Would I be suitable for ultrasonic rhinoplasty to straighten nose? (Photos)

Hello there,Sculpting the bony part of your nose to create better symmetry is one of the many benefits of ultrasonic (piezo) surgery.For precise changes you should however only consult with a Rhinoplasty expert who has extensive experience with this technique.Hope this helps.

Based on your photos, you appear to have thin nasal skin, and an hour-glass shaped crooked nasal appearance. Repair of your condition may require septoplasty, osteotomies, and spreader grafting to achieve a straighter, and better breathing nose. We do not use ultrasonic techniques during rhinoplasty. Hope this helps. Dr Joseph

Thank you for your question and sharing your photos.

I think you are right on both accounts. It is possible to create a straighter contour of the nasal bridge in general, but in my opinion it is also facilitated by ultrasonic instrumentation due to the precision that it lends to management of the nasal bones.

That being said, ultrasonic rhinoplasty does not eliminate risks related to surgery and it would be naïve to think that any technique leads to a zero risk rhinoplasty.

There seems to be a degree of deviation of the nasal bridge to the right starting from relatively high (high septal deviation). This is also in my practice more appropriately managed with ultrasonic rhinoplasty.

I agree your nose is crooked and might benefit from rhinoplasty. Get other opinions but don't get hung up on the ultrasonic thing. Find the best surgeon you can . The ultrasonic us just a tool. Also your first surgeon seems like he may not be a rhinoplasty specialist, and wanted to bow out gracefully.

Thank you for your question and photographs. The nose is divided into the upper 1/3 (nasal bones), middle 1/3 (cartilage part of the dorsum and upper lateral cartilages) and lower 1/3 (nasal tip, lower lateral cartilages). Based on your photographs in frontal view, you have a disproportionately wide upper 1/3 and a pinched middle third. A complete assessment would require more photos from different angles and an in-person examination. But based on your photos, the contour irregularity which bothers you can generally be corrected by reducing the height of the nasal bones and performing osteotomies (shifting the nasal bones inwards to narrow the upper 1/3 and achieve symmetry). This can be performed with ultrasonic instrument or traditional instruments, depending on what technique the surgeon is most comfortable and proficient with. Next, additional cartilage support would be added to the middle 1/3 to increase support to the nasal valves and correct the width. It is important to seek opinion from a Rhinoplasty expert, and to obtain 2-3 consultations with different surgeons before deciding to proceed with rhinoplasty.Best of luck!Dr. Giriraj Sharma; Facial Plastic Surgery in Newport Beach, CA