Piezo Ultrasonic Rhinoplasty: What Is Ultrasonic Bone Sculpture and How Is It Used?
Updated: Oct 4
Last reviewed: 4 October 2026 — Mr Tim Biggs, PhD, FRCS (ORL-HNS)Consultant Rhinologist & Facial Plastic SurgeonRoyal College of Surgeons Board Certified in Cosmetic Nasal Surgery
If you are researching modern rhinoplasty, you may have encountered several terms that sound different but are closely related:
Piezo rhinoplasty
ultrasonic rhinoplasty
ultrasonic bone surgery
ultrasonic osteotomy
ultrasonic bone sculpture
They all refer to the use of piezoelectric ultrasonic instrumentation to cut, reshape or contour bone during nasal surgery.
The important point is that Piezo is not a type of rhinoplasty in itself.
It is a precision surgical instrument.
It does not reshape the nasal tip, straighten the septal cartilage or automatically produce a particular style of nose. Instead, it gives the surgeon a highly controlled way of performing the bony part of rhinoplasty.
I use Piezo ultrasonic instrumentation whenever I perform bony work during rhinoplasty, septorhinoplasty or revision surgery.
This includes procedures such as:
removing or reducing a bony dorsal hump;
precisely reshaping nasal bones;
performing osteotomies;
narrowing a broad bony vault;
correcting asymmetric or crooked nasal bones;
performing dorsal preservation rhinoplasty;
treating post-traumatic deformity; and
selected bony corrections during revision rhinoplasty.
This guide explains what the technology actually does, where it is useful, what the scientific evidence shows and, equally importantly, what Piezo cannot do.
For an overview of all the techniques I use, see my rhinoplasty techniques page.
What is Piezo ultrasonic rhinoplasty?
Piezo rhinoplasty uses a surgical device that produces very high-frequency mechanical micro-vibrations.
Specialised tips attached to the device can be used to:
cut bone;
remove bone;
thin bone;
smooth bone; or
create precise osteotomy lines.
In surgical terminology these procedures can be described as:
Osteotomy
A controlled cut through bone.
Ostectomy
Removal of a defined portion of bone.
Osteoplasty
Reshaping or contouring bone.
The ability to perform all three with fine, directly controlled instruments is why Piezo has become particularly useful in modern rhinoplasty.
Why is it called “ultrasonic bone sculpture”?
The term bone sculpture describes one of the major differences between Piezo instrumentation and traditional nasal bone surgery.
Historically, substantial bony changes during rhinoplasty were commonly performed with instruments such as:
osteotomes;
chisels;
mallets; and
rasps.
These remain legitimate surgical instruments and can produce excellent results in experienced hands.
Piezo offers another approach.
Instead of relying primarily on mechanical force to cut or fracture bone, the surgeon can progressively sculpt, thin, smooth and divide bone under direct vision.
This can feel conceptually more like carving the desired contour than creating a fracture and then repositioning the resulting bone segments.
The term “ultrasonic bone sculpture” should not, however, be interpreted to mean that the nasal bones are somehow dissolved or reshaped without surgery.
It is still an operation.
Bone is still cut and remodelled.
The difference is the instrument used and the degree of control it can provide.
How does Piezo technology work?
Piezoelectric surgical systems convert electrical energy into very rapid mechanical movement at the instrument tip.
The amplitude of the movement is extremely small.
The specialised tip therefore oscillates rapidly against mineralised tissue and can progressively cut or abrade the bone.
This has an important surgical characteristic:
the device is designed to act selectively on mineralised tissue.
Soft tissues do not respond to the instrument in exactly the same way that bone does.
That means Piezo can allow very controlled work immediately adjacent to structures such as:
nasal mucosa;
soft tissue;
cartilage; and
blood vessels.
It would be wrong, however, to describe Piezo as incapable of damaging soft tissue.
No surgical instrument is risk-free.
Careful technique and direct visualisation remain essential.
