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Piezo electric gyroscope7/7/2023 ![]() Piezo rhinoplasty takes advantage of the ability of ultrasonic sound waves to selectively and effectively reshape bone – and even some denser forms of cartilage – without causing injury to the overlying skin, adjacent mucosal tissue, or surrounding deeper soft tissue. So what if we could remove bone and/or cut the bone without having to use a rasp or osteotome? Wouldn’t that be nice to minimize bleeding, swelling, and soft tissue trauma? Well, that is precisely why piezo ultrasonic technology was adopted for use in rhinoplasty! Again, while it accomplishes the goal of breaking the bone so it can be reshaped, the amount of bystander trauma to surrounding tissues can be a detriment. These are the actual tools used during rhinoplasty when you see a surgeon hammering on the end of the chisel to break the nasal bone. The same applies to use of chisels, which are sharp edged metal devices used to cut through bone. While rasping is very effective in taking down a bump, it can be somewhat traumatic on the surrounding soft tissues – and can contribute to additional bleeding and unwanted scarring. For example, one of the most iconic visuals in the world of cosmetic rhinoplasty is the surgeon sanding down a hump using a metal rasp that is moved back and forth over the bridge of the nose. Prior to piezo rhinoplasty, reshaping the nasal bone was done almost exclusively with rasps and chisels (osteotomes). As this energy is applied directly to the bone, it can be used by the rhinoplasty surgeon to take away bone. In essence, the ultrasonic piezo device generates high-speed sound waves that vibrate at an extremely high frequency. This is also commonly referred to as piezoelectric rhinoplasty in reference to the actual electrical device. Piezo rhinoplasty refers to a specific technique that incorporates use of an ultrasonic device to help reshape bone. Hilinski is the first facial plastic surgeon in San Diego to offer piezo ultrasonic rhinoplasty and revision rhinoplasty surgery. Hilinski does offer his patients some of the most cutting-edge technology when it comes to cosmetic nose surgery – and this includes piezo ultrasonic rhinoplasty. As one of the region’s leading cosmetic rhinoplasty specialists, Dr. ![]()
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