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Ultrasonic Rhinoplasty in Miami

Ultrasonic Rhinoplasty or Piezotome® uses an advanced high precision ultrasound tool to sculpt the nose and change its shape. Sonic Rhinoplasty is less traumatic, its recovery is faster and swelling and bruising are minimal comparing to conventional rhinoplasty. Dr Carlos Spera is one of the first plastic surgeon offering this type of surgery to his patients.

2 – 3 hours

Surgery Time



7 days

Recovery time

Local with deep sedation and oxygen mask


Nigh stay may be required


Difference between Ultrasonic and Conventional Rhinoplasty

Just as Conventional Rhinoplasty, Ultrasonic Rhinoplasty or Piezotome® is also a surgical procedure to sculpt and change the nose shape. But what´s the main difference between Ultrasonic and Conventional Rhinoplasty? Conventional Rhinoplasty uses hammers and chisels to change the nose shape according to patient’s desire. Although this technique also delivers excellent results, it causes mechanical trauma which is associated with considerable swelling, bruising and bleeding. Ultrasonic Rhinoplasty allows a very accurate nose reshaping without affecting soft tissues. This technique involves a crystal that vibrates at an ultra-high frequency and is very gentle. Piezotome® sculpts the bone and cartilage in a very accurate way and when it touches soft tissues it only vibrates (does not cut) which means there is less damage and trauma. For this reason, swelling and bruising is minimal compared to hammers and chisels that cause significant damage to soft tissues.

Piezotome® Ultrasonic Rhinoplasty Benefits

  • Very accurate and natural results.
  • Less irregularities and asymmetries.
  • Exact and selected osteotomy.
  • Quick recovery.
  • Less swelling, pain, bleeding and bruising.

Can Ultrasonic Rhinoplasty be performed in any type of nose?

Ultrasonic Rhinoplasty can be performed in any type of nose specially where hump reduction is desired. Ultrasonic Rhinoplasty is not indicated for tip reduction only as this does not involve bone and cartilage reshaping. In this case, conventional rhinoplasty is the best technique.

Ultrasonic Rhinoplasty Results

Ultrasonic Rhinoplasty results are very satisfactory and evident. Right after surgery, you will notice changes. However, final results are expected after a few months (it can take from several weeks to a few months for swelling to disappear completely). It is very important to have realistic expectations and be aware that it is not possible to achieve an exact result that we consider ideal. Each person has a different bone structure and surgery goal is improving the nose initial characteristics.

Ultrasonic Rhinoplasty Recovery

Ultrasonic Rhinoplasty postoperative recovery is faster than conventional rhinoplasty because it does not cause damage to the soft tissue surrounding the blood vessels and cartilages, so patients may return to their daily lives more quickly (after a week). Postoperative pain, swelling and bruising is typically less as well. However, Ultrasonic Rhinoplasty it is still a surgical procedure and it takes time for a complete recovery.

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Reasons to do a rhinosculpture in Miami

The nose is not only located on the face, but it is the central point to which the gaze is directed. Therefore, it is one of the main characteristics that define the image of people, and one of the distinctive features. Many people dissatisfied with the appearance of their nose opt for a rhinosculpture in Miami. This procedure helps to shape the nose in a way that makes it more harmonious with the patient’s facial features and taste.

The reasons for having this surgery can be several. Simply because the appearance of the nose is not to the person’s liking, or because they have suffered an injury in the past that has diverted it. This includes certain problems that can affect people’s lives, such as difficulty breathing properly.

Some of the advantages of rhinosculpture in Miami over a traditional rhinoplasty is that it does not use tools that damage soft tissue. As the molding is done with a glass lathe that vibrates at high frequency, sculpting the bone and cartilage, touching soft tissue does not cause sharp damage. This minimizes bleeding, swelling, and bruising.

Preparation for rhinosculpture

Rhinosculpture surgery in Miami takes approximately 2-3 hours and is performed under deep local sedation. It is a moderately invasive procedure, so it requires preparation for any surgery. Not smoking or drinking alcohol is a requirement in advance, as well as maintaining good eating and health habits in general. In any case, a prior consultation is always necessary to carry out all the corresponding analyzes and studies and determine if it is the best treatment for the patient’s case.

