Ultrasonic rhinoplasty, myths and truths

Abstract

Introduction: Facial plastic surgery has a constant evolution in its technique, analysis, and results. Rhinoplasty is one of the most frequent surgeries of facial plastic surgery, for this surgery metal instruments have been used since the beginning of history that cut in the most appropriate way possible to leave the nasal dorsum without irregularities, straighten the nasal pyramid and reduce asymmetries of the nasal bones. Nowadays we have steel parts for surgical medical use, rotary and oscillating mechanical cutting parts, which allow precise cuts through macro vibrations. For a few years, we have available the ultrasonic scalpel that allows cutting through micro vibrations while performing hemostasis thanks to the cavitation effect generated by the ultrasound, with better quality in the desired fracture stokes and fewer tissue injuries resulting in less trauma, decreasing at the macro level the manifestations such as bleeding, ecchymosis, bruising, swelling, and post-surgery pain. Objective: The objective of this article is to update nose surgeons interested in knowing ultrasonic technology and its benefits in nose surgery. Discussion and conclusions: Rhinoplasty involves research and advancement in both technique anatomy and technology. We now have ultrasonic micro-vibration equipment related to piezoelectricity that provides conditions that improve both the quality of the results and the comfort of the patient in the postoperative period due to less bleeding, less inflammation, less pain, less soft tissue injury, and better-quality results.