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Surgical procedures

Ultrasonic Rhinoplasty
in Philadelphia

Ultrasonic piezo rhinoplasty is a modern technique that is revolutionizing the rhinoplasty procedure. Using advanced cutting tips this procedure can reshape and resize the nose with significantly less trauma to the surrounding soft tissues.

What is Ultrasonic Piezo Rhinoplasty?

Rhinoplasties are one of the most common facial cosmetic surgeries and have traditionally been performed using rasps, hammers, and chisels to reshape the nose. While this method can accomplish the goals of rhinoplasty, it is not without its drawbacks. These tools are imprecise and can cause damage to surrounding tissues triggering unnecessary swelling and bleeding. 

Technological advances have led to the development of an ultrasonic, or piezoelectric, device that uses high-speed sound waves to power tiny cutting and shaving tips. These devices allow surgeons to be more precise when shaving, shaping, and reducing nasal bones. This recently approved rhinoplasty system has provided a large improvement in the outcomes and complications associated with a nose job.

Before & After Photos

Benefits of an Ultrasonic Nose Job

An ultrasonic piezo nose surgery allows plastic surgeons to reduce damage to the surrounding skin and soft cartilage while effectively reshaping the bones and hard cartilage of the nose. This advanced technique provides significant benefits for our Philadelphia patients, including:

Less trauma to surrounding skin, mucosa, and soft tissue areas
Reduced post-surgical swelling, pain, and bleeding
More precise and predictable results 
Reduced risk of revision surgery
Compatible with preservation rhinoplasty techniques
Improved aesthetic outcomes

Why Choose Dr. Tina Ho for Ultrasonic Rhinoplasty?

Dr. Ho stands out among her plastic surgeon peers in Philadelphia and Wayne as a double board-certified rhinoplasty specialist with dedicated training in rhinoplasty including cosmetic and functional rhinoplasty, revision rhinoplasty, preservation rhinoplasty, ultrasonic rhinoplasty, tip plasty, and ethnic rhinoplasty from one of the top rhinoplasty surgeons in the world. She understands the complex and delicate nature of rhinoplasty as one of the most challenging procedures to master in plastic surgery and stays up to date on the latest techniques to achieve the best, most natural surgical results for her patients. From the initial consultation to day of surgery to every follow-up visit, Dr. Tina Ho maintains an unwavering commitment to each rhinoplasty patient to maximize the success of their surgical outcome. She devotes the needed time and effort every step of the way of the rhinoplasty journey to ensure each patient feels comfortable and satisfied with their individualized surgical plan and results. Dr. Ho understands the importance of the nose as the central feature of the face and takes to heart the investment and trust each rhinoplasty patient instills in her as their surgeon. Dr. Ho specializes in rhinoplasty and will implement the most suitable techniques to improve the breathing function and shape of your nose and to elegantly restore facial harmony. Dr. Ho is known by her patients as one of the best Philadelphia rhinoplasty surgeons.

As a double board-certified facial plastic surgeon, Dr. Ho specializes exclusively in aesthetic and reconstructive procedures of the head and neck region. She possesses dedicated training in functional and cosmetic rhinoplasty from one of the top facial plastic and reconstructive surgery fellowship programs in the country under mentor Dr. Dean Toriumi, a world-renowned leading authority in rhinoplasty. Dr. Ho is a widely known regional rhinoplasty specialist with patients seeking her expertise from beyond Philadelphia and Wayne to throughout Pennsylvania, New Jersey, and New York. Dr. Ho dedicates ample time and effort with the aid of imaging software to establish realistic goals and expectations with every patient. She has the training and experience to implement the best surgical techniques, including the most suitable cartilage grafts and suturing maneuvers to improve the breathing function and shape of every nose. She always tailors her approach to the surgical needs and goals of the individual patient. Furthermore, Dr. Ho closely follows her patients after surgery to ensure that each patient heals well and is satisfied with their surgical outcome.

