Rhinoplasty Korea

This lady in below photos had nasal deviation, hump nose, and tip ptosis with breathing difficulty. Septum was corrected first, and this made the lower 2/3 of the nose straight. Hump was not resected but rasped with Piezotome and this did not breach the keystone area, which made spreader grafts unnecessary.Bilateral osteotomies with Piezotome made her bone straight. Together with septum correction and effective osteotomies, her nose became straight from the frontal view. Tip was modified with sutures and onlay graft only. No strut or septal extension graft was used and this made the tip soft even after considerable amount of rotation and projection increase. Radix was augmented with bruised cartilage. Overall, she could breath much better after surgery and her nose became more harmonious and feminine.

Management of bone in rhinoplasty includes bony hump resection, septal bone correction, and deviated nasal bone osteotomies. All these can be done efficiently with ultrasonic instrument. Advantages of ultrasoninc instrument over conventional method are less bleeding, less swelling, and greater control of fine bone adjustment. Patient can benefit a lot from this instrument, while doctors are more confient in bone managing techniques. I delcalre that I have no financial interest with the manufacturing company.

Bone cutting in rhinoplasty is an essential part for nasal bone modification. It is necessary to correct a deviated nose, to remove the hump, and to narrow/widen nasal bone. It is the most invasive surgical technique in rhinoplasty and causes edema and brusing of the nose. Most surgeons use osteotome for cutting the bone. It literally cuts the bone with physical strength like we cut apple with knife. The common problem of cutting the bone with conventional osteotome is difficulty in fine control of the cut. It is also blindly done under the skin relying on the tactile sense of the surgeon. New ultrasonic osteotome called Piezotome uses the ultrasonic power to cut the bone. It enables fine cutting of the bone with easy control and causes less bone loss. It is done under direct vision after wide skin elevation, which causes less edema and brusing on the contrary to the common belief that edema will increase with wide skin elevation. The use of this equipment is slowly increasing rec...