Rhinoplasty is a major leap forward in new technology

Big leap in rhinoplasty

More and more people in the last 10 years want to change the shape of their nose. Rising demand is encouraging new advances in technology that have not been as noticeable as they are today.

The American Society of Plastic Surgeons (ASPS) says the new technologies are having a significant impact on the industry, with rhinoplasty, with a 223,018 run performed in 2016 according to the ASPS. Since 2000, it has witnessed a 115% growth in cosmetics.

When did the "nose job" start?

By cutting off a piece of the cheek, a Hindu surgeon was able to reconstruct his nose by 600 BC. Until 1000 AD, rhinoplasty was increasingly needed as a procedure for amputating the nose and upper edges of a person's enemies.

In the 16th century, Gaspare Tagliacozzi, known as the "father of plastic surgery", had his nose reconstructed with a sword wound during a duel. The nose was made by transferring skin from the upper arm.

The term "plastic surgery" is derived from the Greek word "plastikos", first used by the surgeon Pierre Desault in 1798. Desault labeled this method for what was called facial shape correction. It was painful and was done only in extraordinary circumstances, such as replacing the nose with a cut in war.

Then, in the late 19th century, advances in anesthesia and antisepsis were made, making plastic surgery safer and more permissible to increase the possibilities in the range of procedures. War also played a role in the development of this practice. Battle disfigurement has brought industry challenges to repairing the faces of battlefield burns and injuries.

The father of modern aesthetics Dr. Jacques Josef, who practiced in Berlin, Germany in 1892, is especially revered as the "father of modern cosmetic surgery". He developed the standard method of using the "hammer and chisel" method to break and deform the boney part of the nose.

Nothing had changed for more than 100 years. Traditionally, if the nasal bone needed to be thinned, the surgeon used a steel-like tool and struck it manually with a hammer, causing a large amount of bruising in the tissues, resulting in bruising and water around the eyes. Depending on the desired result, several strokes may be performed to break the bones of the face and nose accurately. If there is a bulge, it may be adjusted with a special annoying sound.

However, there is now advanced technology for this delicate surgery. All that trauma has become a much gentler method, now called the piezo technique, which was originally used in the dental office.

Ultra-high power tools A milder technology was first used in the dental industry, and was introduced in the 1990s.

piezo is a crystal that oscillates at a very high frequency and is much softer than hitting a chisel with a hammer. This equipment is cut through the hard tissue (bone) but after it touches the soft tissue, it is cut off and shakes only in the form of a bubble. Therefore, very little bleeding is associated with this procedure compared to hammers and chisels, which damage the nasal lining and can cause significant bleeding and bruising.

Initially, the high-speed equipment was used only in Europe, but was first tested in the United States in 2010 by plastic surgeon Dr. Lawrence Berkowitz in Silicon Valley. Dr. Berkowitz was the first to use this technology to increase double chin. While he recognized the benefits of the milder approach, he could not buy it in the United States because it was only allowed for dental use.

Finally, in 2015, Synthes, a medical equipment company, launched its piezo equipment for sale in the United States.

Dr. Berkowitz was in contact with Dr. Oliver Gerbault in Paris, who had used the equipment for several years. While piezo was mainly used for neurosurgical and orthopedic applications, Dr. Berkowitz and Gerbault focused on aspects of surgical rhinoplasty.

"This new technology will eventually transfer rhinoplasty techniques to the 21st century, giving surgeons more control and precision, and patients dramatically reducing more predictable results and reducing pain and rapid relief," Dr. Berkowitz said. "Normally we can get our patients back to schools within a week."

Newer technologies allow surgeons to provide more accurate results. Because rhinoplasty surgery can be performed on younger patients, it covers a wider range of potential clients. For those who were afraid of trauma after surgery, this will definitely change the accessibility of the operation.

Source: www.huffpost.com

Translated by: Bita Sayadi