Previously, the piezo knife was used in dentistry and maxillofacial surgery, but in recent years it has been actively used for plastic surgery and the elimination of external defects. The essence of the technique consists in cutting bone tissue with ultrasonic waves that affect only solid structures without damaging soft tissues — they are not sensitive to the frequency of waves. The plastic surgeon does not have to make efforts to dissect the bone, because the piezo machine does it easily and accurately.

The procedure is performed under general anesthesia, so that the patient does not experience discomfort or pain. The knife helps, if necessary, to narrow the bones of the bridge of the nose and can selectively affect bone or cartilage, thus giving the nose the desired shape. In addition, the knife glues small vessels, so that the risk of bleeding is reduced to almost zero, the probability of occurrence and possible intensity of bruising and hematomas decreases.

The only limitation is that the piezo device cannot be used if only the tip of the nose needs plastic surgery. In such situations, the scalpel is still the main instrument of the surgeon.

When performing nose surgery using classical technology, the doctor uses tools such as a rasp, saw, hammer, chisel. If the surgeon has high qualifications and sufficient experience, the result of the operation will be worthy, but nevertheless such an intervention is traumatic, requires a long recovery period, and the patient`s face will not immediately return to normal. The piezo knife also acts locally, soft tissues are not injured, incisions are carried out with high accuracy — such manipulation carries significantly less risks of complications.

Rhinoplasty is popular among patients who come to Istanbul nose surgery, and now it can be performed minimally, non-traumatically and bloodlessly, and soon a person will be able to return to his normal life.

The main advantages of piezo-ultrasound rhinoplasty:

• low risk of asymmetry;
• no risk of accidental bone fractures;
• no bleeding;
• minimal probability of severe edema, hematomas, spot hemorrhages;
• most often — the absence of postoperative scars;
• significant reduction of the rehabilitation period in comparison with the classical method;
• additional disinfection during manipulation.

Piezo knife allows you to work with cartilage and bone tissue in isolation, without affecting the capillaries.

Indications for rhinoplasty are medical and aesthetic. The medical ones include:

• the consequences of facial injuries;
• congenital deformities of the nose that disrupt respiratory function;
• recovery after crippling operations (for example, removal of tumors).

Aesthetic indications (according to them, procedures are carried out only for adult patients):

• the need to eliminate asymmetry or narrow the bridge of the nose;
• the need to eliminate the hump or correct the shape of the nose, correct kyphosis, lordosis;
• the need to change the distance between the nose and the upper lip.

It is not possible to carry out an intervention in any case. The doctor is obliged to refuse the patient if in his anamnesis there are:

• severe mental abnormalities;
• chronic liver and kidney diseases in the acute phase;
• oncological diseases;
• blood clotting disorders;
• infectious diseases;
• dermatitis and other skin diseases in the area of intervention.

After consulting and deciding on the nature of the operation, the patient arrives at the clinic where rhinoplasty will be performed at the appointed time; cosmetic surgery Turkey is one of the countries where this industry is well developed. The anesthesiologist puts him into a state of general anesthesia, after which the operation begins. To prevent errors, dotted lines of tissue dissection are applied. Then there are two options:

• with open access, the skin is dissected in the narrowest part of the nose, the incision continues along the underwing line — this option is used for complex operations, as it gives the surgeon the opportunity to observe the process live;
• closed access ensures the absence of postoperative scars, but limits visibility to the doctor.

After determining the type of access, the doctor performs manipulations using a piezo knife. Depending on the purpose of plastic surgery, he cuts off excess tissue, changes the shape of the back of the nose or performs other manipulations, observing the movement of the tip of the knife on the screen, which ensures high accuracy.

The final stage is suturing the wound with an accurate comparison of the skin. If the operation was performed through open access, after 2-3 months the scars become invisible. For rigid fixation of the corrected area, a plaster cast can be applied for 2 weeks.

The rehabilitation period does not last long. The patient goes home within a day (maximum two days) after the operation, and the stitches are removed a week later. Bruises and swelling completely disappear in 7-10 days. During the first time, it is necessary to wear internal splints —septal splints) - silicone inserts in the form of a nasal septum, thanks to which a person can easily breathe through the nose — and a protective plate. Intensive physical activity is contraindicated.

Of the countries where plastic is performed inexpensively, Turkey is one of the safest. The risks are minimal: apart from postoperative edema and the need to comply with restrictions during the recovery period, the patient, as a rule, is not in danger. There are undesirable consequences - such as bleeding, wound rupture, scarring, infection - but they are very rare. If you take a responsible approach to choosing a clinic and a surgeon and use the services of only proven specialists, the likelihood of dangerous side effects will tend to zero.

Piezo-ultrasound rhinoplasty has become a real breakthrough in the field of plastic surgery. Now patients are guaranteed that they can change the shape of the nose with a minimally invasive procedure, recover quickly and return to their usual lifestyle with a new appearance.