What is the ultrasonic rhinoplasty procedure?
Ultrasonic rhinoplasty uses a piezosurgery device to cut and reshape the bones of the nasal pyramid. The operating principle is simple: very high frequency vibrations with small amplitude are generated and transmitted to a metal tip that has different shapes and can be replaced with other tips depending on the area where it is used. This metal tip, in contact with the bone, causes it to be cut. The device has the same principle as dental scaling, only the power of the device is greater.
Rhinoplasty has evolved as a technique tremendously in the last 10 years. From the introduction of cartilage grafts to reconstruct the nasal dorsum to the recent introduction of piezosurgery and preservation rhinoplasty, the goal has remained the same: to achieve a result as close as possible to the patient’s desire.


















How is ultrasonic rhinoplasty surgery performed?
The approach and steps of the surgery are largely the same as in the classic technique, there is a closed approach and an open rhinoplasty variant. We want to emphasize that the difference between the two variants, closed and open, is the scar at the columella level which is usually no longer visible at one year post-surgery.
The differences lie in the extensive dissection and the type of instruments used for cutting and reshaping the nasal bones. The surgery is performed under general anesthesia in most cases. As in classic rhinoplasty, it addresses the same aesthetic problems at the nose level.
Modifying the nasal bridge
If the surgery is performed on the nasal bridge, the surgeon removes the bone and cartilage that causes the “hump.” The nose may be broken so that the remaining pieces of bone can be moved closer together to narrow the nose.
Changing the nasal tip
If the nasal tip is operated on, the cartilage that forms the support for the tip must be partially removed or reshaped. This can be done through closed or open rhinoplasty surgery.
Changing the length of the nose
Your surgeon will adjust and reduce the septum to help reduce the tip and decrease the total length of the nose. Adjusting the cartilage at the nasal tip can also reduce the length of the nose.
Modifying 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.
Increasing the bridge or tip of the nose
Surgeons can use bone or cartilage or an implant to change the contour of a flat bridge or nasal tip. This is called supplementary rhinoplasty or augmentation rhinoplasty. The bone or cartilage used can be taken from the nose (nasal bone or septum) or from other places such as the ribs, hip, or ear.
Modifying the septum – septum deviation
If your nose has been flattened by an accident, the septum might be bent, making breathing difficult. Sometimes, this can be modified at the same time as rhinoplasty or as a separate surgery.
What to expect after ultrasonic rhinoplasty surgery?
After ultrasonic rhinoplasty surgery, you can expect a gentler recovery process compared to classic rhinoplasty. This modern technique uses ultrasound to sculpt the nasal bone with greater precision and less trauma to the surrounding tissues.
In the first postoperative days, you will likely have an external splint on your nose and possibly minor bruising and swelling around the eyes. However, swelling and bruising tend to be more reduced than with traditional methods.
Pain is usually mild and can be controlled with medications recommended by the doctor. Most patients can resume light activities after 7–10 days, but sports or intense physical effort are contraindicated for several weeks. The final result begins to take shape after a few months, but the definitive shape of the nose is completely stabilized only after 9–12 months.
It is important to follow all the doctor’s instructions, including periodic check-ups, to avoid complications. Ultrasonic rhinoplasty offers precise, more natural results and faster recovery, but each body reacts differently, so patience is essential in this process.
The first few days
On the first day after rhinoplasty, you may feel a sensation of facial congestion and some pain around the nose, possibly having a slight headache. This discomfort can be controlled through medications prescribed by your plastic surgeon. It will be necessary to keep your head elevated on the first day after surgery.
Patients usually have slight bleeding, as well as swelling and bruising around their eyes in the first days, which is completely normal. It is somewhat common to have an unpleasant appearance in the first days, initially, but after about 3 days, the swelling and bruising will stabilize and begin to fade gradually. Carefully applying cold compresses to these swollen and bruised areas can help you feel more comfortable.
1 to 2 weeks
Most swelling and bruising disappears in 2 to 3 weeks. Within a few weeks of rhinoplasty, you will begin to look and feel better. You will most likely return to work as long as your work is not too strenuous. After 1 week, the external splint will be removed. During this period, the septal splints that are inserted into each nostril at the end of the surgery and are maintained for a few days to a week will also be removed.
General complications associated with surgery
Healing
Certain diseases, nutritional supplements, or medications can delay normal wound healing. Patients who have suffered massive weight loss may have delayed healing or may face wound opening, infection, requiring prolonged hospitalization and additional surgical procedures.
Those who suffer from diabetes or are under long-term steroid treatments may have delayed healing.
Smoking can cause more difficult healing and the need for additional surgical procedures. Healing can also be hindered by inflammation, bleeding, or a long-duration surgical procedure with general anesthesia.
There are nerve endings that can be caught in the scar associated with healing and can produce pain or hypersensitivity, even if larger nerve trunks are not injured.
Massage and other non-surgical procedures, applied at the beginning of the healing process, can alleviate these pains. That is why it is important to discuss aspects related to postoperative pain with the surgeon.
