An ultrasonic rhinoplasty uses specialized tools to reshape the nasal bones for a more refined nose shape. During an ultrasonic rhinoplasty, an open technique will be used for better exposure of the nasal bone.see all Nose procedures
- avg. recovery
About the Procedure
Ultrasound technology has long been used for aesthetic procedures for fat reduction and skin tightening. Rhinoplasty can now be performed with the assistance of ultrasonic waves, making nasal bone reshaping more precise and accurate. The tools used during an ultrasonic rhinoplasty are powered by ultrasonic waves that vibrate the tip of the tool, shaving excess bone that creates humps. In more traditional rhinoplasty techniques, the bones are aggressively scraped and chiseled away. With ultrasound technology, even the thinnest and most brittle bones can be adjusted for a better cosmetic outcome. During an ultrasonic rhinoplasty, an open rhinoplasty technique will be used for better exposure and visualization during surgery. An incision will be made at the columella directly beneath the nasal tip. The nose will then be retracted backwards, dissecting the nose cartilage with care being taken to not incise the medial crura, the cartilage that separates the nostrils. The flap will be raised off of the nose for maximum exposure and work can now be done to reshape the nasal tip, bridge, nostrils, or septum repair with the specialized ultrasonic tools. Different tool tips can be used to scrape, shape, and smoothen the nasal bone. The ultrasonic tool allows for more precision and less surrounding tissue trauma. Once completed, the flap will be redraped over the bone framework and external contouring and shaping is completed. The incision will be closed with sutures and an external splint or cast will be placed over the nose.
The goal of an ultrasonic rhinoplasty is to achieve facial harmony by changing the shape, size, or angle of the nose.
What to Expect
An ultrasonic rhinoplasty uses specialized tools to reshape the nasal bones for a more refined nose shape. Here is a quick guide for what to expect before, during, and after an ultrasonic rhinoplasty.
- Stop taking blood thinning medications for 2 weeks
- Stop smoking 2 weeks before and after surgery
- Limit sun exposure for 2 weeks
- Do not eat or drink anything 6 hours prior
- Purchase all recovery items beforehand
- General or local anesthesia with sedation
- Incision made beneath the tip of the nose
- Nose is retracted backwards, dissecting the nose cartilage
- Flap is raised off of the nose for maximum exposure
- Nasal bridge is reshaped and refined with specialized tools that vibrate using ultrasonic waves
- Sutures to close incisions
- External splint or cast will be placed over the nose
Since an open rhinoplasty technique is used during ultrasonic nose job surgery, significant facial swelling and bruising will likely be present. An external splint will be applied for 1 week postoperatively to give support to the underlying nasal framework. While surrounding facial swelling will subside after 1-2 weeks, nasal swelling will last as long as a 1 month. The nose will continue to heal over the course of 1-1.5 years. Makeup may be worn as soon as the cast is removed.
The ideal candidate for an ultrasonic rhinoplasty has nasal bumps and deformities on the bridge of the nose.
Not Recommended For
Ultrasonic rhinoplasty is not recommended for those under 18 unless correcting an injury. Ultrasonic rhinoplasty may not be suited for patients with extensive bone deformities as it takes more time to reshape bone than with traditional methods.
Side effects from an ultrasonic rhinoplasty may include numbness, nosebleeds, scarring, swelling, bursting of small blood vessels on the surface of the skin, permanent nerve damage, and under or over correction that necessitates revision rhinoplasty.