In traditional rhinoplasty, surgical instruments known as rasps and osteotomes (hammer and chisel) are used to reshape the nasal bones by removing the hump and/or narrowing the nasal bone width. These tools are relatively imprecise and their use can lead to contour irregularities, etc. if not used in the proper manner. Powered devices have been developed that can save time, and these devices have improved on the inaccuracies of the manual tools, but they still have some of the same complications involving contour and shape. Recently, a technology that uses sound waves has been developed to contour nasal bones in a precise and far less traumatic way when compared to traditional techniques. Ultrasonic, or Piezo, rhinoplasty is now the most advanced technique available for minimally traumatic nasal bone reshaping and hump removal during rhinoplasty. This technology is currently only available in CA, NY, FL, and at Shah Aesthetic Surgery in Denver. Dr. Shah is a well-regarded rhinoplasty specialist in Denver, Colorado and he has been using ultrasound technology in cosmetic surgery since 2005.
The technique for ultrasonic rhinoplasty is a bit different from that of traditional rhinoplasty surgery. The skin undermining over the nasal bones is more extensive to expose all the bony surface area. The entirety of the nasal bone architecture can be seen. The ultrasound wand can be equipped with different tips that can remove the hump, make precise bone cuts that don’t damage the underlying mucosa, and polish any rough surfaces to create a precisely shape nasal bridge. The end result is a more beautiful nose with far less trauma, less swelling, and almost no bruising.
Summary of the Advantages of Ultrasonic Bone Formation:
• It reduces soft tissue trauma to zero. So bruising and swelling is almost nonexistent.
• Owing to controlled cuts, the formed lines appear as if sculpted.
• Providing more elegant transition from nasal bridge to nasal tip.
• It prevents uncontrolled bone fractures due to use of hammer and osteotome methods or micro-motor rhinoplasty instrumentation. Thus, it prevents step-off deformities and contour irregularities.
• Postoperative recovery is faster because it does not cause damage to the soft tissue surrounding the blood vessels and cartilages, so patients may return to their daily lives more quickly. Postoperative pain is typically less as well.
• The accuracy of reshaping the nasal bones is enhanced leading to increased patient satisfaction.
• Complication rates and the need for revision surgery is reduced after rhinoplasty.
"My Muscle Wall Gave Way Giving my Abdomen an Unsightly Large Buldge - Denver, CO - I met Dr Shah in 2007 when he did a face lift for me. I was really happy with the results. When I found out no amount of diet and exercise would remedy the problem with my abdomen I contacted him. and even through I no longer live in Colorado, I knew he was the doctor I wanted to perform my surgery.I am a little over four weeks after surgery and I am thrilled with the results. I am 66 years old and healing well and now I have the tummy I have dreamed of having.Thank you Dr Shah I appreciate your skill and care!"- D. / RealSelf / Sep 05, 2015
"Dr shah and his staff are everything! I had revision rhinoplasty done with Dr shah , and it was life changing! I'm more confident, i don't have to run from the camera anymore, and i feel good about myself! But Most importantly my nose is functioning properly! I went years without being able to breathe and was constantly congested, but not anymore! The congestion i have now is nothing compared to what i was previously going through, and i know its only uphill from here. I needed a Dr to care and most importantly listen to my needs and Dr shah did all of that and more. couldn't have picked a better surgeon!! ????"- G.O. / Google / Dec 25, 2017
"Thank you Dr. Shah!!! - You did it Dr. Shah! You ARE a miracle worker! Hello all! I am 48 yrs old. I consulted with 3 different Doctors about having a Brazilian Butt lift, and am so very glad I chose Dr. Shah. I told him in one of my pre surgery appointments, that if he could make my derriere look good, he would be a miracle worker....lol. Not only was my butt totally flat, I also had sagging skin (butt flaps) on the..."- S. / RealSelf / Dec 20, 2017
"Happy Patient - I have been a long time patient of Dr. Shah. Dr. Shah performed a revision on a neck lift that a previous plastic surgeon had performed with poor results. Dr. Shah corrected the neck lift with great results. I am prone to keloid scaring. Dr. Shah stands behind his works and provided solutions to prevent the keloid from forming. I'm very pleased! I just recently had the VaserLipo performed on..."- D. / RealSelf / Dec 05, 2017
"Dr Shah and his staff were great. They are very knowledgeable and were very patient in explaining everything to me, guiding me to what was right for what results I was looking for. After my procedure they were all great in ensuring I was taken care of and results were what were expected. I have recommended family to Dr Shah and his staff and have gone back for other items, facials etc... I highly recommend Dr Shah and his staff with this type of important decision."- M.M. / Google / Dec 03, 2017
Because of the more extensive skin undermining needed to perform ultrasonic rhinoplasty, the surgery itself takes 2-3 hours to perform. Recovery after ultrasonic rhinoplasty is similar to traditional rhinoplasty. You still need to wear a nasal splint for seven days. You still need to sleep with your head of bed elevated, and you still need to apply ice to the nose. Dr. Shah still uses night time taping and soft tissue massage techniques after the splint is removed at postoperative day number seven. The difference is that your nose looks more presentable to the public early on and the long-term final result is enhanced once full healing has occurred at the one year postoperative mark.
Am I a candidate?
Yes, anyone who is healthy enough for traditional rhinoplasty is a candidate for ultrasonic rhinoplasty. The investment in this procedure is offset by the reduced need for revision surgery in the future.
How does ultrasound work?
Ultrasonic devices use high speed sound waves to create vibrations in tissue. These vibrations cause gentle breaking apart of tissue surfaces to remove surface irregularities and cut tissues, all while avoiding damage to underlying structures. In other words, it treats the areas that need treatment in a highly targeted and precise way, all while keeping damage to a minimum.