Traditional rhinoplasty often involves breaking bones, either to remove a bony hump, or to thin the bony bridge, all of which is done using a chisel and hammer. Recently, a new technology has been incorporated into a rhinoplasty surgeon’s repertoire, which uses Piezo technology, or ultrasonic rhinoplasty as it is also known, for cutting, or shaving, bone. It has drastically decreased the need for breaking bones due to its precision when shaving and contouring, leaving the surrounding soft tissues, cartilage, fat, and skin unaffected. This not only ensures better results than the traditional method, but also means a shorter down time for patients, with almost no bruising and minimal swelling. Dr. Shahram is the first plastic surgeon to use this technology in rhinoplasty in the UAE and has extensive experience using it routinely since 2014.



This technique is used in open rhinoplasty for reshaping the nasal bones using a piezo ultrasonic devise.


Using this technique usually increases the operative time compared to traditional rhinoplasty, however the downtime is drastically shortened.


Like any bone surgery there is always a period of bone swelling involved, which tends to settle in 6 weeks.


Temporary bruising, swelling, numbness and tenderness of the skin, as well as a tight feeling and dry skin. For men, permanent need to shave behind ears, where beard-growing skin is repositioned.



Although this is a very safe device its fine vibrations cause heat, which is cooled by a continuous irrigation sterile saline system, and therefore it has the potential of burning the skin and soft tissues.


Recovery is faster and easier compared to traditional osteotomies. Due to the machine’s irrigation system, there is an initial swelling, with slight bruising, if at all, present.


The results of ultrasonic rhinoplasty are very natural, precise and delicate.


Ultrasoinc or Piezo-assisted rhinoplasty is when a rhinoplasty surgeons uses Piezo ultrasonic devise when dealing with the bones of the nose. It does not make a rhinoplasty surgeon better or worse. It just assists him to achieve even more refined and detailed results and in most cases shorten the downtime and make the process less traumatic and therefore more pleasant to the patient. For example patients rarely, if at all, would end up with postoperative bruising.


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