Nose Prodecure

Piezo or Ultrasonic Rhinoplasty Surgery

What is a Piezo Rhinoplasty?



Piezo rhinoplasty, also known as ultrasonic rhinoplasty, is the latest advance in cosmetic nasal surgery and is a technique that reshapes the nose with greater precision and minimal trauma. Piezo technology differs from traditional rhinoplasty in that it uses high-frequency ultrasonic waves to refine bone structure while preserving soft tissue and cartilage. This approach results in less swelling, reduced bruising, and a faster recovery, making it a preferred choice for patients seeking natural, refined results.


At Real Plastic Surgery, all piezo rhinoplasty patients will be under the care of our founder, Mr Naveen Cavale, who is a consultant plastic and reconstructive surgeon and is internationally recognised for his expertise in reconstructive surgery. Learn more about his medical background and expertise here.

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Why Consider Piezo Rhinoplasty?


There are pros and cons to piezo rhinoplasty. While it mostly requires open rhinoplasty, which is more invasive than the closed approach, its high precision allows for more refined results, making it a highly effective technique.


  • High-precision with less trauma: Piezo rhinoplasty allows for more precise bone reshaping, reducing overall trauma to the nose. The advanced technique uses an electric current to create high-frequency oscillations at the tip of the instrument, which sculpts the nasal bone with precision. In some rhinoplasty cases, this may mean that the bone doesn’t need to be broken in the same way as with a more traditional approach.


  • Faster recovery time: Because piezo rhinoplasty reduces overall trauma to the surrounding tissue, the recovery process is faster than traditional rhinoplasty, which appeals to many patients.



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Between 2 and 2.5 hours. We use a general anaesthetic and you can usually go home on the same day.

10 - 14 days off work. Low level activities for around 3 or 4 weeks.

Piezo rhinoplasty provides a permanent solution. It can be combined with other surgical and non-surgical procedures when looking to rejuvenate the appearance and pause the signs of ageing.

To improve concerns, such as: hooked nose, crooked nose, bump on the nose, large nose and wide nose; improving contouring and / or any difficulties with breathing.

Avoid strenuous activities and exercise for up to 6 weeks (avoiding contact sports such as football, hockey, boxing etc.)

If you have any doubts. Our team of experts will provide support and guidance all the way through your treatment journey; using the consultation to determine your suitability and your certainty.

The Patient Journey: Piezo Rhinoplasty


The initial rhinoplasty consultation lasts about 30 minutes, usually face-to-face with Mr. Cavale at the REAL Clinic in Battersea. Virtual consultations are also available, but a final in-person meeting is required before finalising the plan. If you're unsure, you’re welcome to book additional consultations at no extra cost to ensure you’re confident in your decision. It’s imperative that patients feel comfortable and confident in their decisions, so Mr. Cavale encourages all of his patients to speak to their consultant and close support network before making their final decision. 


After surgery, you’ll need someone to collect you from the clinic and stay with you overnight. If you live more than an hour from Battersea, we recommend staying in a local hotel for a night with someone in case of emergencies and travelling home the next day. If coming from abroad, plan for two to four weeks in the UK, depending on procedures and your case. Aftercare includes virtual nursing contact via WhatsApp or phone and a follow-up visit a week later to remove dressings, splints, and stitches. Most patients return for a six-week check-up, but final results may take six months to fully settle. If you have concerns, please contact Mr. Cavale at any time.

What to Expect on the Day:


Ultrasonic or piezo rhinoplasty surgery is done as a day procedure, and you’ll be home the same day. It is performed with you fully asleep, under TIVA general anaesthesia.


This procedure can be undertaken for an open rhinoplasty (incisions are made externally) and replaces instruments such as chisels and rasps to reshape the bone. Instead, a special device is used that delivers high-frequency ultrasonic waves directly to the nasal bone.


When you wake up, you will have a cast and tape over the top of your nose and some light packing inside the nose; we do not like to use rigid packing or splints, as these can be very painful to remove. The packing inside your nose is removed before you go home and the stitches and the cast are removed a week later. You will be able to shower the next day, but the face needs to be kept dry for a week. To find out more about rhinoplasty recovery, read our article on rhinoplasty recovery tips. 


Frequently Asked Questions

  • How much does a piezo rhinoplasty cost?

    The advanced technology, specialised training, and high-cost ultrasonic equipment make piezo rhinoplasty more expensive than traditional rhinoplasty. Costs in London range between £10,000 and £15,000 for full treatment. View our price guide for more information. 

  • What are the risks of a piezo rhinoplasty?

    Like any surgical procedure, there are some risks to having piezo rhinoplasty surgery, including infection, swelling, scarring, haematoma, and asymmetry. Mr Cavale will go through more specific risks and benefits during your consultation.


  • Who is a good candidate for piezo rhinoplasty?

    Piezo rhinoplasty is particularly effective for patients looking for natural results that enhance their facial features without looking overdone or artificial. The advanced technology allows for high-precision bone reshaping to ensure subtle improvements.

  • How long is recovery after piezo rhinoplasty?

    Recovery after piezo rhinoplasty varies from person to person, but generally, you can expect to take up to two weeks off work for initial healing, with swelling and bruising most noticeable during this period. More strenuous or physical exercise can usually resume after 4-6 weeks, however, you may not see full results until the six-month mark due to swelling, and sometimes a full recovery can take up to 18 months, depending on the individual.


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What our patients say...


Throughout the process of my rhinoplasty, I found Mr. Cavale to be friendly, knowledgable and down to earth. I was and still am delighted with the results from my surgery - Mr. Cavale is clearly a very skilled practicioner!


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