In spite of the advances in the comprehension of the structure and function of the nose, ethnic nasal differences, the social and psychological aspects of rhinoplasty and long term effects , most rhinoplasty surgeons actually perform the same operation. Most people think that their nose is too big and that it doesn’t suit with their facial shape that it should be remodelled by a surgical operation, which is the reduction rhinoplasty.
Extra cartilage and bone in the nose need to be carried out to make the nose smaller. Management of the nasal bones has been handled in basically one way: use rasps, hammers and surgical chisels to lower the hump or bump and narrow the nasal bones. In 2004, this changed with the coming of ultrasonic, or piezoelectric, rhinoplasty by Dr. Massimo Robiony. This technique carries out a device that uses high-speed sound waves to vibrate tiny cutting and shaving tip inserts.
Ultrasound technology has long been used for aesthetic procedures for fat reduction and skin tightening. Rhinoplasty can now be performed with the assistance of ultrasonic waves, making nasal bone reshaping more precise and accurate.Piezoelectric or ultrasonic is differing from the other rhinoplastic surgeries in the way that it is able to carry out rhinoplasty on a nose without even injuring soft issues that the nose is involving and the surgeon has to undermine the skin of the nose more extensively to fit the device. And also, the device can only be used in open rhinoplasty procedures. Open rhinoplasty procedures require external skin incisions to expose nasal structures.
During an ultrasonic rhinoplasty, an open rhinoplasty technique will be used for the better exposure and visualization during the surgery. An incision will be made at the columella directly beneath the nasal tip. The nose will then be retracted backwards, dissecting the nose cartilage with care being taken to not injure the medial crura, the cartilage that parts the nostrils. The flap will be raised off of the nose for maximum exposure and work can now be done to reshape the nasal tip, bridge, nostrils, or septum repair with the specialized ultrasonic tools. Different tool tips can be used to scrape, shape, and soften the nasal bone. The ultrasonic tool allows for more precision and less surrounding tissue trauma. Once completed, the flap will be redraped over the bone framework and external contouring and shaping is completed. The incision will be closed with sutures and an external splint or cast will be placed over the nose.
Ultrasonic Rhinoplasty Recovery
The goal of an ultrasonic rhinoplasty is to achieve facial harmony by changing the shape, size, or angle of the nose. The procedure is avaragely recovered in two weeks, and yet the outcome of this surgical operation is permanent.
The theory is that with less trauma surrounding the nose, the amount of surgical bleeding, post-surgical bruising, swelling and pain from a rhinoplasty procedure are decreased while also creating a more accurate cosmetic outcome. This, in turn, must lead to less need for revision surgery. Current national revision rates for rhinoplasty surgery run over 30 percent.