Piezoelectric Rhinoplasty and Balloon Sinuplasty

Taking surgery of the nose and sinuses to a new level

The constant of surgical advancement irrespective of specialty is to develop procedures and technology that make intervention faster and quicker, the results better, and the downtime minimal.

            For over a decade surgeons have been advancing the field of balloon sinuplasty, a procedure developed by the brilliant scientists who invented balloon dilation of heart vessels.  This is an amazing procedure for sinus sufferers.  It is performed as a quick minimally invasive office procedure, and patients typically return to all activities within a day or two.  It has truly revolutionized the concept of minimally invasive sinus surgery which has its American origins at the Johns Hopkins Hospital in 1985.

Patient photos from before and after piezoelectric rhinoplasty surgery by Dr. Nathan Nachlas in Boca Raton, FL

            Piezoelectric rhinoplasty is perhaps not a ‘revolution’ in rhinoplasty surgery, but definitely an evolution in the concept of precise sculpting of the nasal framework, reducing postoperative swelling, bruising, and unwanted irregularities that resulted from more traditional techniques.  Piezoelectric energy molds the bones through ultrasonic vibration, eliminating the need for hammers and chisels (the old ‘breaking the bones’ methodology). This allows the surgeon to sculpt the bones like a sculptor working with wet clay rather than chiseling marble or other stone.

Piezoelectric Sculpting with The Total Nose Approach

            Three decades ago we begun and popularized the ‘Total Nose’ concept as minimally invasive sinus procedures were added to improved rhinoplasty technology.  These technologic and conceptual advances enabled us to treat internal and external nasal issues at the same setting with minimal patient discomfort.  Piezoelectric sculpting has now taken this to a new level.  Eliminating the need to ‘break the bones’ significantly decreases the traditional swelling around the nose and eyes that resulted.

            Balloon Sinuplasty can be readily combined with most rhinoplasty techniques to treat accompanying symptoms of chronic sinusitis that many of our patients report.  The ‘Total Nose’ procedures are performed in an outpatient setting, involve no nasal packing, and with the use of piezoelectric energy to mold the bones, result in little or no bruising afterwards.

patient images before and after piezoelectric rhinoplasty surgery by Dr. Nathan Nachlas

About Dr. Nachlas 

Dr-Nachlas-1            Dr. Nathan Nachlas is a double boarded facial plastic and reconstructive surgeon and otolaryngologist, who was the Chief Resident of the Department of Otolaryngology/ Head and Neck Surgery at the Johns Hopkins Hospital in 1985, the year that minimally invasive sinus surgery was introduced in the United States at that Institution.  He has been one of the nation’s pioneers in minimally invasive sinus techniques including computer assisted balloon sinuplasty.  He first described the ‘Total Nose’ approach for combined rhinoplasty/sinus procedures in 1990 and has been at the forefront of its adoption in the United States.  For more information, please contact Sandy Friedman, Director of Patient Relations, Nose and Sinus Institute of Boca Raton, at 561-939-0909.


Tagged before and after pictures, Combining Rhinoplasty, Rhinoplasty, rhinoplasty surgery, rhinoplasty surgeon, revision rhinoplasty