Am I a Good Candidate for Ultrasonic Piezo Rhinoplasty

A piezo rhinoplasty is ideal for men and women who require precise adjustments and reductions of the nasal bones. Good candidates for the procedure are those wishing to reduce dorsal humps or bumps, narrow the nasal bridge, correct asymmetries, or straighten a crooked nose. This technique is not suitable for patients needing mainly nasal tip adjustments and soft cartilage refinements as these are best handled using suture and graft techniques.

The ideal candidate should be in good mental and physical health with no significant medical conditions that can increase the risks of complications. Non-smokers and patients not on blood thinning medications are great candidates for rhinoplasty procedures. Having realistic expectations for the procedure is important for its overall success.

What to Expect During an Ultrasonic Nose Job

The piezo rhinoplasty procedure starts with the administration of general anesthesia. Once the anesthesia has taken effect, an incision is placed on the columella (the skin between your nostrils). Additional incisions may be used during the surgery depending on your aesthetic needs.

Once the cartilage and bone requiring changes are exposed, Dr. Tina Ho will use the ultrasonic device to precisely cut, sculpt, and smooth away bone without the need to break or fracture it. This allows Dr. Ho to accurately make changes to the nose without injuring the surrounding soft tissues. 

What to Expect After Piezo Nose Surgery

The recovery from an ultrasonic rhinoplasty is typically easier than a traditional rhinoplasty. The innovative techniques of piezo nose surgery reduce the amount of swelling and bruising experienced post-operatively. This results in less discomfort during the initial days of recovery. 

Immediately after the surgery, a nasal splint will be applied to the nose to protect the surgical correction and will be removed approximately one week after surgery. Minimal bruising is typically noted after the splint is removed.

The majority of patients can return to sedentary work one to two weeks after surgery. However, it is important to avoid physical exercise and strenuous activities for six weeks following the procedure.

Risk and Complications of Ultrasonic Rhinoplasty

The use of an ultrasonic device provides an innovative approach to limiting soft tissue damage and improving the accuracy of the procedure. This leads to a reduction in complications compared to traditional rhinoplasty but does not reduce them to zero. Understanding the risks of the procedure allows patients to make an informed decision on proceeding with the surgery. The risks include:

Bruising

Bleeding

Infection

Asymmetric correction

Unsatisfactory aesthetic results

Nasal deformity

Post-Op Rhinoplasty Essentials

Expand each section below for more information.

Begin walking the evening of surgery to promote circulation and healing. Continue walking about 20 minutes three times daily. Avoid bumping your nose, lifting more than 10 pounds, or any strenuous activity for two weeks. Do not blow your nose and sneeze only with your mouth open. Skip housework for two weeks and avoid swimming or contact sports for four weeks. Hold off on using a CPAP machine until cleared by Dr. Ho.

Begin walking the evening of surgery to promote circulation and healing. Continue walking about 20 minutes three times daily. Avoid bumping your nose, lifting more than 10 pounds, or any strenuous activity for two weeks. Do not blow your nose and sneeze only with your mouth open. Skip housework for two weeks and avoid swimming or contact sports for four weeks. Hold off on using a CPAP machine until cleared by Dr. Ho.

Apply dry, cool compresses under the eyes and on the cheeks for 20 minutes every few hours for the first two days. Avoid placing compresses directly on the nose.

Drink plenty of fluids and start with gentle foods such as soup, crackers, or mashed potatoes. Choose low-salt meals to help control swelling and contact the office if you have difficulty eating or drinking.

You may shower the day after surgery, but keep the nasal dressing dry and avoid hot steam. After the dressing is removed, cleanse your nose gently with a mild soap and water. Wash your face twice daily with a gentle cleanser and avoid scrubbing over incision sites.

Keep your outer nasal cast and inner splints in place until your first follow-up. Clean incision lines three times daily with a Q-tip dipped in tap water or saline. Apply Alastin Skin Nectar, Aquaphor, or Vaseline to the outer incisions and inside the nostrils three times a day. Use saline spray every two hours while awake. Continue this routine for one month and protect your nose from the sun with SPF 35 for up to a year.

Take antibiotics and prescribed pain medication as directed. Tylenol may be used for mild pain but avoid exceeding 4,000 mg in 24 hours and do not take NSAIDs for two weeks. Always eat before taking medication and call the office for nausea, vomiting, or pain that is not well controlled.