Bleeding and hematomas
There may be bleeding episodes during surgery or postoperatively. In most cases, these are an exception. If postoperative bleeding occurs, emergency treatment may be needed to drain accumulated blood or blood transfusion may be necessary. These complications are truly rare.
It is important to follow postoperative instructions exactly and not perform physical activities during the specified time period.
Administration of aspirin or nonsteroidal anti-inflammatory drugs (ibuprofen) is prohibited for 10 days before and after surgery, as these can increase the risk of bleeding.
Nutritional supplements or herbal medications can increase the risk of bleeding. A hematoma may appear in the first 2 weeks after surgery, usually after physical trauma to the operated site. Bruising is expected afterward, which should disappear within 2 weeks of surgery.
Infection
This is an unusual complication after surgery. If it occurs, antibiotics will be administered and hospitalization and additional surgical procedures may be necessary.
It is important for patients to specify if they have suffered an infection in the period before surgery. Infections in other parts of the body can lead to infection of the operated site.
Vicious, hypertrophic scars
All types of surgeries leave scars, some more visible than others. After surgical procedures, good healing is expected, although abnormal scarring can occur both at the skin level and in deep tissues.
Although attempts are made to place scars in less visible places, there is a small chance that they may be visible, being different in color from the surrounding skin. The appearance of the scar can vary on its surface, it can be asymmetric (the left side looks different from the right). There is a possibility of visible scars left by suture threads. Deep tissue scars may require revision or additional procedures to improve their quality.
Altered skin sensitivity
A decrease (loss) of skin sensitivity in the operated area is frequently encountered. The decrease in sensitivity may not resolve completely. Itching, sensitivity, or exaggerated response to heat or cold may occur after surgery. These symptoms resolve after a variable period of post-surgical time, but in rare cases they can become chronic.
Sutures
In addition to the sutures at the skin level, which are visible, deep sutures are also used. These can be felt under the skin and can externalize through the skin, becoming visible and producing inflammation, in which case they must be removed.
Pain
Pain is one of the symptoms present after surgery. Pain of different variety and intensity can persist after the procedure. Chronic pain occurs very rarely and is caused by nerve endings caught in scars or occurs due to tissue stretching.
Complications due to general anesthesia
General anesthesia
Local anesthesia, but especially general anesthesia, associates risks for the patient. The possibility of respiratory tract injury, cardiorespiratory problems, allergies, anaphylactic shock, or even death are very rare in all forms of anesthesia associated with surgery.
Shock
In very rare circumstances, the surgical procedure can cause trauma, especially when multiple extensive procedures are performed. Although serious complications are rare, infections, excessive fluid loss, can lead to serious illnesses. If surgical shock occurs, hospitalization and additional treatment are necessary.
Allergic reactions
In rare cases, allergies to dressings, suture material, adhesives, blood products, intravenously administered agents, or local creams have been reported.
Serious systemic reactions such as anaphylactic shock can occur in response to medications administered during surgery or prescribed postoperatively. Attention, allergic reactions may require additional treatments.
Cardiac and pulmonary complications
Pulmonary complications can occur secondary to blood clots (pulmonary emboli), fat (fat emboli), or partial lung collapse (atelectasis), after general anesthesia.
Pulmonary emboli can endanger the patient’s life in certain circumstances. Inactivity, sedentary lifestyle, smoking, contraceptives, and other conditions can increase the incidence of blood clots, which reach the lungs and can cause death.
It is important to discuss with the surgeon any symptoms, from leg inflammation to blood clots in other parts of the body, as they can contribute to the formation of pulmonary emboli.
Cardiac complications are a risk associated with any general anesthesia and surgery, even for patients without symptoms who are healthy.
If you suffer from fatigue or breathing difficulties when exerting yourself, chest pain, arrhythmic heartbeats, you should consult a doctor immediately.
If any of these complications occur, hospitalization and additional treatments are necessary. In healthy patients without associated diseases, these complications are very rare.
Tips for good recovery
- Do not expose yourself to direct sunlight or tanning salons after the procedure, for a period;
- Postpone travel as a precautionary measure;
- The results of the procedure are long-term, but there are exceptional situations that can influence them;
- Intimate relations after the surgical procedure should be avoided in the first period of recovery.
What is the price of ultrasonic rhinoplasty surgery?
€4,800
Ultrasonic rhinoplasty
The costs mentioned are estimates, and they may vary depending on the surgical technique chosen, the complexity of the case, as well as any additional procedures or investigations required.
Ultrasonic rhinoplasty surgery (or piezosurgery) involves a longer operative time in most cases by 1 hour, which is why the cost of the procedure is approximately 10-20% higher than for the classic technique.
A detailed final cost can only be established following a medical consultation, in which the patient’s clinical situation will be assessed and the individualized therapeutic plan will be established. These costs include: the surgeon’s and anesthesiologist’s fees, the hospitalization period, all the medicines and materials needed during the surgery and during hospitalization. For a personalized estimate, we recommend scheduling a consultation.