Who should avoid this type of surgery

Rhinosculpture in Miami can be performed on all types of noses, making it suitable for treating virtually any patient. Especially, it is recommended for those people who are not satisfied with the general shape of the hump on the nose and want to reduce and model it. On the other hand, when it comes to a reduction only of the tip, it is best to resort to a traditional procedure, since it is not a question of remodeling the bone and cartilage. In general, patients should be in good health and have realistic expectations to undergo any such operation.

How long do rhinosculpture results last?

The results of rhinosculpture in Miami are usually very satisfactory and can be seen with the naked eye almost immediately. However, it may take several weeks or months for the swelling to go away completely. At the end of that time, the result will already be the end of the operation, but a long time before they can be partially appreciated. It is important to have realistic expectations, since the result depends on the patient’s bone structure and this limits the possibilities of surgery. However, it is noteworthy that the results are permanent and are usually highly satisfactory for the vast majority of patients.

How much does a rhino sculpture cost in Miami

The cost of this procedure is not the same for all patients. Each job takes different time and effort, and this must be estimated once the case has been analyzed. Also, depending on what you want to do with the shape of your nose, the medical recommendation may not be a rhinosculpture in Miami but a traditional rhinoplasty. For this reason, to be certain about the cost of the treatment, we recommend that you make an appointment with us and resolve all your doubts.

Utilizing the latest technology with the Acteon Ultra-sonic generator, and the Piezotome m+ hand-piece, Dr. Carlos Spera performs a much less traumatic and much more precise rhino-sculpture procedure. This new ultrasonic device allows Dr. Carlos Spera to perform controlled and millimetric maneuvers, with the nasal bones, to achieve the most perfect possible result. Avoiding the use of the old hand osteotomes, and rasps, result in a less traumatic surgery that translates into a much quicker recovery.

Dr. Carlos Spera will provide a virtual computer imagined simulation of possible results before your surgery. Dr. Spera will discuss and explore your expectations while performing necessary changes to your simulated nose shape and match your expectations with the most likely result from your surgery.

Dr. Carlos Spera will perform your nasal surgery using the Acteon Ultrasonic assisted Rhino-sculpture by Piezotome. This will ensure a more precise result with less trauma and quicker healing time along with a beautiful result!

Frequently Asked Questions

Ultrasonic Rhinoplasty, often referred to as Piezotome Rhinoplasty, is an innovative surgical approach that uses ultrasonic energy to precisely sculpt the nasal bones without damaging the surrounding soft tissues. Dr. Carlos Spera offers this advanced technique to patients seeking a more refined and less traumatic nose reshaping experience, ensuring optimal results with reduced recovery time.

If you’re considering nasal reshaping and seek a procedure that offers precision, reduced bruising, and quicker recovery, Ultrasonic Rhinoplasty might be ideal for you. It’s especially beneficial for those requiring modifications to the nasal bones. A consultation with Dr. Spera will provide a detailed assessment.

Dr. Spera employs the Piezotome device, which emits ultrasonic vibrations to delicately and accurately reshape the nasal bones. This method avoids the need for forceful chiseling, resulting in less trauma to the surrounding tissues. The procedure offers enhanced precision, ensuring that the desired aesthetic outcome is achieved.

One of the significant advantages of Ultrasonic Rhinoplasty is the reduced recovery time. Patients typically experience less swelling and bruising compared to traditional rhinoplasty. While some mild discomfort may be present, most individuals can return to daily activities within a week. Dr. Spera will provide comprehensive post-operative care instructions.

Dr. Spera’s expertise ensures that incisions, often made inside the nose, result in minimal to no visible scarring. In cases where external incisions are required, they are strategically placed to be discreet and fade over time.

The results of Ultrasonic Rhinoplasty are permanent. The precise modifications made to the nasal structure using the Piezotome technique will endure, providing patients with a lasting enhancement to their facial aesthetics.

With a legacy built on over 30 years of excellence in aesthetic surgeries, Dr. Carlos Spera is at the forefront of adopting advanced techniques like Ultrasonic Rhinoplasty. His commitment to patient satisfaction, combined with his mastery of the Piezotome method, ensures that patients receive top-tier care, guidance, and transformative results.

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