Piezo Ultrasonic Rhinoplasty in NYC

Dr. David L. Cangello offers Piezo ultrasonic rhinoplasty at his state-of-the-art practice located on Manhattan’s Upper East Side in New York City at 30 E. 60th Street, Suite 2501, New York, NY 10022. As one of the select surgeons in NYC utilizing this advanced technology, Dr. Cangello combines cutting-edge Piezo techniques with extensive rhinoplasty specialization. His practice serves patients throughout Manhattan, Brooklyn, Queens, the Bronx, Staten Island, and the greater New York metropolitan area, as well as patients traveling from across the United States and internationally. Named one of Newsweek’s Best Rhinoplasty Surgeons for 2025 and one of only 139 members of The Rhinoplasty Society, Dr. Cangello provides the expertise and precision you’re seeking for your nose surgery journey. Contact the practice at (646) 665-4222 to schedule your consultation.

Yes, many patients choose to combine Piezo ultrasonic rhinoplasty with complementary procedures for comprehensive facial enhancement. Common combinations include chin augmentation for improved facial balance, septoplasty for breathing improvement, facial fat grafting for volume restoration, and non-surgical treatments like Botox or dermal fillers. Combining procedures allows you to address multiple concerns during a single surgery and recovery period, often providing better overall results and value. Dr. Cangello will evaluate your goals during consultation and recommend the optimal treatment plan for your unique needs.

The procedure typically takes 2-3 hours, depending on the complexity of your case. Primary rhinoplasty with straightforward goals may be completed in approximately 2 hours, while more complex cases—such as revision rhinoplasty or procedures combining multiple techniques—may require 3 hours or more. Despite the precision of Piezo technology, surgical time is comparable to traditional rhinoplasty methods. Dr. Cangello prioritizes thoroughness and quality over speed, ensuring optimal results for every patient.

Most patients report that Piezo ultrasonic rhinoplasty is less painful than they anticipated. The tissue-preserving nature of ultrasonic technology results in less trauma, which translates to reduced post-operative discomfort. During the first few days after surgery, patients typically experience mild to moderate discomfort that is well-managed with prescribed pain medication. Many patients transition to over-the-counter pain relievers within 3-5 days. The most common complaints are nasal congestion and pressure rather than significant pain. Compared to traditional rhinoplasty, Piezo patients generally require fewer pain medications and report higher comfort levels during recovery.

Scarring depends on the surgical approach rather than the Piezo technology itself. With closed rhinoplasty, all incisions are placed inside the nostrils, resulting in no visible external scars. With open rhinoplasty, a small incision is made across the columella (the tissue between the nostrils). This incision typically heals extremely well and becomes virtually imperceptible within several months. Dr. Cangello uses meticulous closure techniques to minimize scarring, and the vast majority of patients find any residual scar lines to be unnoticeable. The Piezo technology itself may actually contribute to better healing due to reduced tissue trauma.

Most patients feel comfortable returning to work within 7-10 days after Piezo ultrasonic rhinoplasty, particularly if their work is primarily sedentary or can be performed from home. The nasal splint is typically removed at day 5-7, and by this time, most visible bruising has resolved. Patients who work in public-facing roles or prefer to wait until swelling is less noticeable may choose to take 2 weeks off. The reduced bruising and swelling associated with Piezo technology allows for an earlier return to normal activities compared to traditional rhinoplasty, where 2-3 weeks off work is more common.

Rhinoplasty results evolve gradually as swelling resolves. With Piezo ultrasonic rhinoplasty, you’ll notice immediate changes once the splint is removed at 5-7 days, though swelling will still be present. By 2-3 weeks, you’ll see significant improvement and feel comfortable in social situations. At 3 months, approximately 85-90% of your final result is visible. The nasal tip, which retains swelling longest, continues to refine over 6-12 months. Most patients see their complete final results by one year post-surgery. The reduced tissue trauma from Piezo technology may allow for slightly faster swelling resolution compared to traditional techniques.

Insurance coverage depends on whether your surgery is purely cosmetic or includes functional components. Cosmetic rhinoplasty performed solely for aesthetic improvement is not covered by insurance. However, if your procedure includes septoplasty or other functional corrections to address breathing difficulties or medical issues, the functional portion may be covered by insurance. The cosmetic aspects would remain your responsibility. Dr. Cangello’s practice can help you understand your insurance benefits and provide documentation for any functional components of your surgery. During your consultation, the team will review your coverage and provide transparent pricing information.

There is no upper age limit for rhinoplasty, provided you are in good health. While most rhinoplasty patients are in their 20s-40s, many individuals in their 50s, 60s, and beyond successfully undergo nose surgery. The key considerations are overall health, realistic expectations, and adequate healing capacity. During your consultation, Dr. Cangello will evaluate your medical history and determine whether you are a good candidate for surgery. Some older patients actually benefit from the reduced trauma of Piezo technology, as it may support better healing in mature skin.

Dr. David L. Cangello is a board-certified plastic surgeon with specialized training in facial plastic surgery and extensive experience focusing on rhinoplasty. He earned his Master of Science from Johns Hopkins University, his medical degree from SUNY Upstate Medical University, completed his general surgery residency at Lenox Hill Hospital in NYC, and completed his plastic and reconstructive surgery residency at Temple University. Dr. Cangello is a Fellow of the American College of Surgeons (FACS) and one of only 139 members of The Rhinoplasty Society, an elite organization limited to surgeons who demonstrate exceptional skill in nasal surgery. He has been recognized by Newsweek as one of America’s Best Rhinoplasty Surgeons for 2025, named a Castle Connolly Top Doctor, RealSelf Top Doctor, and featured in Harper’s Bazaar, Refinery 29, and Seventeen Magazine for his rhinoplasty expertise. Dr. Cangello also serves as Clinical Assistant Professor of Plastic Surgery at New York Presbyterian Weill Cornell Medical College and teaches cosmetic plastic surgery to residents from NYU and Cornell hospitals. His combination of advanced training, specialized focus, academic appointments, and adoption of cutting-edge technology like Piezo ultrasonic rhinoplasty makes him uniquely qualified to deliver exceptional results.