You may wear contact lenses the next day unless you also had eyelid surgery. Glasses should not rest on the splint; after the cast is removed, tape them to your forehead for one month. Wear clothing that buttons or zips instead of pulling over your head for the first two weeks.

Do not drive for at least one week or while taking narcotic pain medication. Most patients return to work or social activities within seven to ten days depending on comfort and activity level.

Your first visit is scheduled five to seven days after surgery for removal of the nasal cast, splints, and sutures. Additional follow-ups occur around two weeks and one month to monitor healing.

Swelling and bruising peak in the first two weeks, then gradually improve over several months. Temporary nasal stuffiness and tip numbness are normal and will resolve with time. Scars will soften and fade within a year—consistent sunscreen use helps ensure the best healing.

Light, blood-tinged drainage is common for several days. If bleeding occurs, sit upright with your head slightly forward, apply a cool compress to the bridge of your nose, and pinch your nostrils for 20 to 30 minutes. A decongestant spray may help. Contact the office if bleeding does not stop.

Contact Dr. Ho’s office for a fever above 100.4 °F, increasing pain, swelling, redness, or drainage, persistent nausea or vomiting, heavy bleeding, difficulty breathing, or chest pain.

Enhance Your Recovery with Elixir MD

The Elixir MD™ is an innovative recovery tool that offers various treatment programs using different LED light wavelengths to achieve specific pre and post-surgical goals. These programs are supported by advanced artificial intelligence temperature controls and adjustable settings to address a range of concerns and goals. This non-invasive therapy is safe, painless, and can reduce infections after surgery while also enhancing recovery and minimizing scarring after rhinoplasty surgery.

Benefits of Elixir MD

Enhanced post-operative recovery after rhinoplasty. Using LED light, Elixir MD™ stimulates the skin to accelerate wound healing and minimize scarring post-surgery.

Improved healing and cellular repair. Specific wavelengths stimulate collagen and elastin production, which are essential for healing after surgery.

Easier rhinoplasty recovery. Reduces inflammation responsible for swelling and pain after surgery.

Improved lymphatic drainage and blood flow. Enhances the delivery of nutrients and removal of waste for optimal healing.

Elixir MD Treatment Programs for Rhinoplasty

Elixir Detox

This pre-operative therapy uses blue light to reduce the number of bacteria, oils, and toxins on the skin, reducing surgical complications such as infection.

Elixir Cellular Repair

Post-rhinoplasty, Cellular Repair uses yellow light to improve circulation, reducing bruising and swelling, accelerating healing, and shortening recovery.

Elixir NeoXcell

The NeoXcell™ treatment program combines the benefits of Elixir Cellular and Thermal to boost healing and balance melanin production for a more even skin tone.

Elixir RoXium

RoXium™ uses yellow and blue light to reduce swelling/bruising, prevent skin oxidation, decrease sebum, minimize pores, and clear the complexion.

Ultrasonic Rhinoplasty Cost in Philadelphia

Ultrasonic piezo rhinoplasty costs can range from $6,000 to $15,000 on average depending on the surgeon’s experience and expertise, the geographic location, and the desire for additional procedures. As this procedure requires general anesthesia, the overall cost includes fees for the surgical facility and anesthesiologist. Cost of ultrasonic surgery is typically higher than that of traditional rhinoplasty to account for the cost of the equipment needed for precise results. 

A detailed explanation of the procedure’s cost is provided at the first consultation as are the various financing options available through Dr. Ho’s office. As insurance typically does not cover this procedure, the upfront pricing allows patients to determine if the procedure makes financial sense for them.

