A cutting-edge technique in aesthetic nose surgery, ultrasonic rhinoplasty combines mechanical precision with respect for nasal anatomy. Unlike traditional methods where the nasal bridge is fractured and then reconstructed, this approach focuses on preserving existing bone and cartilage structures. Thanks to tools such as the Vectra Canfield and the Orthonose system, it enables fine planning, meticulous surgical gestures and stable results over time. Our plastic surgery center integrates these digital tools and ultrasonic techniques to offer an approach that is both precise and safe.
What is ultrasonic rhinoplasty?
This is a conservative surgical technique, in which the surgeon modifies the shape of the nose without dismantling the osteo-cartilaginous arch. The original anatomy (dorsum, septum, ligaments) is largely preserved, limiting the risk of secondary irregularities, asymmetries or altered appearance.
Bone work is performed using a piezotome, an ultrasonic instrument that sculpts bone without fracturing it brutally. This device enables precise, millimetric, trauma-free cuts, targeting bone tissue exclusively, without damaging adjacent mucous membranes, vessels or nerves.
Prior to the operation, we perform a 3D model of the nose using the Vectra Canfield system. This enables the patient to visualize a simulation of his or her future profile, useful for refining aesthetic objectives. In addition, a personalized surgical guide can be 3D-printed using Orthonose software, in order to secure bone movements during the operation.
What are the indications for ultrasonic rhinoplasty?
This procedure is primarily intended for patients who have never undergone nose surgery, and who have a moderate osteo-cartilaginous bump, a slight nasal deviation or a tip to be corrected, but no major structural changes.
It is particularly indicated when the aim is to obtain a natural result, without altering the deep anatomy or reconstructing the nasal skeleton. On the other hand, it is less suitable for severely deformed noses, post-traumatic sequelae or secondary rhinoplasty.
What are the main advantages of ultrasonic rhinoplasty?
One of the major benefits of this approach is to minimize the surgical impact on nasal structures. By avoiding traumatic procedures such as conventional osteotomies, ultrasonic rhinoplasty often induces less oedema, bruising and pain in the immediate aftermath.
The nose retains its supporting structure. It is not "reconstructed" after being fractured, but adjusted in keeping with its natural geometry, which contributes to a more stable and natural result in the long term. This preservation of the dorsal arch also avoids some of the pitfalls of traditional rhinoplasty, such as hollows, secondary bumps or a "surgical" appearance.
Another interesting feature is 3D simulation with Vectra Canfield. This technology enables patients to discuss their aesthetic goals with their surgeon. The projected image serves as a shared reference for aligning expectations and precisely planning the procedure. Orthonose, for its part, converts the patient's data into a personalized osteotomy guide, used in the OR by our surgeons to secure bone gestures.
Ultrasound rhinoplasty: how the procedure works
Surgery is generally performed under general anesthesia. Depending on the case, outpatient hospitalization or an overnight stay in a clinic may be possible. The duration of the procedure varies according to the complexity of the remodelling.
The approach can be open or closed. After dissection, the surgeon remodels the bone using a piezotome. The tool vibrates at high frequency to selectively cut the bone, without causing impact or microfracture.
If necessary, the procedure may include recentering of the nasal septum, tip plasty or moderate reduction of the alar cartilage. However, the logic is always to preserve ligament attachments and structural lines for a stable, harmonious result.
At the end of the procedure, the practitioner applies an external splint, which should generally be kept on for 6 to 8 days. In most cases, no drill bit is required.
Convalescence after ultrasonic rhinoplasty
In the immediate aftermath, moderate swelling and a few bruises may appear, mainly on the lower eyelids. Pain is often limited and well controlled by simple analgesics.
The dressing is removed around day 6 or 7, during the first post-operative consultation. The nose remains sensitive for a few weeks, particularly to touch and pressure. Most patients are able to resume their social and professional activities after 10 to 15 days, even if the swelling persists for some time.
It is advisable to avoid sport, glasses and sun exposure for at least 4 to 6 weeks. The initial result is visible as soon as the plaster cast is removed, but the final refinement takes place gradually over 6 to 12 months, particularly for the tip.
Nevertheless, the nose often changes slightly over the months, especially if the skin is thick or if touch-ups are planned.
How much does ultrasonic rhinoplasty cost?
The price of an ultrasonic rhinoplasty varies according to a number of criteria, including whether it is a first-time procedure or a repeat operation. For a primary ultrasonic rhinoplasty, fees generally range from €7,500 to €8,500. For a more technically complex secondary rhinoplasty, the cost can reach €9,000 to €15,000, depending on the amount of reconstruction work required. A personalized estimate will be given to the patient at the initial consultation.
This procedure is most often performed for aesthetic reasons, and is therefore not covered by Social Security. However, an exception may be made if severe functional discomfort (persistent nasal obstruction as determined by ENT examination) is documented. In this case, only the functional part of the procedure may be partially reimbursed.