![]() ![]() The present review addresses the efficiency of PS comparing it with the traditional dental surgical equipment. In the field of dentistry, PS has emerged as a promising technical modality in bone graft harvesting, alveolar ridge expansion, sinus lift procedures, osteogenic distraction, and endodontic and periodontal surgeries. Till date, PS has seen wide applications in various disciplines of medicine. Piezosurgical device functions with an ultrasonic frequency (25–29 KHz) resulting in microvibrations in the range of 60–200 µm/s enabling bone cutting that is secured and accurate preserving the underlying neurovascular elements along with improved visibility through bloodless surgical site and thorough debridement using internal irrigation system. Piezoelectric surgery, also popularly called as piezosurgery (PS), is a rapidly evolving technique of bone surgery which is gaining importance because of its ability to place osteotomy cuts with absolute precision and confidence, especially near the vital structures. If you’re interested to learn more information on Piezosurgery or Preservation Rhinoplasty USA request a consultation now.Dentistry has undergone significant improvement with a lot of changing concepts involving novel surgical tools over the past two decades. Again, notice the eyes in the photograph after surgery. By lifting and defining the tip, as well as narrowing the bridge, the nose and face has a much more feminine quality. This patient presented with a bulbous tip and overall large nose. With standard instruments I could never achieve the same accuracy that I can with piezosurgery. Piezosurgery was used to bring in the right nasal bone and to push out the left nasal bone. Therefore, everything on the left side of the face is longer and narrower and everything on the right side in shorter and wider. Notice the left eyebrow, ear and eye are higher on the left side. This patient presented with asymmetric, developmental deviation of the nose - an asymmetric nose on an asymmetric face. Before surgery we notice the nose, and after we notice the eyes! Lifting the tip uncrowds the lower lip and makes the nose and face much more feminine. Since the bridge was narrow and the tip was wide, it helped to also widen the middle third so that the upper, middle and lower third were congruent. After it was removed the nose appeared to be very wide and piezosurgery was used to narrow the nose. Piezo instrumentation is accurate to the millimeter. You will notice that before surgery the left nasal bone was farther out than the right. Using piezosurgery, the nose was narrowed by bringing in the left nasal bone in more than the right. This patient presented with a wide nose and wide tip. The tip was also modified to improve the definition. With piezosurgery I was able to narrow the dorsal lines (width) and to make them uniform and straight coming down the nose. This patient presented with a crooked nose that was wide and had a bulbous tip. ![]() It has been with Piezosurgery that I can now accurately sculpt bones to smooth the transition from the forehead and brows to the nose. In surgery, I can create symmetric and fluid dorsal aesthetic lines. When women contour their noses, they are trying to create shadows to set off the bridge from the nasal sidewalls. But getting a good front view, which makes a person more attractive, is the ultimate goal. Setting a good profile is the first step in becoming a good rhinoplasty surgeon. I have always said that it is the front view that separates the good rhinoplasty surgeon from the great rhinoplasty surgeon. How Does this Improve Dorsal Aesthetic Lines?ĭorsal aesthetic lines are the lines of your nose that are seen on front view with flash photography. This has improved my result dramatically, especially with the frontal view and dorsal aesthetic lines. With Piezosurgery, asymmetries and irregularities can be sculpted with precision and all bone cuts are visualized during surgery. Bone fractures could occur where we did not want them to and the movement was uncontrolled. In the past, osteotomies (bone breaking) has always been done “blind,” meaning the instruments were placed under or through the skin and we could never see what was happening. Piezosurgery is a revolution for a rhinoplasty surgeon because of the accuracy and precision of the technology. Why is PiezoSurgery Important for the Rhinoplasty Surgeon? ![]()
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