose I would like?
Yes. A photograph can help explain the changes you are interested in. However, the result must be planned around your own anatomy, facial proportions and surgical possibilities, rather than trying to reproduce someone else’s nose exactly.
“It is not about giving everyone the same nose, but about understanding your anatomy, respecting your features and planning together the result we seek.”
Let’s talk about your case
Request an evaluationIf you are considering rhinoplasty, an evaluation with Dr. Ricardo Cruz can help answer your questions, explore what may be possible in your case and clarify the next steps.
