Updated on • Reviewed by Dr. Gustavo Sordo, plastic surgeon
Ultrasonic rhinoplasty in Madrid
- + 1.000rhinoplasties performed
- Piezotomeultrasound, without fracturing the bone
- SECPRE · AECEPmember of both societies
Data from the clinic's own surgical records and photographic archive. Updated to September 2026.
Ultrasonic rhinoplasty is not a separate technique; it's a tool within the field. Who uses it here, and what training they have, is detailed in the rhinoplasty surgeon 's curriculum . The surgeon is Dr. Gustavo Sordo, a plastic surgeon who obtained his residency through the MIR program (medical residency), registration number 282858125.
Ultrasonic rhinoplasty is a technique that uses ultrasound to work on the nasal bone. Unlike traditional rhinoplasty, which uses conventional surgical instruments such as a scalpel, this technique employs an ultrasonic device that allows for more precise and gentler cuts.
The result is less trauma to surrounding tissues, reduced swelling and bruising, and ultimately, a faster and more comfortable recovery for the patient. Dr. Sordo teaches ultrasonic rhinoplasty to other surgeons in Madrid : in 2019 he presented "Ultrasonic Osteotomies" at the AECEP Meeting and has given the SECPRE webinar on how to incorporate it into daily practice.
- Own clinic at Alberto Aguilera 48, 1st floor left, Madrid
- Surgery at HLA Moncloa Hospital
- 20+ years of experience
- 3D simulation in the first consultation
Before and after: cases by nose type
View the full rhinoplasty gallery
What is ultrasonic rhinoplasty?
Ultrasonic rhinoplasty is not a type of rhinoplasty different from the others, but a technology that I apply within any technique : structural, preservation, hybrid or secondary with rib graft.
It involves working on the nasal bone with an ultrasonic scalpel (piezotome), which cuts by vibration instead of by fracturing with a chisel and hammer. I can perform ultrasonic preservation rhinoplasty, ultrasonic structural rhinoplasty, ultrasonic hybrid rhinoplasty, or even ultrasonic secondary rhinoplasty, including rib removal and osteotomies of a previously operated nose.
Advantages of ultrasonic rhinoplasty
I've been using the piezoelectric scalpel since 2017, and over these years I've seen a recurring misconception that needs to be cleared up: ultrasonic rhinoplasty isn't a technique, it's a technology. Rhinoplasty has different techniques—structural, preservation, hybrid, secondary with rib graft—and each nose requires one. Ultrasound is the tool I use to cut the bone within any of these techniques.
The piezoelectric effect
The scalpel vibrates at such a high frequency that it only cuts through tough tissue: if you run it over a finger, it won't cut. This allows for two things that can't be achieved with the same precision using a chisel and hammer:
- Hinge osteotomies. Instead of fracturing the nasal wall, I make a partial cut and move the bone with controlled pressure: the skeleton repositions itself instead of breaking.
- Ostectomies: removing small segments of bone to mobilize the nasal walls, which is what preservation rhinoplasty requires.
Just to clarify, because some people are selling "surgery without fractures": ultrasonic rhinoplasty does involve osteotomies . The bone is cut. What isn't used is a hammer.
What do you notice as a patient?
There are practically no bruises. I'm not making this a promise—it depends on the nose, the skin, and each individual—but it's a difference you'll see in the mirror from day one. The scientific literature points in the same direction: a systematic review of eight trials with 440 patients (Kisel, 2022) and a meta-analysis of twelve trials with 630 patients (Safia, 2024) found less edema and less bruising with piezoelectric ablation. The latter adds a nuance that almost no one mentions: the benefit is greater with an open approach , which is how I operate.
What doesn't change
The result. The shape of the nose depends on the surgeon's judgment and the chosen technique, not the device: a piezoelectric device in the wrong hands gives the wrong result with less bruising.
What to ask your surgeon
No, ask, "Do you do ultrasonic surgery?" Everyone answers yes to that. Ask them which techniques they are proficient in—structural, preservation, hybrid, secondary with rib—and which one your nose needs and why. Preservation techniques are superior to structural ones, especially for deviated noses and thin skin, but not in all cases; and whoever only knows one technique will offer you that one, whether you need it or not.
Ultrasound for cutting, rhinomotor for reshaping
Most clinics advertising "ultrasonic rhinoplasty" only mention the piezoelectric scalpel. I combine two technologies: ultrasound, which cuts, and the rhinomotor , a handpiece with a diamond bur that rotates from 0 to 20.000 revolutions per minute, which reshapes. In short: the bur reshapes, the ultrasound cuts , and I use each for its specific purpose.
What is the benefit of rhinomotor in rhinoplasty?
It is especially useful in patients with a wide bone base or marked convexities: in these cases, simply mobilizing the bone through cuts is insufficient; the surface needs to be polished and refined to achieve an optimal aesthetic result. I also use it to pass needles from one side of the nose to the other and fix the skeleton after osteotomies, leaving the knot buried inside.
Complementing ultrasound with the rhinomotor is not just a matter of precision: in my experience it also offers a faster and less uncomfortable recovery for the patient.
What is the complete rhinoplasty process like?
The process—initial consultation, pre-operative assessment, surgery day with anesthesia and BIS monitoring, overnight stay, and month-by-month recovery—is the same for any rhinoplasty, whether or not it's performed with ultrasound. You can find the complete, step-by-step process explained on the main rhinoplasty page.
