ultrasonic rhinoplasty in NYC

Piezo Ultrasonic Rhinoplasty: Advanced Rhinoplasty Technique

Virtual Rhinoplasty Tool
Dr. Pearlman using pictures to explain rhinoplasty
Dr. Pearlman looking at pictures of patient's nose during rhinoplasty consultation

Welcome to Pearlman Aesthetic Surgery for Piezo Ultrasonic Rhinoplasty in NYC on Park Avenue.

Dr. Pearlman is one of the first surgeons in the U.S. to use this groundbreaking surgical tool to precisely sculpt and reduce nasal bumps and has taught this technique around the world. Piezo Ultrasonic Rhinoplasty replaces the traditional “hammer and chisel” technique and instead precisely pares down the nasal bone layer by layer with a high-frequency oscillating tool.

An advanced technique for beautiful results.

The Piezo Ultrasonic Rhinoplasty technique is a significant advance in custom nose surgery. After years of development and testing in Europe, Piezo-powered Ultrasonic Rhinoplasty is now available in the United States.

The Piezo technology has been in use for dental and oral surgical procedures for a long time. It helps narrow and sculpt the bridge of the nose and allows precision on bones or hard cartilage without damaging delicate adjacent soft tissue.

Our ultrasonic rhinoplasty in NYC involves far less trauma and bruising, faster recovery, and more precise results.


The Piezo ultrasonic rhinoplasty technique achieves remarkable success, improved precision, and reduced trauma when compared to traditional rhinoplasty techniques. Since its FDA-approval in November of 2017, Dr. Pearlman has been lecturing and demonstrating the use of this device at numerous rhinoplasty meetings and dissection courses.

The Piezo Ultrasonic Rhinoplasty can treat

Crooked nose

A hump on the nose bridge

Overly large nose

Wide nose structure

Ultrasonic Technology

The device for our Piezo Ultrasonic Rhinoplasty in NYC generates ultrasonic vibrations that can cut and shave bone with a significantly reduced risk of damaging nose cartilage, nerves, blood vessels, or skin. Altering the width, shape, and profile of your nose structure may require a reshaping of the nasal bones. In a traditional rhinoplasty in which nasal bones are reshaped, the technique involves the use of surgical rasps or chisels.

With the Piezo system, the nasal bones can be resculpted and polished without causing extensive collateral damage to surrounding tissues. This precision tool allows Dr. Pearlman to precisely alter the nasal bones, preserving the soft tissue, for faster recovery time; less pain and bruising; and quicker regeneration and healing.

Dr. Stein Surgical tools close up
performing nonsurgical rhinoplasty on patient
A Personal Consultation With Dr. Pearlman

How it Works

Establish Your Goals

Full Nose Examination & Imaging

Determine Mutual Goals

Ask Questions

Dr. Pearlman will begin your consultation listening to your concerns about your nose, specific issues you are looking to resolve, and your desired results from an ultrasonic rhinoplasty in NYC.

Based upon your unique nasal anatomy, intricacies of the nose, and your own goals, he will then perform a full examination of your nose inside and out. Using advanced Mirror® 2D and Vectra® 3D imaging, Dr. Pearlman will demonstrate the potential changes to your nose to help you envision your future results.

The use of this technology is vital to understanding not only the potential changes and improvements to the nose itself, but also to visualize your new nose and how it balances with the rest of your facial features.

Lastly, you and Dr. Pearlman will establish mutual goals to enhance the appearance and breathing function of your nose.

The right rhinoplasty surgeon for you should be able to provide a wealth of information regarding your procedure.

Throughout your rhinoplasty consultation at our NYC office, we highly encourage you to ask any and every question on your mind. We will walk you through every step of the process so you can feel confident in your decision to receive a rhinoplasty by Dr. Steven Pearlman.

Ultrasonic Rhinoplasty Recovery

Dr. Pearlman and his staff will closely guide you through your post operative care. He will provide detailed instructions on all aspects of the process to help guide your recovery.
The incision heals so that it is barely visible, if at all and only when viewed up close and from below the nose. Dr. Pearlman often says “someone will have to be close enough to be able to count your nasal hairs to see this incision.”

