I read some surgeons use ultrasonic Pienzo technique what are the pros and cons with it?

The Pienzo method of rhinoplasty is relatively recent. Supposedly you would have less bruising but the thing that matters must is the final result. Concentrate on finding an experienced rhinoplasty surgeon regardless of which technique is used.

Hi @Dinina. This is an excellent question. Piezosurgery is a more gentle technique that allows for greater precision. Less bruising and swelling is common with Piezosurgery. In a typical rhinoplasty, a hammer and chisel technique is performed leading to more inadvertent fractures. Piezosurgery can also be utilized with a closed rhinoplasty. Best of Luck, Dr. Nima!

The ultrasonic tools produce a more precise cutting effect for the bone, in many ways similar to what you would expect from using a micro-saw. Using osteotomes produces a splitting effect for the nasal bones which provides less control and is more operator dependent.

In terms of osteoplasty, effectively shaving down or sculpting the nasal bones, the process is considerably more accurate with ultrasonic tools in particular on the sidewalls.

Treatment of asymmetry and deviations often requires differential treatment for the nasal bones and more complex management of the septum which can benefit from the precision of ultrasonic instruments.

As the ultrasonic instruments require visualisation, undermining of the nasal bones is more extensive compared to manual instrumentation. For reasons that are not entirely clear, bruising is uncommon with ultrasonic instruments but swelling of the nasal bridge can be longer lasting than with manual instruments which do not require the same amount of undermining.

Although the ultrasonic instrumentation can be used for close interventions it is not well adapted to this purpose. The risk of damage to the soft tissues (burns) may be higher when the system is used in a tight space.

Around the world, surgeons are achieving good results with both techniques, but by and large the surgeons that adopt ultrasonic instrumentation do not seem to be keen to go back to manual instruments. This is perhaps the most significant endorsement of the technique.

Pros are very precise osteotomies, cons are that extensive dissection (opening) of tissue needs to be performed to get access and visibility before use. Are results superior to traditional osteotomes and rasps? No, not with experienced rhinoplasty surgeons.

Hello, you have done a great research and found out piezo technique. All your issues can be addressed to a well-executed rhinoplasty in the right hands, you can benefit from rhinoplasty. You can achieve the look you want with Rhinoplasty performed with piezo technique, which is the latest technology. Rhinoplasty with the piezo technology will be able to protect your soft tissues and provide you maximal healing. You can visit the link below to get more information about Piezo technique.

Piezo technology can be considered as a gift to rhinnoplasty surgery. During piezo surgery, bones are shaped using ultrasonic sound waves without harming soft tissue, totaly protecting the anatomy of nose.

The interesting feature of this state-of-the-art technology is that, although it does not cut soft tissues, such as skin, muscles, veins, the device starts to function only when it is touched by bone tissue. It does not harm the other tissue around the bones thanks to its tissue selection feature. This results in less bleeding during the operation, resulting in less bruising and swelling after surgery. The comfort of our patients after surgery is increased.

Functional health problems or aesthetic concerns that patients, who want to have a nose surgery, are afraid of breaking the bones during the operation, post-operative bruises and possible pain. One of the most recent technological products in the Nose Surgery is ‘Piezo Nose Surgery’ and the patients’ fears are now coming to an end.

The ultrasonic instrument (piezosurgery) is a way to sculpt and/or cut bone. It vibrates at a frequency that allows removal of bone but not cartilage or soft tissue. Proponents argue that it allows for more precise control of the size and shape of the nasal bones during rhinoplasty. Traditional surgery uses tiny chisels known as osteotomes, sharp saws and rasps to create the desired nasal bone shape. Piezo is much slower and so it adds time to the overall operation. It can be done via closed approach but requires a very wide soft tissue dissection which increases postoperative swelling and healing time. Piezo is only used for the nasal bone portion of rhinoplasty. It has nothing to do with the nasal tip portion of the operation.