The more accurate description is that Piezo can reduce unintended soft-tissue trauma compared with conventional bone-cutting techniques when it is used appropriately.
How is this different from traditional rhinoplasty bone surgery?
Traditional rhinoplasty commonly uses an osteotome and mallet to create bone cuts.
This can work extremely well.
However, an osteotome generally creates a fracture or cut by applying mechanical force through the bone.
A rasp can then be used to smooth or reduce irregularities.
Piezo gives the surgeon a different set of capabilities.
Traditional osteotomy
The surgeon positions an osteotome and mechanically advances it through the nasal bone.
Piezo osteotomy
The surgeon can create the osteotomy progressively under direct visual control using an ultrasonic tip.
Traditional rasping
A rasp mechanically files down the surface of the bone.
Piezo bone sculpture
Fine ultrasonic tips can remove very small amounts of bone progressively and can be used to contour specific areas.
Neither approach makes surgical planning unnecessary.
What Piezo changes is the precision with which the bony plan can be executed.
What is an osteotomy in rhinoplasty?
An osteotomy is a deliberately created cut through bone.
Osteotomies are frequently necessary in rhinoplasty when the nasal bones need to be:
narrowed;
moved;
straightened;
repositioned;
lowered; or
made symmetrical.
For example, after traditional removal of a large dorsal hump, the roof of the nose may be left open.
The nasal bones then need to be repositioned towards the midline.
Similarly, in dorsal preservation rhinoplasty, carefully designed osteotomies allow the intact nasal pyramid to be repositioned to a lower level.
Precise osteotomy placement therefore has a major effect on:
nasal width;
symmetry;
dorsal aesthetic lines; and
stability.
Piezo is particularly helpful because these cuts can be performed under direct visualisation.
What parts of the nose can Piezo treat?
Piezo is principally a bone instrument.
It is useful for the upper third of the nose, where the nasal bones form the framework.
Applications include:
Dorsal hump reduction
The bony component of a dorsal hump can be reduced or sculpted.
Osteotomies
Precise cuts can be created to mobilise and reposition the nasal bones.
Narrowing a broad nasal bridge
Wide nasal bones can be repositioned towards the midline.
Correction of a crooked nose
Asymmetric osteotomies and selective bone reshaping can help correct bony deviation.
Post-traumatic deformity
Previously fractured or irregular nasal bones can sometimes be precisely mobilised and remodelled.
Dorsal preservation rhinoplasty
Controlled osteotomies are an important part of many preservation techniques.
Revision rhinoplasty
Piezo can be useful when previous operations have left bony irregularities, asymmetry or residual deformity.
What can Piezo NOT do?
This is probably the most important distinction to understand.
Piezo does not perform an entire rhinoplasty.
It primarily treats bone.
The lower two-thirds of the external nose consist predominantly of cartilage and soft tissue.
Piezo therefore does not replace the techniques used for:
nasal tip refinement;
tip rotation;
tip deprojection;
cartilage suturing;
septoplasty;
most nasal valve reconstruction;
cartilage grafting;
columellar reconstruction;
alar rim grafting; or
nostril reshaping.
If a patient has a bulbous or drooping tip but no bony problem, using Piezo does not in itself solve the issue.
Likewise, a severe septal deviation cannot simply be “ultrasonically sculpted away”.
The instrument is one part of a much broader rhinoplasty strategy.
Does Piezo replace surgical skill?
No.
This is worth stating clearly because the word ultrasonic can make the technology sound as though it somehow automates the operation.
It does not.
Piezo does not decide:
where an osteotomy should be placed;
how much bone should be removed;
whether a hump should be preserved or reduced;
whether the nose needs to be narrowed;
whether an asymmetry requires different treatment on each side;
how the nasal valves should be protected; or
what final shape will best suit the patient's face.
The instrument gives the surgeon greater control over certain manoeuvres.
The surgeon still has to know which manoeuvres should be performed.
That distinction is fundamental.
Piezo and dorsal hump reduction
A dorsal hump can consist of both:
nasal bone; and
cartilage.
