Ultrasonic Piezo Rhinoplasty Overview
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. Dr. Shah utilizes the Comeg Medical Piezotome(R) M+ ultrasonic rhinoplasty device. It is the only device FDA approved solely for rhinoplasty. Dr. Shah uses the Expert Rhinoplasty Tip set designed by Dr. Olivier Gerbault.
Ultrasonic Piezo Rhinoplasty Surgical Technique
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
"23 Year Old BBL Amid COVID - This site has been so helpful to me in conducting my research about a BBL. Once I decided on it, this site also helped me to find a doctor with results I liked! I had the surgery for a BBL (with tummy lipo) and neck lipo on June 12, 2020 and it's currently 9 days post-op. There will be more attachments to this review (including pictures), but I wanted to get the baseline set up. The reason I wanted to go through with this was because I saw women on here in their 40s who said they wish they did it sooner and that made me feel motivated to follow my dreams. I have never been embarrassed of my body, and I don't think I had a bad body. This surgery was just a way for me to enhance my body in a way I knew I would love. I do workout and eat healthy (this means healthy and not extreme dieting), but these are the kind of results I couldn't get at the gym. I am very happy with my decision and there will be more updates to come!"- W. / RealSelf / Jun 21, 2020
"The surgery was a breeze and the recovery was easy - I got a rhinoplasty with Dr. Shah about two years ago. From the beginning until now I've had a great experience. Both he and his staff are caring and helpful, I never felt in the dark about anything along this journey. In addition, they never pushed me to get other procedures that I wasn't interested in. The surgery was a breeze and the recovery was easy - I did the whole recovery with Ibuprofen with minimal pain. I am very happy with my results and feel much more confident in my body. I would absolutely suggest Dr. Shah to anybody looking for plastic surgery and would return to him if I decided to have more done."- D. / RealSelf / Jun 01, 2020
"Im so Glad I came to Dr. Shah to get my surgery ! He answered all my questions and gave me the results I was looking forward to always making sure that it all came out good! His staff are so sweet and always have a welcoming attitude !! If your thinking about getting any surgery done I would highly recommend Dr. Shah !"- B. / Google / Feb 21, 2020
"A professional & efficient surgeon - Dr Shah did a great job walking me through the process. He was patient, spent time to educate me on the options, and advised me objectively on what the best treatment regimen was best for me. The procedure was handled professionally, and he diligently followed up with me in the months after the treatment. I highly recommend Dr Shah for anyone looking for aesthetic surgery"- G. / RealSelf / Feb 17, 2020
This blog gives you all the information you might want about the most difficult procedure in cosmetic surgery, written by Manish H. Shah, MD, FACS, a specialist in rhinoplasty, revision rhinoplasty, and ethnic rhinoplasty surgery located in Denver, Colorado.View Blog
Ultrasonic Piezo Rhinoplasty Before/After Surgery
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.
Ultrasonic Piezo Rhinoplasty FAQ's
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.