In 2014, Mr Bast completed the prestigious craniofacial and facial-plastic fellowship at Chelsea and Westminster Hospital, London. Mr Bast completed his higher surgical training at the University of Heidelberg and the University of Berlin, Germany and became a specialist in otorhinolaryngology, head and neck surgery in 2011. Prior to this Mr Bast was appointed as an ENT consultant at the University of Berlin, Germany. Mr Florian Bast is a consultant ENT surgeon based at the Harley Street Nose Clinic and at Guy's and St Thomas' Hospitals in London. What are the risks of the Piezo techniques for rhinoplasty?Īs the bone shaping is performed under direct vision, the surgical technique used to allow this means there is a small increased risk of swelling in the first 48 hours after surgery.ĭo not hesitate to book a first consultation with Mr Bast if you’re considering rhinoplasty. The bone regeneration, wound healing, and recovery is fast, leading to a stable and long term result. After surgery, patients generally experience less pain, swelling and bruising. As these incisions are precise, they allow for maximal protection of bone volume. What are the advantages of an ultrasonic nose job?ĭuring the surgery, the surgeon can make direct, precise, and selective incisions whilst preserving soft tissue. The Piezo technique allows us to cut, shave, sculpt and polish the bone under direct vision, with minimal collateral damage. Traditionally for many years, this has been performed using rasps and chisels. If the nasal bones need re-shaping during a rhinoplasty, they are either broken, cut or shaved. How does the Piezo technique for rhinoplasty work? With these ultrasonic vibrations, we may cut and shave bone, with limited risk of damaging soft tissue such as cartilage, nerves, blood vessels and skin. The Piezotome generates an ultrasonic modulated frequency of between 28 and 36 kHz.
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Fracture of the nasal bone or another nasal trauma.Rhinoplasty surgery is commonly performed because of: We’ve asked consultant otolaryngologist and facial plastic surgeon Mr Florian Bast to explain a new tool that he uses in his clinic when performing nose surgery, which is known as the Piezotome, or the “ultrasonic nose job.” In traditional rhinoplasty surgery, instruments known as rasps, osteotomes, chisels and hammers were used to reshape the nasal bones. This may be combined with a septoplasty if nasal breathing is impaired (modification of the septum), which is then called a functional septorhinoplasty. Rhinoplasty means the modification of the shape of the nose.