As a Plastic Surgeon with a special expertise in functional and aesthetic rhinoplasty, I am always interest in innovations that allow me to achieve the best results with the least amount of inflammation and recovery. The techniques that we use today in rhinoplasty are far advanced from those used even ten or twenty years ago. Based on a greater understanding of nasal anatomy and also on the function of the nasal structures, we can improve the appearance without sacrificing the important function of nasal breathing. In addition, it is imperative that the result of cosmetic rhinoplasty appear to be a "God-given nose", rather than one that has the obvious "operated" look. Men and women who want to change or enhance their nasal appearance desire a natural looking result.

Using an ultrasonic bone aspirator to smooth bony edges may aid in creating that natural look, possibly with less inflammation. A reduction in inflammation could possibly lead to less swelling and bruising, thus making the overall recovery process from rhinoplasty a bit shorter. In general, rhinoplasty procedures require approximately one week of downtime, followed by another several months for complete healing to occur. We tell patients that the final result of a rhinoplasty procedure may not be visualized for several months, often the better part of a year. This is because even small amounts of swelling can obscure the perfect aesthetic result. Although most patients have resumed full activities, including exercise, by three weeks, the nose heals at a rather slow pace. Any innovation that may reduce this time period may come as a welcome addition to the sophisticated techniques currently used.

Of course, we cannot jump on the bandwagon of every new technology. For each one that sounds promising, we must critically assess it, to determine its safety and utility. I am anxious to hear more about the ultrasonic bone aspirator for cosmetic rhinoplasty, and hope to be able to incorporate it in my rhinoplasty practice, especially if I can tell my patients they will experience a shortened recovery period.

Matthew R. Kaufman, MD, FACS
Plastic & Reconstructive Surgeon*
Otolaryngologist-Head & Neck Surgeon*