- 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
The revolutionary technique, Dr. Mireas' expertise and Greece’s global representation.
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).
Dr. Mireas was trained by these two pioneers of the system in Paris
and Hamburg and finally became the Greek Expert in Ultrasonic Surgery in
- Today, piezo is globally accepted as the most sophisticated surgery system for rhinoplasties, whether primary or revision.
- It allows the surgeon to achieve much better results as well as performing the surgery with greater accuracy and under the absolute control of the surgical area
These are the main reasons why since 2017 Dr.Mireas has exclusively utilized piezo in all the rhinoplasties he performs.As a rhinoplasty expert and opinion leader for the Piezo rhinoplasty system, Dr. Mireas is an invited speaker and round table’s moderator at the most prestigious Congresses and Rhinoplasty Meeting globally representing Greece’s ENT community
Old Techniques and their Drawbacks
The main fear of patients was always the “bone breaking” during a rhinoplasty surgery and
a constant desire was to avoid that
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