Piezo can be used to precisely reduce or contour the bony component.
The cartilaginous component requires different techniques.
This matters because a good dorsal reduction should create a smooth transition from:
radix → bony dorsum → cartilaginous middle vault → nasal tip.
Simply removing a prominent piece of bone without understanding the rest of the nasal architecture can create contour problems or destabilise the middle vault.
This is why Piezo should be considered a tool within a complete rhinoplasty plan rather than a stand-alone treatment for a hump.
Piezo and dorsal preservation rhinoplasty
Piezo works particularly well alongside dorsal preservation rhinoplasty.
In preservation surgery, the natural surface of the bridge is retained wherever appropriate.
Instead of cutting a dorsal hump away from above, carefully planned osteotomies and septal modifications allow the nasal pyramid to be lowered while maintaining much of the native dorsal structure.
Piezo allows these osteotomies to be performed very precisely.
It is useful for:
lateral osteotomies;
transverse osteotomies;
asymmetric osteotomies;
bony wedge removal;
fine contour adjustment; and
treatment of minor bony irregularities.
This combination of preservation principles and precision bone instrumentation is central to my current primary rhinoplasty practice.
I explain the technique in much greater detail in Dorsal Preservation Rhinoplasty: What Is It and Am I Suitable?.
You can also see an example in my Piezo dorsal preservation rhinoplasty case review.
Can Piezo straighten a crooked nose?
It can be extremely useful, although the answer depends upon why the nose is crooked.
A deviated nose may involve:
asymmetric nasal bones;
previous fractures;
a deviated dorsal septum;
asymmetric upper lateral cartilages;
tip deviation;
unequal cartilage strength; or
several of these problems simultaneously.
Piezo can precisely address the bony component.
This may involve:
releasing a deviated nasal bone;
creating different osteotomies on each side;
smoothing an old fracture;
correcting an irregular bony contour; or
repositioning the bony pyramid.
But if the septum and cartilage are also deviated, those structures must be corrected separately.
A crooked nose is therefore rarely treated simply by “using Piezo”.
It requires a three-dimensional assessment of the complete nasal framework.
Piezo in post-traumatic rhinoplasty
Previous nasal fractures can leave:
asymmetric nasal bones;
palpable steps;
excessive width;
narrowing;
irregular contours; or
a nose deviated away from the midline.
Piezo can be particularly helpful because it permits highly targeted work on individual areas of abnormal bone.
Old fracture lines do, however, make surgery less predictable.
The nose may need to be mobilised along a different line from the original injury, and cartilage or septal reconstruction may be required at the same operation.
Can Piezo be used in revision rhinoplasty?
Yes.
I use Piezo for bony work in revision rhinoplasty where appropriate.
Revision cases may have:
irregular bone after previous osteotomies;
a residual bony hump;
persistent deviation;
asymmetric healing;
excessively broad nasal bones; or
bony contour irregularities.
The precision of ultrasonic instrumentation can be particularly useful where the objective is to make a controlled correction without unnecessarily disturbing neighbouring structures.
However, many revision problems relate predominantly to cartilage loss, scar tissue or structural weakness, and these require reconstructive techniques rather than ultrasonic bone surgery.
You can read more in my detailed guide to revision rhinoplasty in the UK.
Can Piezo help preserve nasal breathing?
Potentially, but Piezo itself does not improve breathing.
Good functional rhinoplasty depends upon correctly diagnosing and treating the cause of obstruction.
That might include:
septal deviation;
internal nasal valve narrowing;
external nasal valve collapse;
turbinate enlargement;
structural asymmetry; or
post-traumatic narrowing.
Where bony movement forms part of the reconstruction, precise osteotomies can help the surgeon alter the external framework while protecting important neighbouring structures.
But breathing outcomes depend on the whole operation, not simply the device used to cut the nasal bones.
This distinction is particularly important in functional septorhinoplasty.
Does Piezo cause less bruising and swelling?