What To Expect

Your first visit to our office will be scheduled for one week post-op, when we remove the cast and any external sutures used (in open rhinoplasty and alarplasty).

In addition, the nose is cleaned and carefully suctioned internally.

Subsequent visits are at 2 and 6 months, and one year post-op for photographs. Most patients will see 85% of their results at 1 month out, 95% of results at 6 months out and 99% at 1 year.

Superior Results From an Ultrasonic Rhinoplasty Expert

The best compliment we get following rhinoplasty is when patients are told they “look great” but the observer cannot tell why.

“Rhinoplasty will improve the appearance and function of your nose so it naturally complements your face. The best noses are the ones that aren’t obvious; that respect your ethnic identity. Surgery is tailored to each patient’s needs and desires, creating a more harmonious appearance.”

Dr. Pearlman sitting in chair by flowers

Top Rated Facial Plastic Surgeon

Dr. Pearlman

Frequently Asked Questions

Piezo Ultrasonic Rhinoplasty

Rhinoplasty Financing

How is ultrasonic rhinoplasty done?

Instead of using a manual chisel or another tool, an ultrasonic rhinoplasty is done by using a high-frequency oscillating tool to precisely shave, alter, and correct the bone layer by layer.



Is a rhinoplasty covered by my insurance?

If the purpose of your rhinoplasty is to correct breathing issues and a deviated nasal symptom, it is possible your insurance may cover the breathing or functional  portion of the procedure! Dr. Pearlman’s dedicated office staff will be more than happy to assist you in discovering whether or not your procedure will be covered. Cosmetic rhinoplasty is not covered by insurance, but we do offer several financing options for you to choose from.

Is ultrasonic rhinoplasty better?

Since every patient’s anatomy, goals, and intricacies of rhinoplasty are unique, it is limiting to say that ultrasonic rhinoplasty is “better” since every rhinoplasty case is subjective.



Is ultrasonic rhinoplasty less painful?

Because of the more delicate technique with a high-frequency, precise tool, an ultrasonic rhinoplasty can be less painful and cause less swelling and bruising, leading to a faster healing and recovery.

What will the first week of recovery entail?

You will have some bruising and swelling around the eyes during the first week of recovery. Some patients need time to adjust to breathing through their mouth; it’s akin to having a mild cold. Fatigue from the anesthesia is common for the first day or two. Patients should rest the first few days in an upright position to minimize swelling for better healing.

Why choose Dr. Pearlman for ultrasonic rhinoplasty?

If you are considering undergoing a “nose job,” your surgery should be performed by a skilled, board-certified Facial Plastic Surgeon – and with the most advanced techniques. Dr. Pearlman is among the first plastic surgeons in the U.S. using this innovative surgical tool for precision alteration to the nasal bones and offers this advance at his private, luxury New York plastic surgery clinic.


Real Patient Ratings

Real Patient Ratings

Dr. Pearlman Surgical operation from behind

Persistent in the Pursuit of Perfection

For decades, Dr. Pearlman has been persistent in his search for perfection as the best rhinoplasty surgeon in New York. He brings evolution, experience, expertise, and uniqueness to his rhinoplasty patients in our Park Avenue office. The goal of Pearlman Aesthetic Surgery is to help patients to actualize their ideal self-image for the highest level of personal authenticity and attractiveness possible. Dr. Pearlman couples an attentive bedside manner and genuine concern for his patients’ welfare to deliver the best rhinoplasty results.

Our Approach

Dr. Pearlman touching patient's nose during rhinoplasty consultation

Start your ultrasonic rhinoplasty journey

Designed by our rhinoplasty specialists, our virtual rhinoplasty tool will help you learn more about the possibilities for your ultrasonic rhinoplasty in NYC with Dr. Pearlman.

110 E 60TH ST #908 NEW YORK, NY 10022



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