Before and After

Dr. Ho’s Rhinoplasty Results

Real Patients, Real Results

Patient Testimonials

  • I got a cosmetic rhinoplasty with Dr. Ho just over a month ago and it was a great experience. We met in person multiple times beforehand to go over the procedure and I felt comfortable explaining my goals with the surgery. She was clear about expectations, the procedure, recovery time, etc. and it reassuring to…
    Read More Best Natural Results
  • Dr. Ho is an incredibly competent, compassionate, and professional physician. I was an out-of-town patient and she was very accommodating to my schedule as I had to fly back for follow-up appointments. She ensured that all my questions were answered and I always received an extremely high standard of care. The actual procedure went very…
    Read More Amazing work from an amazing surgeon!
  • She is by far the best facial plastic surgeon. I’ve been rejected by 2 top doctors to do my tip rhinoplasty and she was not hesitant to take me on. She did a mini neck lift as well with a chin implant. I can’t recommend her enough. My results were beautiful and natural. First two…
    Read More Amazing Doctor
  • My experience with Dr. Ho from consultation through recovery for my rhinoplasty procedure has been nothing short of excellent. From the start, Dr. Ho and I were completely aligned on what I was hoping to accomplish and what was possible with my nose. I felt that my nose overwhelmed the rest of my face and…
    Read More Amazing Experience and Results
  • Dr Ho did an amazing job i got my rhinoplasty done in june i am so blessed to have found a wonderful and caring doctor she was there for me everystep of the way during my recovery. I took me a while to find a doctor to do my rhinoplasty. im so glad i found…
    Read More Dr. Ho did an amazing job
  • Dr. Ho is an incredible provider! She is so kind and caring, something really important when trusting someone with your face! She is fantastic with communicating, even after my surgery she was available all weekend to text if I had any questions. She listened to everything I wanted and gave me exactly what I asked…
    Read More Highly Recommend!
  • Let me just say that Dr. Ho is absolutely wonderful! I went to a few consults for my rhinoplasty before Dr. Ho and she was immediately welcoming and informative. Dr. Ho takes the time to really walk you through what you’d like to do, expectations, doesn’t push, and she is honest. Dr. Ho worked with…
    Read More GREAT EXPERIENCE
  • I recently had a dermal filler and Botox procedure performed by Dr. Ho; my experience was beyond my expectations. She took great care during the consultation phase to listen to the results that I was expecting to achieve. After her recommendations we started the procedure. During the procedure she was professional, enthusiastic, well-rounded and just…
    Read More Everything I hoped for before celebrating a milestone

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5 stars rating from 168 reviews

As Seen In

Dr. Tina Ho in the Press

Dr. Tina Ho has been featured in leading media publications that highlight her expertise in facial plastic surgery.

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Quick Answers to Common Queries

Frequently Asked Questions

Explore our frequently asked questions for helpful information about Dr. Tina Ho’s facial plastic surgery practice, procedures, and patient care.

A piezo rhinoplasty is ideal for men and women who require precise adjustments and reductions of the nasal bones. Good candidates for the procedure are those wishing to reduce dorsal humps or bumps, narrow the nasal bridge, correct asymmetries, or straighten a crooked nose. This technique is not suitable for patients needing mainly nasal tip adjustments and soft cartilage refinements as these are best handled using suture and graft techniques.

The ideal candidate should be in good mental and physical health with no significant medical conditions that can increase the risks of complications. Non-smokers and patients not on blood thinning medications are great candidates for rhinoplasty procedures. Having realistic expectations for the procedure is important for its overall success.

The piezo rhinoplasty procedure starts with the administration of general anesthesia. Once the anesthesia has taken effect, an incision is placed on the columella (the skin between your nostrils). Additional incisions may be used during the surgery depending on your aesthetic needs.

Once the cartilage and bone requiring changes are exposed, Dr. Tina Ho will use the ultrasonic device to precisely cut, sculpt, and smooth away bone without the need to break or fracture it. This allows Dr. Ho to accurately make changes to the nose without injuring the surrounding soft tissues.

The recovery from an ultrasonic rhinoplasty is typically easier than a traditional rhinoplasty. The innovative techniques of piezo nose surgery reduce the amount of swelling and bruising experienced post-operatively. This results in less discomfort during the initial days of recovery. 
 
Immediately after the surgery, a nasal splint will be applied to the nose to protect the surgical correction and will be removed approximately one week after surgery. Minimal bruising is typically noted after the splint is removed.
 
The majority of patients can return to sedentary work one to two weeks after surgery. However, it is important to avoid physical exercise and strenuous activities for six weeks following the procedure.