This is one of the best-studied potential benefits.
The evidence overall suggests that Piezo osteotomy is associated with less early postoperative bruising and swelling than conventional osteotomy, although individual study results have varied.
A 2022 systematic review and meta-analysis included 10 comparative studies and 554 patients. Piezoelectric osteotomy was associated with statistically lower postoperative oedema, ecchymosis and pain and a lower rate of mucosal injury. The authors nevertheless rated the overall supporting evidence as relatively weak because of limitations in the available studies.
More recently, a 2026 GRADE-assessed systematic review and meta-analysis of randomised controlled trials included 19 trials involving 905 patients.
It reported:
less oedema with Piezo at postoperative days 2 and 7;
less ecchymosis at days 1, 2 and 7;
lower pain at day 2; and
fewer mucosal injuries.
Importantly, the difference was not statistically significant at every postoperative time point, and the evidence should not be interpreted as meaning that every patient undergoing Piezo rhinoplasty will have no bruising.
The more accurate message is:
Piezo appears to reduce early postoperative soft-tissue morbidity compared with conventional osteotomy, but it does not eliminate swelling or bruising. PubMed
Why might there be less bruising?
Bruising around the eyes following rhinoplasty relates partly to tissue trauma associated with mobilisation of the nasal bones.
Traditional osteotomy transmits mechanical force through the bone and surrounding tissues.
Piezo allows the surgeon to create a controlled osteotomy under direct vision, potentially causing less disruption to:
periosteum;
nasal mucosa;
small vessels; and
surrounding soft tissue.
This is biologically plausible and supported by several clinical studies.
However, technique matters.
One randomised controlled trial in which both Piezo and conventional osteotomies were performed after extensive subperiosteal exposure found no significant difference in oedema or ecchymosis between the two groups, suggesting that surgical tissue handling itself is a major determinant of postoperative swelling and bruising. PubMed
This is a useful reminder that the device alone does not determine recovery.
Does Piezo mean there will be no black eyes?
No.
Some patients have almost no visible bruising.
Others develop bruising despite Piezo surgery.
This depends on many factors, including:
the extent of bony work;
individual anatomy;
tendency to bruise;
osteotomy design;
tissue handling;
previous trauma or surgery; and
individual healing response.
It would therefore be inappropriate to promise “no bruising” after ultrasonic rhinoplasty.
Does Piezo make rhinoplasty recovery faster?
It can make the early recovery easier, particularly where significant bony work is required.
That is different from saying it makes the nose heal completely faster.
Most patients can expect approximately:
7 days: splint removal;
7–10 days: often socially presentable;
2 weeks: substantial improvement in early bruising/swelling;
several months: continued reduction in nasal swelling;
9–12 months or longer: final refinement, particularly at the tip.
Piezo mainly influences the tissue trauma associated with the bony portion of surgery.
It does not eliminate the normal biological healing required after cartilage work, tip surgery or scar formation.
For a detailed timeline, see my rhinoplasty recovery and aftercare information.
Does Piezo give a better final cosmetic result?
This needs a nuanced answer.
The strongest evidence currently relates to early postoperative morbidity—particularly bruising, swelling, pain and mucosal injury—rather than proving that Piezo automatically produces a better final-looking nose.
Piezo gives the surgeon:
precise osteotomies;
controlled bone removal;
direct visualisation;
smooth contouring; and
the ability to make very small adjustments.
Those characteristics may be advantageous when executing a precise aesthetic plan.
But there is no device that substitutes for:
good patient selection;
surgical planning;
understanding facial proportions;
cartilage management;
nasal valve knowledge;
tip surgery; and
experience.
So I would not tell a patient:
“Piezo gives better rhinoplasty results.”
I would say:
“Piezo gives me a more precise tool for the bony part of the operation.”
That is both more accurate and more meaningful.
Is Piezo safer than traditional osteotomy?
