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What Is Piezo Rhinoplasty?

Piezo rhinoplasty is an advanced, ultrasonic-assisted technique used to reshape the nasal bones with high precision and minimal trauma. Unlike traditional methods that use rasps and hammers to break bone, Piezo technology uses ultrasonic vibrations to cut bone without damaging soft tissues, cartilage, or blood vessels. This reduces bruising, swelling, and postoperative pain.

Piezo technology can be used in both open rhinoplasty (with a small incision between the nostrils) and closed rhinoplasty (incisions made inside the nostrils, leaving no visible scar).

What Is Done During the Surgery?

•The nasal skin is carefully lifted (in open or closed fashion, based on the patient’s anatomy and goals).
•The nasal bones are reshaped using Piezo ultrasonic tools, allowing smooth, accurate contouring.
•The nasal septum is corrected if deviated (septoplasty), improving breathing.
•Tip refinement is done by reshaping or repositioning cartilage.
•If needed, dorsal hump reduction, nasal narrowing, or tip rotation is performed.
•Internal nasal support (grafts or sutures) may be used for long-term stability.
•An external nasal splint (cast) is applied, and soft internal silicone splints may be placed depending on the case.

How it Works

• Upper eyelids only: 45–60 minutes
• Lower eyelids (transconjunctival or transcutaneous): 60–90 minutes
• Combined upper and lower blepharoplasty: 1.5–2.5 hours
• Day 1–3: Swelling, mild bruising, tightness
• Day 4–7: Stitches (upper lid) removed; patients may use makeup
• Day 14–21: Most swelling resolves; return to work and social life
• Week 6–8: Scars soften and fade; eyes look more natural
• Month 3+: Final result with full tissue settling and scar maturation

Most patients are discharged on the same day or one day later.

• Return to light activity in 4–5 days
• Social recovery typically by day 7–10
• Major swelling subsides by week 2–3
•Final healing continues for up to 6 months
• Most patients feel socially comfortable by 14 days
• Makeup can be used after suture removal (day 10)
• Return to work and social events: After 2-3 week
Gentle massage around the eyes can help reduce swelling, improve lymphatic drainage, and support the healing process—especially in cases where chemosis (conjunctival swelling) or mild lower lid tension is present.
 
When to Start:
• Begin gentle massage 5–7 days after surgery, once stitches are removed and the skin is no longer sensitive.
 
How to Do It:
• Wash your hands thoroughly before each session
• Apply a small amount of moisturizing or healing cream to reduce friction
• Use the two-finger technique (typically index and middle finger)
• Start at the inner corner of the lower eyelid, glide gently toward the outer corner
• At the outer edge, hold the skin gently for 5–10 seconds, then release
• Avoid pressing directly on the surgical site or applying excessive pressure
 
Frequency:
• Repeat the massage 2–3 times per day, for 2–3 weeks or as recommended
• Each session should last 2–3 minutes per side
 
Cautions:
• Do not massage if there is redness, pain, or increased swelling
• Stop immediately and contact your doctor if you notice any unusual changes
• Avoid direct massage over sutures or healing scars for the first week
 
This technique not only supports faster drainage and reduced swelling, but also promotes healthier tissue adaptation and helps maintain a smooth lower eyelid contour.
• Noticeable improvement: 3–4 weeks
• Fully natural appearance and scar fading: 3–6 months

Ideal
Candidates

  • Individuals with a nasal hump, crooked nose, wide bridge, or droopy tip
  • Patients seeking natural-looking refinement with reduced trauma and bruising
  • Those who require functional correction for breathing problems
  • Suitable for primary rhinoplasty and selected revision cases

Advantages of Piezo Technique

  • Minimal trauma to surrounding tissues
  • Less bruising and faster recovery
  • High precision in bone reshaping
  • Lower risk of postoperative asymmetry or irregularities
  • Safer around delicate structures (nerves, blood vessels)

Before/After Gallery

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After
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