Technological developments in the surgical field in recent years have made rhinoplasty an extremely easy and effortless process. Ultrasonic rhinoplasty not only facilitates the work of the plastic surgeon compared to the old conservative methods, but also makes the post-operative smoothing process of the patient comfortable.
With this method, which is called the piezo system, the surgeon can shape the bone like a sculptor, without breaking the bone tissue with ultrasonic electric sensitive small heads instead of old large hand tools. With this technique, uncontrolled bone fractures are prevented. Another advantage of the ultrasonic piezo system is that while it works by giving the desired shape to the bone, the system stops working when it reaches the soft tissue. This prevents the plastic surgeon from damaging the tissue unintentionally. When looking at the old conservative methods, bruising and swelling were especially common in the eyes, due to unintentional damage to the adjacent tissues while breaking large bones. Since the ultrasonic piezo system is very sensitive and gentle on the tissue, we see that there is almost no bruising and swelling.
In rhinoplasty, in order to give the desired shape to the nose, many times the bone structures must be filed or regularly broken and repositioned. These processes performed on the bone are called hump resection, madian osteotomy and lateral osteotomy in the medical literature. In the classical approach, controlled fracture lines created in the bones during surgery are made using a chisel and hammer called an osteotome. The most valuable cause of bruising, which starts from the edge of the nose and extends around the eyes after rhinoplasty, and can sometimes be quite severe, is the bleeding that occurs in the surrounding soft tissue during these movements to the bones.
When performing rhinoplasty with the ultrasonic system, the dissection is wide and the surgeon must see the area where the lateral osteotomy will be made, that is, the surgeon sees the area where the procedure is performed.
After the operation, one stays in the hospital for one night, thin silicone leaf pads are placed on the nose, these pads do not prevent the patient’s breathing.
After five days, the tampons are removed, the patient can return to his normal life.