Op. Dr. Bekir Can Gümüşlü
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2 - 3 hours
Permanent (Lifetime)
7 - 10 days
General Anaesthesia
One of the most revolutionary innovations in the world of aesthetic surgery, Piezo Ultrasonic Rhinoplasty is a technology that brings comfort and precision to the highest level in nose surgeries. This technology replaces the coarse instruments used in traditional methods—such as hammers, chisels, and rasps—and uses the power of sound waves to cut and shape bones with millimetric precision.
Op. Dr. Bekir Can Gümüşlü actively performs Piezo surgery in his Istanbul clinic to offer his patients less bruising, less edema, and a faster recovery process. Also known as “rhinoplasty without breaking,” this method allows the surgeon to work on the bone structure with the sensitivity of a sculptor. Especially in patients with a bony hump, nasal width, or traumatic curvatures, the Piezo method ensures excellent results without damaging soft tissues.
The Piezo device has a specialized tip that operates by producing ultrasonic sound waves. The most significant feature of this device is that it is tissue-selective. This means it only affects the hard tissue—the bone. When the device comes into contact with vessels, nerves, muscle tissue, or the mucous membrane immediately adjacent to the bone, it stops or does not cause damage.
In traditional methods, when bones are broken, there is a risk of uncontrolled fracture lines. However, in the ultrasonic rhinoplasty method, bones are cut and shaped in a controlled manner. This facilitates the nose achieving the desired form after surgery while minimizing the risk of trauma-related complications. Op. Dr. Bekir Can Gümüşlü utilizes this technology for removing dorsal humps and narrowing the side walls (osteotomy), turning the recovery process into a much smoother experience for his patients.
The answer to why Piezo Rhinoplasty should be preferred lies in the numerous advantages the method provides:
Less Bruising and Swelling: Since there is no soft tissue damage and blood vessels are not harmed, post-operative bruising (ecchymosis) and swelling around the eyes are significantly lower compared to classic methods. Most patients experience the comfort of “bruising-free nose surgery.”
Millimetric Precision: The surgeon shapes the bone structure by seeing it and thinning it millimeter by millimeter. This reduces the risk of asymmetry and ensures a smoother nasal bridge.
Rapid Recovery: Minimal trauma accelerates the body’s self-repair process. Patients can return to their social lives in a much shorter time.
Natural Results: The controlled cutting of the bones allows for softer and more natural transition lines. Instead of sharp lines that make it “obvious that surgery was performed,” soft transitions integrated with the face are achieved.
The Piezo method is generally applied in conjunction with open-technique rhinoplasty because the skin tissue needs to be sufficiently separated for the ultrasonic tips to work comfortably on the bone. Op. Dr. Bekir Can Gümüşlü determines your nose’s suitability for this technique after a detailed examination. The surgery is performed under general anesthesia.
During the operation, the nasal hump is thinned or cut away with ultrasonic waves instead of being rasped. The side walls of the nose are narrowed with the same precision. Because the amount of bleeding is very low during this process, the surgeon’s field of vision remains clear, which is a factor directly affecting the success of the surgery. The post-operative process is much more comfortable than classic rhinoplasty.
While Piezo rhinoplasty prices may differ from classic methods considering the cost of the technology used and the operation time, the comfort and quality of results it provides justify this difference.
Piezo surgery is the most effective method, particularly for noses requiring bone reshaping (arched, wide, crooked). If only the tip of the nose is to be treated, this method may not be necessary as the bones will not be altered. Dr Bekir Can Gümüşlü will determine your suitability during the consultation.
A ‘zero bruising’ guarantee cannot be given in any surgical procedure because each patient’s skin sensitivity is different. However, Piezo reduces bruising by 80-90 per cent compared to traditional fracture methods because it does not damage soft tissue. Any slight yellowing that occurs also disappears very quickly.
Working with a piezo device may extend the duration of surgery by approximately 20-30 minutes compared to conventional methods, as it requires the surgeon to work with greater precision and attention to detail. However, this time is well spent in achieving an excellent outcome.
Piezo is not a cutting method, but a bone shaping technology. Whether or not a scar remains depends on whether the surgery is performed using an open or closed technique. As it is usually performed using the open technique, there may be an indistinct, millimetre-sized scar under the nose that fades over time.
Piezo devices and their tips are state-of-the-art medical equipment. The use of this technology and the expertise it requires may add to the cost of the operation. However, considering the speed of recovery and comfort, it is often preferred by patients.
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