![]() ![]() Today, rhinoplasty surgeons are doing so well that expectations have risen tremendously. Until a few years ago, we could manage this situation, saying that nobody’s perfect, that such a level of irregularity was normal after rhinoplasty. Moreover, it is extremely difficult to use classical techniques to see and shape the bones in the posterior/deep parts of the nasal bone roof.Ĭonsequently, even in the hands of the world’s most experienced surgeon, the rate of having issues related to the bone roof is around 10-15%. Similarly, curvatures in the nasal bones may manifest themselves in very complex and asymmetrical geometries. Nasal bones may be thicker in some places and thinner in others. This is because each person’s bone anatomy is quite different from another person’s. Naturally, more elegant, more diverse and more anatomical instruments were designed, but the essential principle did not change.ĭon’t get me wrong: Michelangelo sculpted the statue of David with much more primitive tools, and in the hands of an experienced surgeon, these classical metal instruments can be used to shape nasal bones very smoothly and precisely. Interestingly, over the next 100 years, more or less the same tools were used to shape bone structures in rhinoplasty. These mainly included saws, files, chisels, bone shears and hammers. Over the years, Joseph invented many hand pieces that were used to cut, break and shape the nasal bones. Such breaking of the bones caused unwanted deformities as well as a failure of the fracture lines to pass through the desired points. In his earlier operations, Joseph, the father of rhinoplasty and also an orthopedist, used to break the nasal bones by hitting them with a hammer over the skin and shape them later. Surgical techniques were applied through the nostrils without a chance of seeing the anatomy of the nose, and the aim was not to correct the anatomy of the nose, but to change its shape. When rhinoplasty was first discovered 100 years ago, it was an almost completely closed surgical procedure. Here is the short story, advantages and disadvantages of the “piezo” technology, which is on everyone’s lips at all international meetings. We can say that this technology has had the greatest global impact in the field of rhinoplasty. ![]() The procedures you may have heard about under different names such as ultrasonic rhinoplasty, ultrasonic bone cutting and piezo all refer to the same scientific procedure. This forms the basis of ultrasonic bone cutting technology and is called the “piezo” effect. Sound waves are intensified via a crystal interface and directed at the bone, leading to a controlled degradation of the mineralized layer and type 1 collagen structure in the bone. ![]()
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