Piezosurgery: A True Revolution for Nasal Bone Osteotomies in Rhinoplasty

1 BackGROund In line with the modern trend toward minimally invasive surgery, the use of ultrasonic waves for cutting bone has recently been introduced in oral and maxillofacial surgery. This generally results in no visible injury to the adjacent soft tissues from the generated micromovements.1,2 In rhinoplasty, the lateral osteotomy technique should not only be precise, reproducible, and safe but also minimize postoperative sequelae, including ecchymosis and edema. The goal of this surgical step is to mobilize the nasal bones while simultaneously maintaining an esthetic contour. The use of ultrasound in rhinoplasty has the coincident aim of minimizing the surgical approach and overcoming many of the complications of this procedure.3,4 We present our own experience with a piezosurgery approach for nasal osteotomies, emphasizing the advantages of this method. We also suggest an innovative approach based on the navigation of the piezosurgery device.5