Preservation Rhinoplasty With PIEZO® Technology
Daniel Careaga, MD
Rafael Ramos, MD
Precision Without Excess Trauma
Rhinoplasty surgery has advanced significantly over the last decade. One of the most important advances is preservation rhinoplasty using ultrasonic PIEZO® technology, which enables facial plastic surgeons to reshape the nasal bones with greater accuracy and far less trauma than traditional rhinoplasty techniques. This approach is also known as ultrasonic rhinoplasty or piezo rhinoplasty.
For patients, that translates into a smoother recovery, less swelling and bruising, and more predictable, refined results.
What Is Preservation Rhinoplasty?
A key component of this approach is how the dorsal hump (the bump on the nasal bridge) is reduced. This is where PIEZO® technology makes a meaningful difference.
What Is PIEZO®?
The PIEZO® device uses ultrasonic energy to cut bone with extreme precision. Unlike traditional rhinoplasty tools that rely on forceful mechanical cuts, PIEZO® selectively targets the nasal bone while sparing surrounding soft tissues, such as the nasal skin, blood vessels, nerves, and cartilage.
In simple terms, PIEZO® allows us to sculpt bone rather than fracture it.
How PIEZO® Improves Dorsal Hump Reduction
Traditional rhinoplasty often involves breaking the nasal bones using manual osteotomes and a mallet. While effective, this method is inherently traumatic. It can create uncontrolled fractures, increased bleeding, and more postoperative swelling and bruising.
With PIEZO®-assisted preservation rhinoplasty, the dorsal hump is reduced in a controlled, ultrasonic fashion. Bone is gradually and precisely reshaped without the shock and force of traditional osteotomies. This ultrasonic rhinoplasty technique reduces the risk of fracture lines and trauma to the nasal structures, resulting in less bruising and swelling and a quicker recovery.
This approach allows for:
- Greater accuracy in shaping the nasal bridge
- Preservation of natural contours
- Less disruption to surrounding tissues
Less Trauma. Less Swelling. Faster Recovery.
One of the most noticeable benefits of PIEZO® technology is reduced postoperative swelling and bruising.
Because ultrasonic energy cuts bone without tearing soft tissue, there is significantly less bleeding during surgery. Ultrasonic rhinoplasty also minimizes facial trauma, resulting in minimal damage to surrounding tissues.
Patients often experience:
- Minimal bruising around the eyes
- Reduced facial swelling
- A more comfortable early recovery
The recovery process after ultrasonic rhinoplasty typically involves some bruising, swelling, and tenderness, but these side effects are generally less severe than with traditional rhinoplasty methods. Patients are usually advised to use a cold compress to help reduce discomfort and swelling. Most patients can return to sedentary work within one to two weeks, depending on their readiness, but strenuous or contact activities should be avoided for at least six weeks.
While every patient heals differently, many are surprised by how much gentler the recovery feels compared to traditional rhinoplasty techniques.
How PIEZO® Compares to Traditional Osteotomies
Traditional osteotomies rely on force. PIEZO® relies on physics.
Compared to standard techniques, ultrasonic rhinoplasty offers:
- More precise nasal bone cuts
- Less soft tissue damage
- Improved control over nasal shape
- Reduced swelling and bruising
- Smoother, more predictable healing
This does not mean traditional techniques are obsolete, but for many patients, PIEZO-assisted preservation rhinoplasty represents a clear advancement.
Precision Leads to Better Outcomes
Precision matters in rhinoplasty. Millimeters make a difference.
PIEZO® technology enables extremely fine control over bone reshaping, improving symmetry and reducing the risk of irregularities along the nasal bridge. This level of control is especially important in preservation rhinoplasty, where the goal is a natural-looking result that fits the patient’s facial and nasal structure rather than an “operated” appearance.
By avoiding uncontrolled fractures, we also reduce the likelihood of long-term issues such as asymmetry or the need for revision surgery. The final results of this ultrasonic rhinoplasty technique may take several months to become fully evident as swelling subsides. This procedure can produce permanent results and resolve issues related to nasal structure.
Who Is a Good Candidate for Preservation Rhinoplasty?
PIEZO-assisted preservation rhinoplasty is ideal for patients who need dorsal hump reduction and nasal bone reshaping while maintaining a natural profile. It is particularly beneficial for patients seeking refinement rather than dramatic structural reconstruction.
A detailed consultation is essential to determine whether preservation techniques are appropriate, as not every nasal anatomy is suited for this approach.
A More Refined Approach to Rhinoplasty
Preservation rhinoplasty with PIEZO® technology reflects a broader shift in modern plastic surgery: doing more by disrupting less.
By combining the precision of ultrasonic technology with an anatomy-respecting philosophy, this technique delivers elegant, natural results with a smoother recovery and greater consistency. For the right patient, it represents a smarter, more refined way to reshape the nose.
Ready to Learn More About Preservation Rhinoplasty With PIEZO® Technology?
For those seeking rhinoplasty and interested in a more precise, tissue-preserving approach, the team at Careaga Plastic Surgery can help determine whether PIEZO-assisted preservation rhinoplasty is right for you. Every nose is unique, and a personalized consultation is essential to choosing the safest technique and achieving natural, balanced results with enhanced facial harmony.
To schedule a consultation with one of our board-certified plastic surgeons and learn more about advanced rhinoplasty options in Miami, call (305) 574-9262 or complete our online contact form today.