In rhinoplasty surgery, management of the bony vault and lateral walls is most often performed with mechanical instruments: saws, chisels, osteotomes, and rasps. Evolution of the technique utilizing piezoelectric device offer a short recovery with less oedema and ecchymosis. With extensive exposure, surgeons can make an accurate diagnosis of bony deformity and safely contour the bones to achieve narrowing and symmetry of the bony dorsum. Stable osteotomies can be performed under direct vision with precise mobilization and control. We would like to show our operative techniques with piezoelectric device.

Gustavo Bravo Cordero is an ENT and facial plastic and reconstructive surgeon practising in Santiago de Chile. He is a fellow of the European Board of Otorhinolaryngology, head and neck surgery and completed his fellowship in facial plastic and reconstructive surgery with the Australasian Academy of Facial Plastic Surgery (AAFPS) in Perth with Dr. Tuan Pham. He sat the American Board Examination in facial plastic and reconstructive surgery in Washington DC for which he was awarded the Claus Walter Award for academic excellence achieving the highest international score in the 2016 IBCFPRS examination. He is a member of the International Association of Paediatric Otolaryngology (IAPO), AAFPS and several other local and international societies. He is an associate professor at Universidad de Chile, teaching both graduates and post graduates students and he works at the University Hospital and Clínica Alemana, a leading hospital in Latin-American.