What is ultrasound rhinoplasty (piezo surgery)
Rhinoplasty has evolved as a technique over the last 10 years. From the introduction of cartilage grafts to reconstruct the back of the nose to the recent introduction of piezo surgery and preservation rhinoplasty, the goal has remained the same: to get a result as close to the patient’s desire as possible.
Ultrasound Rhinoplasty uses a piezo-surgical device to cut and reshape the bones of the nasal pyramid. The principle of operation is simple: it generates vibrations with a very high frequency and small amplitude that are transmitted to a metallic spike that has different shapes and can be replaced by other peaks depending on the area where it is used. This metallic spike in contact with the bone determines its cutting. The device has the same principle that and the detartration in dentistry only that the power of the appliance is higher.
What are the advantages of classical technique
In the classical technique for cutting and reshaping the bones, a series of chises and pile of different shapes and sizes are used.
Cutting of the oers through Piezochirurgia is much smoother and more controlled, often carried out under visual control vs. cutting bones with chisel and hammer is achieved by displacement/cutting action of chiselling which often produces unwanted fractures and Bone fragments. In classical technique the cutting is performed under Palpatorium control and not under visual control. Bone fracture path is often just intuit and can be unpredictable.
Soft tissues are not traumatized by Piezochirurgia, due to the mode of operation the metallic tip does not only cut the tissues of hard consistency bone and cartilage to a lesser extent.
The Subperiostal and subpericondral takeoff used in modern rhinoplasty causes a reduced trauma to the nerves and blood vessels that are located above this dissection plan.
Often in patients operated by Piezochirurgia are not visible periocular hematoma so specific to the surgery of rhinioplasty. The Trauma as a whole is lower.
Subperiostal take-off in the nasal bones is enlarged to the Nazo-facial trench This allows direct control of the lateral osteotomy line as well as rearranging and redistributing excess skin after reducing the nose hump.
Possibility of reshaping the nasal bones without fracturing them. Piezo surgery is also used to pilise bones, which is classic with a suitable file for some surfaces but hard to use for example in the lateral nasal bones to reduce their excessive convexity in some cases. For some patients it is possible to reduce the hump without the need for cutting the nasal bones.
How much does the rhinoplasty surgery cost?
Ultrasonic rhinoplasty (or by Piezochirurgia) assumes a higher operator time in most cases with 1h that’s why the intervention cost is approximately 10-20 higher than for classical technique. Do not forget, however, that this technique in the right hands ensures an overall result superior to classical technique!
How to do this nose surgery (ultrasonics rhinoplasty)
The approach and the steps of the operation are largely the same as in the classical technique, there is a closed approach and a variant of open rhinoplasty. I want to point out that the difference between the two closed and open variants is the scar at the level of columelei that is usually no longer visible at a post-operative year.
The differences reside in the extended take-off and the type of tools used to cut and reshaping the nasal bones.
The operation is performed in general anesthesia in most cases. As in classical rhinoplasty addresses the same aesthetic problems in the nose.
Changing the bridge of the nose
If the operation is carried out on the bridge of the nose, the surgeon removes the bone and cartilage causing the “rooster”. The nose can be broken so that the rest of the pieces of bone can be moved closer to one another to narrow the nose.
Change of Nose tip
If the tip of the nose is operated, the cartilage forming the tip holder must be partially removed or remodeled. This can be done by closed or open rhinoplasty surgery.
Changing the length of the nose
Your surgeon. It will adjust and reduce the septum to help decrease the peak and reduce the total length of the nose. Adjusting the cartilage from the tip of the nose can also reduce the length of the nose.
Changing the width of the nose
Your surgeon can reduce the width of the nose, narrowing it, by breaking the nasal bones and repositioning them closer to the central septum.
Increase of the bridge or peak of the nose
Surgeons can use bone or cartilage or an implant to change the outline of a bridge or a flat nose tip. This is called additional rhinoplasty or augmentation rhinoplasty. The bone or cartilage used can be taken from the nose (nasal or septum bone) or other places such as ribs, hip or ear.
Modification of septum-deviation of Sept
Where your nose It was flattened by an accident, the septum could be bent, making breathing difficult. It can sometimes be altered at the same time as the surgical intervention explained on the previous page or as a separate operation.
A new concept in rhinoplasty, the individualization of the results
The purpose of the surgery of aesthetic rhinoplasty is the remodeling of the nose in accord with the patient’s desire. This can most often mean reducing the size of the nasal pyramid and changing the shape of certain parts of the nose (peak etc.). There are also patients requiring augmentation of the nose or only parts, more often Asian patients or patients with secondary rhinoplastes.
In all cases it is important that the post-operative result corresponds to the patient’s expectations. It is also important that the patient’s expectations are guided by the surgeon in the area of reality and technical possibilities and fall within the principles of esthetics for that sex.
Dr. Olimpiu Hârceagă uses simulation of the result using a program for modifying photos. The patient thus participates actively in the process of planning the operation. It can thus create a customized appearance of the nose. After the patient and the doctor agree on a form the doctor plans the operation and the intraoperative maneuvers it needs to get closer to that form. It is not possible to fully attain the simulated form but surely this process of discussion with the patient determines a post-operative result close to his desires.
What to expect after the nose surgery.
The first few days
On the first day after rhinoplasty, you may feel a sensation of clogging and some pain around your nose may have a slight headache. This discomfort can be controlled by medicines prescribed by your plastic surgeon. You will need to hold your head high on the first day after surgery.
Patients usually have a slight bleeding, as well as swelling and bruising around their eyes in the early days, which is completely normal. It is somewhat common to have a not quite pleasant appearance in the early days, at first, but after about 3 days, the swelling and bruises will stabilise and begin to fade gradually. Carefully applying cold compressats to these swollen and brusated areas can help you feel more comfortable.
1 to 2 weeks
Most bumps and bruises disappear in 2 to 3 weeks. Within weeks of rhinoplasty, you will start to look and feel better. You will most likely return to work as long as your work is not too tiring. After 1 week the external splint will be removed. During this period, there will be removed and the septum that is placed in each noar at the end of the operation and which is maintained for several days up to one week.
Restrictions during recovery
You should avoid exercises and activities that can increase your blood pressure. In general, you will want to pay greater attention to the protection of your nose from bathing or makeup. If you wear glasses, you will need to be very careful not to leave them on the bridge of the nose until it heals properly, usually within a month to a month and a half.
Recovery and some tips for a good recovery.