Diamond Rhinoplasty – Piezo Rhinoplasty

What is Piezo?

Piezo is a system that transforms electrical energy into ultrasound, enabling the surgeon to make real “sculpting” in the nasal bones, altering their shape and thickness as needed, and even cutting them if required, without creating any problem to other sensitive nose tissues.
Piezo uses sonication at a frequency of 25-29 kHz to change bone shape while leaving all soft tissues that are affected at frequencies above 50 kHz such as skin, mucous membranes, vessels and nerves completely intact.

Piezotome Mono Piezotome Dual+

Piezo’s technology has been known for several years and is mainly used in dentistry with excellent results in the management of the upper and lower jaw bone.

Due to the fact that there is too much space in the area of ​​the nose and the classic microtips could not be used, there was a long delay in the application of Piezo to rhinoplasty.

In 2013, with the creation of a series of special microtips tailored specifically to the needs of a rhinoplasty, the application and development of the system by the world-renowned rhinoplasts such as Olivier Gerbault (France) and Milos Kovacevic (Germany) began very vigorously. Nowadays it is considered to be the most sophisticated system that can be used in nose surgery, providing surgeons with a lot more possibilities, with greater safety and absolute control of the surgical site.

Rhinoplasty microtips – standard Set Rhinoplasty microtips – Full Set

Why Piezo Rhinoplasty is so revolutionary for patients

In the past

Patients who were interested in rhinoplasty have always feared that they should “break the nose bones” during surgery.
The classic surgical kits that have been used for more than a century include essentially the same surgical tools with small variations and improvements. In the bone skeleton of the nose, the basic tools of the surgeon are the osteotomes and the “rasps”
The goals of the surgeon were as follows:

 To lower the hub (hump)
 Break the bones and move them in order to make the nose thinner or to bring it in a more   straight position
Many times, however, the results with the use of these tools have been satisfactory, but in a significant proportion of the surgeries the bones do not break exactly at the point or the straight line that the surgeon wants, causing small or large malformations, even breathing problems.
 Also, there was no possibility of reducing the thickness of the bone itself, but only moving it in total to make thinner the nose while there was always a “mystery” on the bone skeleton because the surgeon had no direct eyesight especially on the sides of the nose even when the surgery was done with open access.

Today and Future

With Piezo we work completely differently and the patient now knows for sure that:


We make “sculpture” in the bones
”We’re pulling” the hub (hump)
 We form the bones just as we want, even in very intense asymmetries
 We make thinner the bones to the side
 Thus, we make thinner the nose without eventually requiring osteotomy in many cases
 If we want even more thinning, then with Piezo we cut the bones in order to move all of them whole to the middle line
 Everything is done with direct vision and full control
 Everything is done without causing any damage to the skin, mucous membranes and other  soft nose tissues
 Bumps and swelling are less
 The postoperative course is lighter and certainly painless

Revisions of rhinoplasties – Today

Particularly in re-operations where there was a very serious history and the decision to take a new intervention was very difficult, things are much better because:

    We can handle the “wrong” connected bones with absolute precision.
    We can easily format even “mobile” bones.
    We can also intervene in cases where there is a very recent injury and great distortion due               to many and asymmetric fractures.

Why  Rhinoplasty with Piezo is so revolutionary for Surgeons

Piezo gives excellent solutions to major problems that the nose plastic surgeon had to face
 The surgeon can now see the bone he wants to shape.
He fully controls how much hub (hump) will remove
He thoroughly monitors the bone attenuation it wants to bring to normal
 He can now make thinner the nasal bones directly, especially in patients who have a very “heavy and thick” nasal skeleton
 He  can easily handle even moving bones after a recent injury or after some “osteotomy” which did not just happen where it should
He can feel comfortable and safe that he will not injure the soft molecules of the area such as skin, mucous membranes, etc. because the piezo affects only the bones
 He can do longer if he wants the lateral osteotomy just at the point where he wants because the osteotomy is now made by direct vision rather than “blind”
He can do “sculpting” now even in moving bones, eliminating asymmetries and abnormalities that would previously has been impossible
 Particularly in reoperations, the surgeon can intervene safely and accurately without the risk of an osteotomy leading to a wrong course as before

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