Why is PiezoSurgery Important for the Rhinoplasty Surgeon?

Piezosurgery is a revolution for a rhinoplasty surgeon because of the accuracy and precision of the technology. In the past, osteotomies (bone breaking) has always been done “blind,” meaning the instruments were placed under or through the skin and we could never see what was happening. Bone fractures could occur where we did not want them to and the movement was uncontrolled. With Piezosurgery, asymmetries and irregularities can be sculpted with precision and all bone cuts are visualized during surgery. This has improved my result dramatically, especially with the frontal view and dorsal aesthetic lines.

How Does this Improve Dorsal Aesthetic Lines?

Dorsal aesthetic lines are the lines of your nose that are seen on front view with flash photography. I have always said that it is the front view that separates the good rhinoplasty surgeon from the great rhinoplasty surgeon. Setting a good profile is the first step in becoming a good rhinoplasty surgeon. But getting a good front view, which makes a person more attractive, is the ultimate goal.

When women contour their noses, they are trying to create shadows to set off the bridge from the nasal sidewalls. In surgery, I can create symmetric and fluid dorsal aesthetic lines. It has been with Piezosurgery that I can now accurately sculpt bones to smooth the transition from the forehead and brows to the nose.

Below are a few examples:

This patient presented with a crooked nose that was wide and had a bulbous tip. With piezosurgery I was able to narrow the dorsal lines (width) and to make them uniform and straight coming down the nose. The tip was also modified to improve the definition.

This patient had a very large hump. After it was removed the nose appeared to be very wide and piezosurgery was used to narrow the nose. Since the bridge was narrow and the tip was wide, it helped to also widen the middle third so that the upper, middle and lower third were congruent. Lifting the tip uncrowds the lower lip and makes the nose and face much more feminine. Before surgery we notice the nose, and after we notice the eyes!

This patient presented with asymmetric, developmental deviation of the nose — an asymmetric nose on an asymmetric face. Notice the left eyebrow, ear and eye are higher on the left side. Therefore, everything on the left side of the face is longer and narrower and everything on the right side in shorter and wider. Piezosurgery was used to bring in the right nasal bone and to push out the left nasal bone. With standard instruments I could never achieve the same accuracy that I can with piezosurgery.

This patient presented with a bulbous tip and overall large nose. By lifting and defining the tip, as well as narrowing the bridge, the nose and face has a much more feminine quality. Again, notice the eyes in the photograph after surgery.

If you’re interested to learn more information on Piezosurgery or Preservation Rhinoplasty USA request a consultation now.