Diamond Rhinoplasty: Ultrasonic Rhinoplasty with Piezo

• Piezo uses ultrasound vibrations with a frequency of 25-29 kHz to change the shape of the bones and leave totally intact the surrounding soft tissues that can be affected by ultrasound vibration of over 50kHz (skin, mucosa, vessels and nerves)
• Piezo technology has been very well known for several years and is used by dentists and maxillofacial surgeons with exceptional results in dealing with maxilla and premaxilla bones
• During a rhinoplasty the surgeon usually use very narrow paths and this fact along with the large size of the conventional piezo tips led to a significant delay in using the piezo system in rhinoplasties

In 2013 everything changed with the construction of a series of special microtips dedicated to rhinoplasty, and a totally new rhinoplasty surgery technique that was developed by the globally renowned pioneers of the new system Olivier Gerbault (France) and Milos Kovacevi c (Germany).

The main fear of patients was always the “bone breaking” during a rhinoplasty surgery and
 a constant desire was to avoid that

The Past
Conventional surgical instruments have been much the same for over a century now with only some slight improvements and modifications.
The key tools used in bony vault surgery are saws, rasps and osteotomes.

Traditionally, the main goals of the surgeon during a rhinoplasty were
·       To lower a hump
·       To narrow a wide nose and straighten a deviated one by breaking the nasal bones
Often, the outcome of a surgery performed by these conventional tools was satisfactory but a significant percentage of nasal bones do not breake at the exact spot the surgeon would prefer or the osteotomy line is not the perfect one.
This created slight or serious deformities or even nasal breathing problems
Moreover, the bony part of the surgery was always the totally blind part of the operation even when an open approach was followed
It must also be highlighted that the only way to narrow a wide nose was to break and relocate the nasal wall while there was no possibility to
reduce the actual thickness of the bone itself

So, with Piezo the surgeon:

• Can actually see the bone he wants to modify
• Can sculpt even mobile bones easily, thus obliterating asymmetries that would be impossible to deal with by using conventional tools
• Has an excellent control of the hump he wants to remove
• Can remove any kind of bony spur with precision
• Can reduce the actual thickness of the nasal bones, particularly in patients with pronounced features.
  
• Can easily deal with mobile bones immediately after a severe injury, as well as in cases where he wants to correct an osteotomy line or even at the end of the surgery where the bony vault is mobile
• Easily preserves the skin, the mucosa, the vessels and all the surrounding soft tissues because piezo affects only hard tissues like bones and firm cartilages like rib cartilages
• Can perform lateral osteotomies at the exact line he wants because he operates under direct vision and not blindly by using only palpation
• Especially in revision surgeries, he can operate with great precision and safety without the risk of an osteotomy that follows the “wrong path” of the old osteotomy

After taking your personal history, Dr.Mireas performs and records an endoscopy of your nose in order to explain to you on the screen everything concerning the architecture of your nose, like septum deviations, spurs, inferior turbinates’ hypertrophy as well as any other anatomical issues.

Then, with the use of the Vectra 3D Imaging System of Canfield Scientific, NJ – USA which is the most advanced and sophisticated system worldwide for rhinoplasty surgeries, a 3D image of your face is taken and analyzed. Together with Dr. Mireas you can discuss about everything you might want to change to your nose and actually see it in the 3D simulator and finally decide what’s the best choice for your face, eliminating all your worries and hesitations prior to surgery

The day of the surgery you have to be at the hospital just 2 hours prior to the scheduled operation

Our Specialized Anesthesiologist will examine you after reviewing your full preoperative examination results, which include blood tests, chest X-rays and HCG

The duration of the surgery varies from 1.5 to 4 hours depending on the case

We usually use an internal ointment instead of any kind of internal packing to avoid the discomfort of removal

We place a small external plastic splint which is removed 6-7 days after surgery

Just 6 hours after the surgery you can leave the hospital. You can also leave the next day if you find it more convenient to you

You will have to take antibiotics for just 3 days post op and take care of your internal nose cleaning by using nasal wash and an ointment for lubrication

No painkillers are prescribed because the post-op period is totally painless with our Diamond Piezo Rhinoplasty

Four to six days after surgery we remove the external thermoplastic splint that was placed during the operation. This removal is totally painless and lasts only one minute.

We usually perform a slight cleaning of the nose and we remove three tiny stiches. The whole procedure lasts no more than 5 minutes and is completely painless.

After splint removal the patient can safely return home at once. For international patients we must highlight that they are fit to fly without any kind of restriction regarding their destination. Even patients who have to travel overseas can return back home safely.

Post-op care is simple and includes internal nasal cleaning with natural saline (or similar products) followed by lubricating nasal ointment placement, three times per day for a month

For more detailed post-op instructions click here

Medically speaking there is no reason for any more visits to our Center because Diamond Piezo Rhinoplasty has a guaranteed and controllable result

Even so, within the strong relationship we develop with our patients, we recommend a second visit 1 year after surgery as well as another one in the 3^rd or 5^th year postop. Patients from abroad honor us by sending several photos by email from their home countries

See a step by step procedure towards your rhinoplasty surgery. Starting from your first visit to our Rhinoplasty Center, passing through the Surgery day and reaching the easy post-op period.

Watch several photos, videos and authentic testimonials of various rhinoplasty cases.

• A meticulous examination of your nose structure.
• 3D Rhinoplasty simulation with the Vectra 3D Imaging System of Canfield Scientific, NJ – USA. This is the only place in Greece where you can find the sophisticated system and see for yourself the final outcome of your nose job in 3D
• With the VIP-Rhinoplasty concept in our dedicated Exelixis Medical Center and our specially designed Medical Tourism Procedure we serve patients from all over the world, offering the highest services one could ask for

• The New Diamond Ultrasonic Piezo Rhinoplasty that allows the surgeon to “sculpt” the nose and replaces osteotomes and saws has been performed in Greece since 2017 by the rhinoplasty expert Dr. George Mireas

• Totally painless post-op period. No pain killers needed.