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Daniel Careaga, MD
Paul Durand, MD
Karl William Schwarz, MD

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Ultrasonic Rhinoplasty: A Revolution in Nose Reshaping

Posted May 20, 2024 in Facial Plastic Surgery, Facial Rejuvenation, Plastic Surgery, Rhinoplasty

Rhinoplasty, also known as a “nose job,” has been a very popular procedure for decades, but the tools and techniques of rhinoplasty have remained the same for decades! However, Dr. Paul Durand performs ultrasonic rhinoplasty, a new approach that promises faster recovery, reduced bruising, and more precise results.

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Traditional Rhinoplasty vs Ultrasonic Rhinoplasty 

In traditional rhinoplasty, surgeons use a chisel, hammer, and sometimes a rasp to alter the bone and nasal cartilage, effectively making a controlled fracture. This technique, while it works, can result in much trauma to the surrounding tissues, leading to increased bruising and swelling and prolonged recovery. The problem with this traditional technique lies in the inherent difficulty of precisely controlling the fracture of the bone and cartilage. The chisel, rasp, and hammer can cause damage to the structures within the nose, leading to a less predictable outcome and a more difficult recovery for the patient.

In contrast, ultrasonic rhinoplasty allows for the more delicate and precise removal and reshaping of the bone and cartilage. This reduces the risk of complications and promotes a faster and smoother patient recovery. Another benefit of ultrasonic rhinoplasty is the preservation of surrounding structures. Traditional rhinoplasty techniques often carry the risk of damaging the nasal cartilage or other nearby tissues. Ultrasonic rhinoplasty allows a constant water flow from the handpiece, which cools the bone and minimizes trauma to the delicate surrounding tissues. With the precision offered by the Piezotome device, surgeons can now reshape the bones without causing harm to these structures.

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What Are The Benefits of Ultrasonic Rhinoplasty? 

The advantages of ultrasonic rhinoplasty are numerous and offer several significant advantages over traditional methods that can significantly improve the overall patient experience:

1. Faster Recovery

By minimizing the trauma to the surrounding tissues, ultrasonic rhinoplasty allows for a quicker recovery process. Patients can expect to return to normal routines and activities sooner, with less downtime and less bruising.

2. Reduced Bruising and Swelling 

No more raccoon eyes! The ultrasonic energy causes less damage to the delicate structures within the nose, resulting in a smoother healing process with significantly less bruising and swelling. Patients can enjoy a more comfortable recovery and go out in public soon after surgery without the telltale under-eye bruising of the traditional hammer and chisel approach.

3. Precise Results 

The ultrasonic handpiece enables Dr. Durand to precisely sculpt the bone and cartilage, allowing for more predictable and precise results. This level of precision helps ensure that the patient’s desired aesthetic outcome is achieved, with a natural-looking and beautiful appearance.

4. Enhanced Patient Satisfaction

A faster recovery, reduced bruising and swelling, and improved precision ultimately leads to a more satisfied patient. Patients can feel confident with their new noses and enjoy the benefits of their enhanced appearance with minimal disruption to their daily lives.


Ultrasonic rhinoplasty represents a significant advancement in rhinoplasty surgery, giving patients a better alternative to traditional techniques. No more hammer and chisels, but precise surgery with less bruising and swelling. Better results and less downtime—who doesn’t want that?

Interested in Ultrasonic Rhinoplasty in Miami, FL?

To find out if you are a candidate for ultrasonic rhinoplasty, call us at (305) 960-7511 or fill out our online contact form.


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