Ultrasonic Piezo Rhinoplasty in Denver, CO

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Ultrasonic, or Piezo, rhinoplasty is the latest, most advanced FDA-approved technique available for minimally traumatic nasal bone reshaping and hump removal during rhinoplasty. Unlike traditional rhinoplasty techniques, which use hammers and chisels and are more traumatic and less accurate, Piezo ultrasonic rhinoplasty provides precise, beautiful results in a more gentle procedure. This ground-breaking technology is currently only available in CA, NY, FL, and at Shah Aesthetic Surgery in South Denver. If you’d like to learn more about this gentler solution for sculpting a new nose with stunning results, contact Shah Aesthetic Surgery today and schedule a consultation.

Both men and women are candidates for Ultrasonic Piezo rhinoplasty. If you are unhappy with the size and shape of your nose and have areas you hope to correct and enhance, then this treatment may be the ideal answer. It is important that realistic expectations are discussed, as your nose and facial profile will be altered. Furthermore, facial growth and maturity should also be complete. This factor will be discussed during your consultation, especially for adolescents. For people who want a quicker recovery, Ultrasonic Piezo rhinoplasty is a great solution since the procedure is gentler than traditional rhinoplasty, making recovery time shorter.

  • Zero tissue damage

  • Little to no swelling and bruising

  • More accurate than traditional rhinoplasty

  • Prevents uncontrolled bone fractures

  • Results are more elegant and beautiful, appearing sculpted

  • Recovery is quicker

  • Less risk of complications or need for revision rhinoplasty

Dr Shah performed my rhinoplasty & alarplasty in July 2022. It's been 7 months and I'm so happy with my beautiful results. My new nose is smaller and defined while it continues to honor my ethnic background. It blends into my face in a way that I didn't think was possible. Dr Shah is not only a skilled surgeon, but he's also an artist and engineer too. :) Thank you.

R.S. Google

Phenomenal revision rhinoplasty experience - saved my life - Dr. Shah is an honest, precise, reasonable, knowledgable, artist and engineer who sets clear expectations and delivers what he proposes. After seeing over a dozen ENTs in the Denver area (following a horrific experience with a different doctor) I finally met with Dr. Shah. He evaluated both my nose and ears, indicated a CAT scan was necessary to understand previous interventions and then created a plan for me that would resolve root cause breathing issues and aesthetics (NOT superficial interventions proposed by other physicians). My quality of life is back and I can breathe. It's a profound sense of living. Healing is taking place slowly as discussed with positive, measurable results along the way. Thank you Dr. Shah for giving me back my life!

L.L. RealSelf

Got a non surgical rhinoplasty and masseter Botox with Sarah. She is super knowledgeable and friendly; even followed up with me after the appointment to make sure everything was looking good one week later. She’s amazing!!

V.M. Google

100% trust - I have been happy after every visit - From mini facelift to fillers and beyond I have been 100% happy after every single visit to Dr Shah. I liked that he did my mini facelift under local anesthesia and sedatives but not general anesthesia. I had no pain!!!

R. RealSelf

My nose is no longer upturned - 20+ years ago, I injured my nose in a car accident. Three previous attempts to restore the shape, and function of my nose left me with a "piggy" nose that was a constant source of emotional pain and embarrassment. I returned to the last doctor to ask for help, and he just said that was the best I could hope for. Other doctors said the same thing. Then, I found Dr. Shah. OMG - what a difference. I felt heard and understood. In April of this year (2023), I had the 4th revision surgery - and the LAST!!! My nose is no longer upturned and piggy looking. It just looks like a normal, everyday nose that belongs on my face. I feel a sense of confidence, and freedom that I have not felt since my 20's. Thank you, Dr. Shah - you are an amazing, kind human being and apparently a very skilled and knowledgeable surgeon. I am forever grateful to you and your enire staff.

T. RealSelf


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The technique for ultrasonic rhinoplasty is a bit different from that of traditional rhinoplasty surgery. Instead of using hammers, chisels, and rasps, which create more damage are require more healing time, ultrasound, or focused sound waves, are used. Using an ultrasound wand that can be equipped with different tips, humps in the nose can be removed without damaging underlying tissue while allowing Dr. Shah to create a very precise nasal ridge. The end result is a more beautiful nose with far less trauma, less swelling, and almost no bruising.


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 South Denver.

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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.

How much does ultrasonic rhinoplasty cost?

The cost of ultrasonic rhinoplasty varies based on a number of factors, mainly how complex your procedure is. Before estimating costs, Dr. Shah will listen to your concerns and goals to help develop your custom treatment plan. Once this is complete, he can go over costs for the facility, anesthesia, and more. To get your best results, it's better to focus on selecting an experienced surgeon, like Dr. Shah, instead of the lowest cost. To help make your surgery easy to afford, Shah Aesthetic Surgery accepts several payment methods, and we can help you find low-interest financing.

Will my insurance cover an ultrasonic rhinoplasty procedure?

Although ultrasonic Piezo rhinoplasty to improve your appearance is not paid for by insurance, if your nose reshaping surgery is considered medically necessary to improve your breathing, some of your costs may be covered. If you are considering using your insurance, please tell Dr. Shah in your consultation. We can help you submit the needed paperwork and information to your insurance to properly process your claim.

Can I combine ultrasonic Piezo rhinoplasty with other facial surgeries?

Some patients think about combining ultrasonic rhinoplasty with another procedure, like cheek or chin augmentation. Combining surgeries for a more dramatic result can be discussed during your consultation with Dr. Shah. Once he understands your goals, he can help you decide which procedures will be in your treatment plan. Ultrasonic Piezo rhinoplasty can help your whole face appear more balanced, so you should wait to see your results before considering another procedure.

What about ethnic rhinoplasty?

Ethnic rhinoplasty is about improving the nose while still keeping your cultural identity. This may be a consideration if you are African-American, Asian, or Middle Eastern. During your consultation with Dr. Shah, you can discuss what you like about your nose and what you want to change. This will allow him to customize your ultrasonic Piezo rhinoplasty treatment plan to give you the best results.

*Individual results are not guaranteed and may vary from person to person. Images may contain models.