In the classical method, which has been used since the first years of modern rhinoplasty, uncontrolled fractures and cracks occurred while breaking the bone with chisel and hammer. People tried to prevent this, alternatively some surgeons started breaking or shaving bones with more gentle tools. At this stage, in parallel with technological developments, piezo, or ultrasonic bone cutter, emerged. We call the nasal aesthetics, which we shape the bone using this device, as Piezo Surgery, Ultrasonic Rhinoplasty.
In such noses, it is necessary to raise the nasal root, increase the definition of the nasal tip and narrow the nasal bleeds. Since it is different from a normal rhinoplasty, it is an operation that requires experience. We mostly shape the nose with the cartilage we take from the rib. There is no crushing of the nasal bones. Most of the time, no silicone sheets or tampons are placed inside the nose, as there is no intervention. The recovery period is faster and we can continue our normal lives in an average of 5 days.
What is important here is how and to what extent the nose structure has been changed in previous surgeries or surgeries. In revision rhinoplasty, an intervention should be planned for the problem. When we put the positive and negative features on a scale, it is useful to decide on surgery if the interventions we can make are worth the risk. Especially skin problems are one of the most difficult problems to solve. In case of any skin defect or dissatisfaction with the shape of the nose due to skin thickness, it should be discussed in detail. While problems can be corrected mostly in revision surgeries, some problems cannot be fixed. Keeping the expectations realistic is the most important rule of this surgery.
The cartilaginous partition called septum in the nose can sometimes be curved due to traumatic effects and sometimes genetically, which is a problem that seriously affects our breathing. Again, the structures we call concha are responsible for heating and humidifying the air we take from the nose. However, sometimes when these turbinates become too large, it is called concha hypertrophy and can lead to nasal congestion. Apart from these, in cases of nasal polyposis or chronic sinusitis, functional endoscopic sinus surgeries are among the functional nose surgeries we frequently perform and can be performed in the same session with rhinoplasty. Again, in patients with problems such as snoring and sleep apnea, snoring surgery can be performed by intervening in structures such as soft palate and tongue root.