The evidence suggests a reduction in certain forms of early morbidity, particularly mucosal injury, bruising and swelling. PubMed
But it should not be interpreted as meaning that Piezo rhinoplasty is inherently “safe” while conventional surgery is unsafe.
Traditional osteotomes have been used successfully for many decades.
Piezo also introduces its own technical considerations.
These include:
the need for appropriate irrigation;
avoiding prolonged contact that may generate heat;
careful handling around thin bone;
appropriate tip selection; and
familiarity with the equipment.
As always, outcomes depend heavily on the surgeon's training and experience.
Are there disadvantages to Piezo?
Yes.
No technology is without trade-offs.
Potential disadvantages include:
Equipment cost
Piezo systems and specialised tips are considerably more expensive than conventional instruments.
Learning curve
The technique requires specific training and experience.
Surgical exposure
Some manoeuvres require adequate exposure of the bony framework so that the surgeon can see and control the Piezo tip accurately.
Operative time
Early studies suggested Piezo could increase operative time, although more recent meta-analysis has not demonstrated a consistent significant difference in osteotomy duration. PubMed
It only treats bone
Much of rhinoplasty is cartilage and soft-tissue surgery, so Piezo does not replace conventional rhinoplasty expertise.
Open versus closed Piezo rhinoplasty
Piezo can be incorporated into both open and closed rhinoplasty techniques.
I perform the majority of cosmetic rhinoplasty procedures through an open approach.
This provides excellent visualisation of:
the bony dorsum;
nasal tip;
septum;
upper lateral cartilages;
nasal valves; and
overall structural framework.
Direct visualisation is particularly valuable when performing detailed ultrasonic bone contouring.
The small columellar incision usually becomes inconspicuous with healing.
For more information, see Rhinoplasty Scars: What to Expect and Why They're Almost Invisible.
Does every rhinoplasty need Piezo?
No.
Some noses require very little or no bony work.
For example, surgery focused predominantly on:
nasal tip shape;
tip projection;
nostril shape;
soft-tissue asymmetry; or
limited cartilage correction
may require little ultrasonic bone surgery.
However, when I undertake bony work, I use Piezo instrumentation rather than traditional osteotomes for that component of the operation.
This is different from saying that every part of every rhinoplasty is performed with Piezo.
Piezo versus dorsal preservation: are they the same thing?
No.
This is another common source of confusion.
Piezo rhinoplasty describes the instrument used to operate on bone.
Dorsal preservation rhinoplasty describes a surgical strategy for managing the nasal bridge.
They can be used together.
For example, during a dorsal-preservation operation I may use Piezo to create the controlled osteotomies that allow the nasal bridge to be repositioned.
But:
Piezo can be used without dorsal preservation; and
dorsal preservation can technically be performed without Piezo.
They are complementary techniques, not synonyms.
Piezo versus “diamond rhinoplasty”
Patients sometimes encounter other marketing terms describing powered or precision nasal surgery.
The important questions are not the branding terms.
Ask:
What instrument is actually being used?
What part of my nose is it intended to treat?
Why is that technique appropriate for my anatomy?
What evidence supports its proposed benefit?
What other structural work will be required?
A surgical device should support a good operative plan rather than become the plan itself.
What does the scientific evidence show?
Piezo rhinoplasty has now been assessed in multiple randomised trials and several systematic reviews.
2020 systematic review and meta-analysis
A meta-analysis comparing Piezo with conventional lateral osteotomy reported reductions in postoperative oedema, ecchymosis, pain and mucosal injury. PubMed
2022 systematic review and meta-analysis
This included 10 studies and 554 patients, including nine randomised trials.
Piezo was associated with:
reduced oedema;
reduced ecchymosis;
reduced pain; and
lower odds of mucosal injury.
The authors nevertheless stressed limitations in the quality of the evidence and the shortage of patient-reported outcome data. PubMed
2024 meta-analysis of randomised controlled trials
A review of 12 RCTs again found lower postoperative oedema and ecchymosis at several measured time points following Piezo surgery. PubMed
2026 GRADE-assessed review
The most recent review included 19 randomised studies involving 905 patients.
