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With Piezo Technology

Rhinoplasty, or nose surgery, is one of the most common plastic surgery procedures performed today. It can reshape, reduce or augment a person’s nose to achieve facial harmony and boost self-confidence. It may be performed as a reconstructive procedure to correct a birth defect or an injury such as a broken nose.

Rhinoplasty may be performed for functional rather than cosmetic reasons as well. Combining nose reshaping with septoplasty or endoscopic sinus surgery can effectively treat certain breathing problems, such as those caused by a deviated septum.

What can rhinoplasty do for me?


Rhinoplasty is an excellent procedure for achieving the following:

  • Balance the size of the nose with the other facial features

  • Modify the width of the nose at the bridge

  • Improve the nasal profile, including removing humps or depressions

  • Contour a nasal tip that is too large, “boxy,” drooping or upturned

  • Change the angle between the nose and the mouth

  • Narrow and reshape the nostrils

  • Correct asymmetry or deviation


  Figure 1:  Before and After Rhinoplasty performed by Dr. De La Cruz


Am I a good candidate for rhinoplasty?


The best candidates for rhinoplasty:

  • Are at least 13 years old;

  • Have finished facial growth;

  • Are generally healthy;

  • Do not smoke;

  • Are seeking rhinoplasty for personal reasons, not pressure from others; and

  • Have realistic goals for the procedure.

How is the procedure performed?


Rhinoplasty is usually an outpatient procedure performed under IV sedation or general anesthesia.

Surgeons use one of two techniques when performing nose surgery. In a closed rhinoplasty, incisions are made within the nostrils. In an open rhinoplasty, the incision is made across the columella, the tissue between the nostrils. With both methods, the surgeon gently lifts the soft tissues covering the nose. He or she sculpts the bone and cartilage to the desired shape. Any additional cartilage needed to augment the nose can often be taken from the septum.

  Figure 2: Before & After Photos after Open Rhinoplasty with nasal tip modification (shield graft, cephalic trim & interdomal sutures.)

Note: Each patient is different. Results may vary individually.

If the patient has a deviated septum, the surgeon will adjust the septum and the inner structures of the nose to improve breathing. Then the tissues are re-draped and stitched closed. If the patient desires nostril reshaping, this is done as the final stage of rhinoplasty.

  Figure 3: Before & After Photos after Open Rhinoplasty with dorsal hump resection

Note: Each patient is different. Results may vary individually.


What is the recovery from nose surgery like?


For a short time after surgery, patients may experience puffiness, nose ache or a dull headache, some swelling and bruising, bleeding or stuffiness. Most patients feel like themselves within two days and return to work in about a week.

The results of rhinoplasty become gradually apparent as the days pass after surgery and swelling recedes. Swelling may reappear from time to time in the first year after the procedure. It is typically more noticeable in the morning and fades during the day.

Contact lenses can be worn immediately, but glasses may need to be taped to your forehead or propped on your cheeks for up to seven weeks.

Preservation Rhinoplasty with Piezo Technology


Preservation rhinoplasty with piezo is a cutting-edge surgical technique used to reshape the nose while preserving its natural structures. This innovative approach combines the principles of preservation rhinoplasty, which aims to maintain the integrity of the nasal tissues, with the precision and control offered by piezoelectric instruments.

Preservation rhinoplasty focuses on preserving the nasal bones, cartilage, and soft tissues rather than extensively removing or altering them. By doing so, this technique aims to achieve a more natural-looking and long-lasting result while minimizing the risk of complications.

Piezoelectric instruments are specialized surgical tools that utilize ultrasonic vibrations to precisely cut and shape bone and cartilage. These instruments are particularly advantageous in delicate areas like the nasal bones and septum, as they allow for controlled and precise sculpting without causing damage to the surrounding tissues.

Preservation rhinoplasty with piezo offers several notable benefits over traditional rhinoplasty techniques:

1. Preservation of nasal structures: By preserving the natural anatomy of the nose, preservation rhinoplasty with piezo helps to maintain the overall harmony and balance of the facial features, resulting in a more aesthetically pleasing outcome.

2. Reduced risk of complications: The precise cutting provided by piezoelectric instruments minimizes the risk of damage to surrounding tissues, blood vessels, and nerves. This can lead to reduced post-operative swelling, bruising, and a faster recovery time.

3. Improved nasal aesthetics and function: Preservation rhinoplasty with piezo allows for more accurate reshaping of the nasal bones and cartilage, enhancing both the appearance and function of the nose. This can help to address issues such as breathing difficulties or nasal asymmetry.

4. Long-lasting results: By preserving the natural structures of the nose, preservation rhinoplasty with piezo can provide more stable and long-lasting results compared to traditional rhinoplasty techniques.

It's important to note that preservation rhinoplasty with piezo is an advanced technique that requires the expertise and experience of a skilled rhinoplasty surgeon. Each patient's case is unique, and a comprehensive evaluation is necessary to determine the suitability of this technique for their specific needs and goals.

In summary, preservation rhinoplasty with piezo offers a cutting-edge approach to nose reshaping surgery, providing patients with a more natural-looking and long-lasting result while minimizing the risk of complications. This technique represents a significant advancement in the field of rhinoplasty, offering improved aesthetics and functional outcomes for individuals seeking nasal refinement.

Dr. De La Cruz’s goal with your rhinoplasty procedure is to plan the surgery with you, perform the planned procedure, take extra precaution during surgery, and most important of all is to be safe and yet achieve utmost optimal outcomes. The ultimate goal would be to tailor one’s nose so that it will be harmonious with your other facial features.

» Schedule your Nose Reshaping/Rhinoplasty Consultation with Dr. De La Cruz today by calling 832.776.1134

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