What Is Rhinoplasty Without Using An Osteotome?
Rhinoplasty traditionally has used instruments called osteotomes or chisels. The main issue is that the nose is delicate. The nose is one of the most commonly broken bones in the body with thin bones along the face. The osteotome might be the wrong instrument to use along the bridge and more precise instruments can be preserved.
The main issue with chisels is that they are designed to create controlled breaks along the bridge of the nose. Unfortunately, this can lead to less than predictable outcomes for patients. Breaks along the bridge of the nose will lead to cracks along the bones as well as potential asymmetries of the nasal bones.
Dr. Shah prefers the use of specialized mechanized instruments which control the amount of bone removed. These instruments include piezo as well as other bone contouring instruments to allow for controlled contouring of the nasal bones leading to more predictable outcomes and less swelling for patients and faster recovery.