Risks and limitations of ultrasonic rhinoplasty
Working with ultrasound allows for more precise bone cuts, but it doesn't eliminate the inherent risks of rhinoplasty: swelling and bruising during the first few weeks, temporary changes in sensation or breathing, and, as with any surgery under general anesthesia, bleeding, infection, or scarring problems. If an adjustment is needed, we'll schedule it with you and support you until you achieve the desired result.
It doesn't work miracles either: the result depends on your skin, cartilage, and face shape; it takes months to settle, and we can't guarantee an exact result. The consultation simulation is a guide, not a promise. You have detailed information on the risks and limitations of rhinoplasty.
Request an appointment to assess for ultrasonic rhinoplasty
Dr. Gustavo Sordo, surgeon specializing in ultrasonic rhinoplasty in Madrid
I have been using the piezoelectric scalpel since 2017. I have been a speaker and faculty member at several AECEP meetings on nasal surgery—including the presentation of my own technique for nasal dorsum reconstruction with DCF—and I have led a hands-on rhinoplasty course with live video. I regularly host visiting surgeons who come to train in the operating room using the ultrasonic technique.
Other facial surgeries
If, in addition to your nose, you're interested in improving another area of your face, these are some other facial surgeries we perform:
What is the price of ultrasonic rhinoplasty in Madrid?
Ultrasonic rhinoplasty is not a separate procedure: it's the technique I use to work on the bone when necessary, as part of a primary rhinoplasty, which costs €10.040 , a fixed price with everything included. You can find the complete price breakdown for rhinoplasty in Madrid , including secondary and rib rhinoplasty, on the main rhinoplasty page.
Frequently asked questions about ultrasonic rhinoplasty
How much does ultrasonic rhinoplasty cost?
A primary rhinoplasty with ultrasound costs €10.040 , a fixed, all-inclusive price: the ultrasound technique itself is included and not charged separately. If a rib graft is required, the cost is €15.000, and a secondary rhinoplasty costs €20.000. The exact price will be finalized during the initial consultation, after an examination.
Is the initial consultation fee of €100 deducted from the cost of the surgery?
Yes. The first consultation with Dr. Sordo is €100 , it includes a simulation of your nose and that amount is deducted from the final price if you decide to have surgery.
Does nose surgery hurt?
Less than people fear. Unlike conventional rhinoplasty, ultrasonic rhinoplasty produces significantly less pain and bruising, although you will experience discomfort and nasal congestion for the first few days. It's normal to feel discomfort similar to nasal congestion after the operation. But with mild pain medication and nasal irrigation, you'll feel much better within a week.
Can I return to social life as soon as I have the operation or how long do I have to wait?
Yes. There are patients who can lead a normal life on the second day after surgery. However, you can return to your social life in 6-7 days at the latest. With ultrasonic rhinoplasty, there are no bruises and the swelling is much less than with traditional rhinoplasty, so once we remove the splint, you can return to your daily routine.
When will the final result of an ultrasonic rhinoplasty operation be seen?
Four weeks after the operation, you will see a result close to the final outcome. You will look very natural and can resume your normal social life, although your nose will continue to refine itself until it reaches its final shape after a year. During the following months, your nose will continue to gradually define and improve until it achieves its final shape after a year.
What is ultrasonic rhinoplasty and how does it differ from a regular rhinoplasty?
Ultrasonic rhinoplasty is not an alternative technique: it is the technology I use to work on the nasal bone with an ultrasonic scalpel (piezotome) instead of fracturing it with a chisel and hammer, within any technique—structural, preservation, hybrid, or secondary. It cuts with millimeter precision and is more respectful of the surrounding soft tissues.
Who will operate on me?
Your surgery will be performed by Dr. Gustavo Sordo, a plastic surgeon who obtained his residency through the MIR program (registration number 282858125) and has performed over 1.000 rhinoplasties. He operates at the Moncloa University Hospital (HLA) and sees patients at his clinic in Chamberí, located at 48 Alberto Aguilera Street. You can find Dr. Sordo's full CV here.
Can I see what my nose will look like before I have surgery?
During your first consultation, we'll create a simulation of your nose at no extra cost. This is just a guide to what we're aiming for, not a guarantee of the final result.
How do I make an appointment?
Click "Request an appointment" , call 686 522 167 or message us on WhatsApp. If you are outside Madrid, we also offer the first consultation via video call, in Spanish or English.
Does ultrasonic rhinoplasty have risks?
Yes, like any surgery. Ultrasonic surgery allows for more precise cuts, but it doesn't eliminate the inherent risks of rhinoplasty. We explain these risks and limitations , along with what we can't promise, and we'll discuss them with you during your consultation.
Dr. Gustavo Sordo
Specialist in Plastic, Aesthetic and Reconstructive Surgery. Member No. 282858125.
Content clinically reviewed by Dr. Gustavo Sordo. Last review: November 2, 2026.
Real cases operated on in the clinic
Ultrasonic rhinoplasty for aquiline noses
Nakamura preservation rhinoplasty in a drooping and bulbous tip
SPQR preservation rhinoplasty in a deviated noseSee all before and after cases
Before you decide, you can see what your own nose would look like after surgery: during the consultation, we create a simulation using your face, and here we explain how it works and how reliable it is. What is the simulation like?
Looking for the fine print? What happens if a revision is needed, what gets reviewed more often, and where to read opinions we don't control: we'll tell you here.