Piezoelectric Instrument for Rhinoplasty

Piezoelectric Rhinoplasty

Dr. Gregory Dibelius of the Nose and Sinus Institute of Boca Raton lead a workshop of leading rhinoplasty surgeons from the State of Florida demonstrating the new sculpting abilities of piezoelectric tools in shaping a natural nose with extreme precision.

The course at the annual Florida Combined Otolaryngology Meeting in Orlando featured Dr Dibelius demonstrating the new Comer rhinoplasty instrumentation and the results that can be obtained with their use.  Dr. Dibelius  is a pioneer and expert of the recently approved FDA Piezosurgery Rhinoplasty Technology.

What is Piezoelectric Surgery?

Piezoelectric surgery is an innovative technology for performing precise work on the bones of the nose and face. In fact, dentists have been using this technology for years to perform various dental procedures. Piezoelectric instruments use ultrasonic vibrations to cut or shape bone, but do not injure soft tissues such as weaker cartilages or skin. The technology also allows for improved precision when working with bone. Piezoelectric instruments replace traditional instruments, which typically include saws, hammers, and chisels.

Benefits of Piezoelectric Surgery in patients:

Even the best rhinoplasty surgeons or plastic surgeons can’t avoid the bruising, swelling and discomfort of working on the nasal bones during rhinoplasty with traditional instruments. Because piezoelectric instruments are so gentle to the soft tissues, there is less bruising and swelling of the skin and improved comfort after the operation. The improved precision can also lead to better outcomes.

How is Piezosurgery different?

Piezoelectric rhinoplasty is different because the nasal bones can be sculpted with an artist’s precision. The risk of having leftover bumps on the nose or other irregularities is lower. Unlike traditional instruments, the piezo technology allows for strong bone cutting without risk of inadvertent damage to soft tissue. The piezoelectric instrument is also adaptable for many different uses, making it a powerful tool for surgeons with expanding applications.

Why is Piezosurgery important in rhinoplasty?

Piezoelectric rhinoplasty is an important contribution to our field because it adds precision to the sculpting of the nasal bones while reducing postoperative swelling and recovery time. It is perfect for revision cases where the nasal bones have already been manipulated because it won’t destabilize the bones. It is ideal to narrow bones, straighten out crooked bones, or remove the classic “bump on nose”. I think it will be a tool fully embraced by the newest generation of the best rhinoplasty surgeons.

Benefits of utilizing Piezoelectric instruments vs traditional or conventional tools: 

  • Preserve soft tissue  (nerve, arteries, dura mater)
  • Highly precise cut
  • Safe with effortless cutting
  • Less swelling and bruising
  • More natural results
  • Reduced post-operative pain!
  • Fast recovery

Questions & Answers with Gregory S. Dibelius, MD

  • What are my current options for rhinoplasty surgery?

There are many different options for a rhinoplasty. Each nose is unique, as is each surgeon. A detailed consultation with a board certified facial plastic or plastic surgeon is the only real way to answer this question.

  • At what point does it make sense for me to consider piezoelectric surgery?

Piezoelectric surgery is a new tool that surgeons can use to perform bony nasal work – this usually includes humps on the nose, deviated noses, and any posttraumatic or postoperative deformities. If these sound like issues that may be affecting you, piezosurgery may be a part of the solution.

  • Am I a candidate for piezoelectric surgery?

You will need to be in adequate overall health to undergo rhinoplasty surgery. After that is established, consulting with a surgeon trained in both rhinoplasty surgery and piezosurgery will determine whether you are a candidate.  The piezo instruments are used for specific situations so you need to find out if those apply to you.

  • What’s the anticipated outcome of piezoelectric surgery?

The anticipated outcome of piezoelectric surgery is that the bony work in rhinoplasty can be performed with better precision and with less bruising and swelling. Of course, specifics about the outcome are best left to a discussion with your rhinoplasty surgeon.

  • What kind of anesthesia is required for piezoelectric surgery?

General anesthesia is preferred for rhinoplasty and the same holds true for piezo surgery. The technique is typically performed during open rhinoplasty.

  • What is your experience with piezoelectric surgery?

The device has only been FDA approved recently for use in rhinoplasty.  We have performed some of the earliest uses in Florida and likely the United States under this new FDA approval.

  • What is the reason that piezoelectric surgery is necessary at this time?

Piezo surgery allows us to have more tools to work on the nasal bones. In addition, these instruments have the advantage of being more precise and safer to the soft tissues, allowing for improved recovery.

  • What is the recovery process after piezoelectric surgery?

The recovery process is similar to traditional open rhinoplasty, however with less bruising around the eyes.

  • How long will I need to miss work / school / normal activities?

This should be discussed with your rhinoplasty surgeon.

  • What are the risks associated with piezoelectric surgery?

The piezoelectric instrument is extremely safe. In fact, you can attach the saw blade to the instrument, power it on and hold it against your skin and there will be no damage at all!

  • How can I find out if my insurance will cover piezoelectric surgery?

Contact your insurance provider or call our director of patient relations Sandy Friedman at 561-939-0909.

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Nathan E. Nachlas, MD