Dr. John Orlando Roe who is considered the father of aesthetic rhinoplasty, has performed the first modern rhinoplasty in 1887, in Rochester, NY. Year by year, with the development in technological equipments, science, and understanding among experts, the procedure itself became more sophisticated even though most part of the operation remain the same. Understanding of the nose structure and function did not cause a great change in psychological aspects of rhinoplasty and long-term outcomes, but, it caused great improvements. Most of the experts basically perform the same operation when it comes rhinoplasty.
Common concerns about rhinoplasty
Most patients who have intention to get a rhinoplasty surgery, have similar concerns. Most of the patients are thinking that their nose is too big, it is not in correct proportion with the face and it destroys their overall facial beauty. People with this concern, almost always get the procedure which is called reduction rhinoplasty in order to make the nose smaller. Presence of a large hump, a bulbous nasal tip, wide nasal bones, and/or wide nostril position are the typical features of a large nose.
Traditional rhinoplasty basically means removal of excess cartilage bone in the nose. And the surgical equipments are usually; rasps, hammers and surgical chisels which may sound horrifying. Dr. Massimo Robiony, in 2004, revolutionized the perception of rhinoplasty. His technique is performed by using a high-speed soundwave emitting device, to vibrate tiny cutting and shaving tip inserts.
Difference of ultrasonic rhinoplasty
Piezoelectric inserts (PEI) have the ability to act on bones and/or hard cartilage selectively, without injuring soft tissues; skin, mucosa and flimsy cartilages. The fracture lines created by piezoelectric inserts are very accurate and they eliminate the risk of radiating fracture lines.
Another fact about ultrasonic rhinoplasty is that it decreases the amount of bleeding through surgery, and, causes less paing, swelling and bruising after the surgery, while creating better outcomes in cosmetical aspect. Also, the need for a revision will be less, as well as the time for recovery.