Open Piezo Preservation Rhinoplasty: A Case Report of the New Rhinoplasty Approach

Only a decade ago, surgeons could not imagine that there would be an opportunity to use atraumatic devices and reshape the bone without breaking it, to keep the ligaments, soft tissue, or skin attachments intact. Now we can declare that the rhinoplasty revolution has begun, proving it by preservation rhinoplasty results with faster recovery and more natural looks. Preservation of nasal dorsal anatomy does not disrupt the natural anatomy, and one can avoid many smaller and larger complications.

In this case report, we have performed an open approach preservation rhinoplasty by using Piezoelectric device. We preserved both scroll and Pitanguy's ligaments and did not dissect the skin and soft tissue on the dorsum and preserved it at the same time.