Comparison Between Piezosurgery and Conventional Osteotomies in Rhinoplasty: Postoperative Edema and Ecchymosis

Rhinoplasty is one of the most common cosmetic procedures today. However, the technique used in surgery can have a significant influence on the patient’s recovery. In this article, we will examine the comparison between piezosurgery and conventional osteotomies, focusing on postoperative edema and ecchymosis.

Piezosurgery in Rhinoplasty

Piezosurgery is a technique that uses ultrasonic waves to precisely cut the bone. The main advantages include:

Reduction in Postoperative Edema: Less swelling after surgery.
– Decrease in postoperative ecchymosis: Less bruising.

This technique has become popular for its rhinoplasty resultswith “precision and less damage to surrounding soft tissues” (Source 1).

Conventional Osteotomies

Conventional osteotomies” use tools such as chisels to cut the bone. When compared to piezosurgery, it has some disadvantages:

Increased Tissue Trauma: May cause damage to nearby tissues.
Increased Postoperative Edema and Ecchymosis: More swelling and bruising after surgery.

Systematic Review

In a systematic review of several studies, “piezosurgery showed a clear advantage in terms of reduction of postoperative edema and ecchymosis compared to conventional osteotomies” (Source 2).

The choice between piezosurgery and conventional osteotomies will depend on several factors, including the specific needs of the patient and the surgeon’s experience. However, this systematic review suggests that piezosurgery may be a preferable option to minimize postoperative edema and ecchymosis.

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1. Vercellotti, T. “Technological characteristics and clinical indications of piezoelectric bone surgery”, Minerva Stomatol. 2004.
Ribeiro, R. et al. “Comparison Between Piezosurgery and Conventional Osteotomies in Rhinoplasty on Post-Operative Oedema and Ecchymosis: A Systematic Review,” Journal of Rhinology, 2022.