It found benefits in early bruising, swelling, pain and mucosal preservation at several postoperative time points.
Notably, differences were not present at every assessment point, which reinforces the need to describe the evidence accurately rather than promise a bruise-free recovery. PubMed
Overall, I consider the evidence supportive of Piezo as a useful precision bone instrument, particularly for reducing early morbidity.
What the literature does not currently establish is that Piezo alone guarantees a superior long-term aesthetic result.
Why I use Piezo for rhinoplasty
My reason for using Piezo is primarily control.
Modern rhinoplasty is increasingly focused on preserving favourable structures and making targeted changes rather than unnecessarily dismantling the nasal framework.
Piezo fits that philosophy well.
It allows me to:
see the bone I am treating;
make precise osteotomies;
remove very small amounts of bone;
perform asymmetric corrections;
smooth bony transitions;
integrate bone surgery with dorsal-preservation techniques; and
minimise unnecessary tissue trauma.
When the operation does not require bone work, Piezo adds nothing.
When accurate bony modification is required, I find it extremely useful.
Piezo rhinoplasty in Hampshire
I am Mr Tim Biggs, Consultant Rhinologist and Facial Plastic Surgeon, specialising in functional, cosmetic and revision nasal surgery.
I routinely combine Piezo ultrasonic bone instrumentation with:
dorsal preservation rhinoplasty;
structural rhinoplasty;
functional septorhinoplasty;
nasal valve reconstruction; and
revision rhinoplasty.
Cosmetic rhinoplasty and septorhinoplasty surgery is performed at Adnova Clinic, Fareham, Hampshire.
You can explore:
Frequently Asked Questions About Piezo Ultrasonic Rhinoplasty
What is Piezo rhinoplasty?
Piezo rhinoplasty uses piezoelectric ultrasonic instrumentation to precisely cut and reshape the nasal bones. It is a tool used during rhinoplasty rather than a separate type of rhinoplasty operation.
Is ultrasonic rhinoplasty the same as Piezo rhinoplasty?
Yes. The terms are commonly used interchangeably. Piezoelectric technology produces ultrasonic mechanical vibrations that allow specialised tips to cut and reshape bone.
What is ultrasonic bone sculpture?
Ultrasonic bone sculpture describes the use of Piezo instruments to progressively contour, reduce or smooth nasal bone rather than relying solely on conventional rasps or mechanically created fractures.
Does Piezo cut cartilage?
Piezo is primarily designed for mineralised tissue such as bone. Cartilage and soft-tissue components of rhinoplasty require other surgical instruments and techniques.
Can Piezo remove a dorsal hump?
It can precisely reduce the bony component of a dorsal hump. The cartilaginous component must be managed separately or preserved as part of a dorsal-preservation technique.
Is Piezo useful for crooked noses?
Yes. Piezo can be particularly useful for precise asymmetric osteotomies and correction of bony deviation. A crooked nose often also involves septal and cartilaginous asymmetry, which requires additional treatment.
Can Piezo be used in dorsal preservation rhinoplasty?
Yes. Piezo is particularly useful for the precise osteotomies required during push-down and let-down dorsal-preservation techniques.
Can Piezo be used in revision rhinoplasty?
Yes. It can be useful for treating residual bony humps, irregular bone, previous osteotomy lines and persistent bony deviation. Revision problems involving cartilage loss or structural collapse require additional reconstructive techniques.
Does Piezo reduce bruising?
Systematic reviews and randomised trials suggest that Piezo osteotomy is associated with less early postoperative bruising compared with conventional osteotomy. It does not guarantee that a patient will have no bruising.
Does Piezo reduce swelling?
Evidence suggests a reduction in early postoperative oedema at several measured time points. However, normal rhinoplasty swelling still occurs and final nasal refinement takes many months.
Is Piezo rhinoplasty less painful?
Some meta-analyses have found lower early postoperative pain scores with Piezo osteotomy, although pain experience varies considerably between individuals.
