One of the most difficult stages in rhinoplasty surgery for surgeons is the shaping the bone. At this stage it is very difficult to take the control with conventional methods of cutting bone and is essential for a successful rhinoplasty. Many different methods are used today for cutting of bones called osteotomy. Frequently used methods are cutting the nasal bone with a hammer and chisel and by using motor systems. Today, using these conventional methods such as osteotomy (chisel) and hammer for this process is not widely preferred. There is much more elegant and subtle new method for the osteotomy. The name of this method is ultrasonic bone cutting and shaping method: Ultrasonic Rhinoplasty.


Osteotomy (bone cutting and breaking) is the most important cause of swelling and bruising on the face of the patient after surgery. The reasons for the formation of swelling and bruising are damage in blood vessels in this area during the nasal bones to be cut and bleeding from these vessels into the tissue. Bones can be cut by seeing and measured in millimetres during the operation in a very gracious and very controlled way through ultrasonic rhinoplasty. We observed that this method almost does not cause any bruising and only results with a slight yellowing around the eyes of patients because this method does not damage the blood vessels in the region that the bones of the nose joins the face. As an Otolaryngology expert who made thousands of operations until today I can say that the swelling and bruising are the most feared things about rhinoplasty surgery for our patients. Facial bruises prolong the healing process of the patient and prevent the early return to the social life. In ultrasonic rhinoplasty this stage is extremely comfortable due to the use of ultrasonic instruments. We have observed that patients operated with this technique showed no signs of bruising or minimum effects of discoloration and swelling. Ultrasonic Rhinoplasty is a new technique in rhinoplasty known and used by very few surgeons in the world. This technique received FDA approval in the United States and is used extremely safely. I learned this technique from Dr. Greywoode in an international conference recently organised in New York and I learned that this method is used by a handful of very few elite rhinoplasty surgeons in the world especially in France and Germany. The method was originally developed for cutting bones during brain surgery as a method to prevent damage to brain tissue and was then adapted to maxillofacial surgery. As a surgeon who has performed many rhinoplasty operations, I have always believed that the missing point in these operations is a controlled tool that enables elegant design of the bone and will not harm the surrounding tissues. In addition, I have been in search of a method to solve bruising and swelling which are the most frightening and compelling issues for patients. When I learned this technique I believed that this technique will be the future of surgery. I received a system that works with this technique when I came to Turkey and started to use these specific tools in my rhinoplasty surgeries to the benefit of my patients. What we have seen so far, we were very impressed and began working on the R & D related with this technique.

The most important advantage of the ultrasonic rhinoplasty is that the ultrasonic knife used in this technique does not damage to the surrounding soft tissue. The skin on bones, blood vessels and cartilage tissue adjacent to bones are definitely not damaged during the use of the ultrasonic knife. This explains precisely why the swelling and bruising to be less in this technique. Ultrasonic chisels and rasps have been used in many areas of medicine, especially brain surgery. The method is used for cutting bones on the skull in brain surgery and is not harmful to the brain tissue. Also dentists use ultrasonic instruments mainly in operations related to jaw implants.

It is not possible to create a controlled line of broken bone by using the chisel and hammer in conventional osteotomy method. In ultrasonic rhinoplasty we can cut bones in a straight line and angle as we want. So it is seen in our work in aesthetical manner that now we are able to better refine the nasal bones. As a result of controlled cutting nose by using ultrasonic instruments, the nose of the patients has more elegant, subtle and natural line. Achieving thinner appearance of the nose and elegant results look like pencil drawing that allows us to gain more control over the results of surgery.

As in every part of medicine, new developments are also seen every day in the nose surgery. My whole purpose in accordance with my personal experience and abilities is to do the best for my patients without staying behind the new technology used in the world. As a surgeon who has made thousands of aesthetic rhinoplasty operation I can frankly tell that Ultrasonic Rhinoplasty is superior to other methods both in terms of patient comfort and aesthetics.


Summary of the Advantages of Ultrasonic Bone Formation:

  • It reduces soft tissue trauma to zero. So the bruises and swelling almost never happens.
  • Owing to controlled cuts, the formed lines appear as it is drawn by a pen.
  • Providing more elegant transition from nose back to nose tip.
  • It prevents uncontrolled bone fractures due to use of chisel and hammer method or micro-motor systems. Thus, it prevents disorders causes to bad appearance that occurs between nasal bone and facial bones in form of steps.
  • Postoperative recovery is faster because it does not cause damage to the soft tissue surrounding the blood vessels and cartilages so patients may return to their daily lives much more quickly.
  • More farsighted results can be achieved by bone forming which can be measured in millimetres, so it allows more satisfactory results. It increases patient satisfaction.
  • It reduces complications and unwanted situations occurring after rhinoplasty.



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