Is Piezo safer than traditional rhinoplasty?
Piezo has been associated with lower rates of mucosal injury and reduced early morbidity in comparative studies, but no surgical instrument is risk-free. Traditional osteotomy can also be safe and effective in experienced hands.
Is Piezo rhinoplasty better than traditional rhinoplasty?
Piezo provides greater control for certain types of bony work, but it does not automatically produce a better rhinoplasty result. Surgical planning, anatomy, technique and experience remain more important than the instrument alone.
Will Piezo make my recovery quicker?
It may make the early postoperative period easier by reducing some bruising and swelling. It does not substantially shorten the months required for the nose to reach its final result.
Does every rhinoplasty need Piezo?
No. Some rhinoplasty operations require little or no bone work. Piezo is useful specifically where the nasal bones need to be cut, mobilised, reduced or reshaped.
Do you use Piezo in every rhinoplasty?
I use Piezo whenever bony work is required during rhinoplasty. Other parts of the operation, including septal, tip and cartilage surgery, require different instruments and techniques.
Can Piezo improve nasal breathing?
Piezo itself is not a treatment for nasal obstruction. It can form part of functional septorhinoplasty when accurate repositioning of the bony framework is required. The actual cause of obstruction must also be identified and treated.
Is Piezo rhinoplasty open or closed?
Piezo can be used with either approach. I perform most cosmetic rhinoplasty procedures through an open approach because it provides excellent visualisation of the nasal framework.
How long does swelling last after Piezo rhinoplasty?
Most visible bruising and early swelling improve substantially during the first two weeks. Residual nasal swelling continues to improve over several months, and the nasal tip may take 9–12 months or longer to fully refine.
Where is Piezo rhinoplasty performed?
I perform cosmetic Piezo rhinoplasty and septorhinoplasty at Adnova Clinic in Fareham, Hampshire.
References
Piezoelectric Versus Conventional Rhinoplasty: A GRADE-Assessed Systematic Review and Meta-analysis of Randomized Controlled Trials. Aesthetic Surgery Journal. 2026. Nineteen studies involving 905 patients were included; Piezo was associated with improvements in several measures of early oedema, ecchymosis, pain and mucosal injury. PubMed
Fallahi HR et al. Piezoelectric Osteotomy versus Conventional Osteotomy in Rhinoplasty: A Systematic Review and Meta-analysis. Plastic and Reconstructive Surgery. 2022. Ten studies involving 554 patients were included. PubMed
Is Piezosurgery Associated with Improved Patient Outcomes Compared to Conventional Osteotomy in Rhinoplasty? A Systematic Review and Meta-Analysis of RCTs. 2024. Twelve randomised controlled trials were evaluated. PubMed
Piezoelectric or Conventional Osteotomy in Rhinoplasty? A Systematic Review and Meta-Analysis of Clinical Outcomes. 2020. The study reported reductions in early oedema, ecchymosis, pain and mucosal injury with Piezo osteotomy. PubMed
Taşkın Ü et al. The comparison of edema and ecchymosis after piezoelectric and conventional osteotomy in rhinoplasty. 2017. Prospective double-blind randomised controlled study of 90 patients. PubMed
About the author
Mr Tim Biggs, PhD, FRCS (ORL-HNS) is a Consultant Rhinologist and Facial Plastic Surgeon specialising in cosmetic rhinoplasty, functional septorhinoplasty and revision nasal surgery.
He has completed advanced fellowship training in rhinology and facial plastic surgery and holds Royal College of Surgeons certification in cosmetic nasal surgery.
His rhinoplasty practice incorporates Piezo ultrasonic bone surgery, dorsal preservation, structural reconstruction and functional nasal airway surgery.
Cosmetic rhinoplasty and septorhinoplasty surgery is undertaken at Adnova Clinic, Fareham, Hampshire.
Private Secretary:
Natasha Read Email: timbiggssec@adnovaclinic.com
Telephone: 01489 663273
