Ultrasonic Rhinoplasty In Boise, ID

State-of-the-art technique in rhinoplasty

Price Range: $6,500 – $7,500

Average Procedure Time: 3 hours

Recovery Time: 1 week

Introduction

Piezo Ultrasonic Rhinoplasty

Dr. Alan Gray is the first and only surgeon in Idaho performing Ultrasonic Rhinoplasty, also known as Piezo Rhinoplasty—a breakthrough in nasal surgery that delivers greater precision with less trauma.

 

Widely used in Europe and now available in the U.S. for modern-trained rhinoplasty surgeons, this advanced technique replaces the traditional hammer-and-chisel bone-breaking approach with a gentler, more refined method. It allows for more accurate results, less pain, swelling and bruising, and therefore a faster recovery. Dr. Gray proudly brings this innovation to Idaho with the goal to enhance outcomes and improve his patient’s recovery experience.

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Improved Result. Less Downtime.

Why Choose Ultrasonic Rhinoplasty?

  • Precision Bone Sculpting – Ultrasonic vibrations allow for highly accurate shaping of the nasal bones while minimizing trauma to surrounding structures.

  • Reduced Bruising and Swelling – By preserving soft tissues and blood vessels, this advanced technique promotes a gentler recovery with less postoperative swelling.

  • No Bone Fracturing Required – Unlike traditional methods that involve breaking the bones, ultrasonic rhinoplasty sculpts them with controlled precision, resulting in less discomfort.

  • Enhanced Safety and Surgical Control – Surgeons benefit from improved visibility and control, enabling more refined, predictable results.

  • Ideal for Subtle, Natural Enhancements – Perfect for patients seeking elegant refinements, this technique delivers soft, natural-looking outcomes with minimal disruption.

How is Ultrasonic Rhinoplasty Performed?

Dr. Gray performs Ultrasonic Rhinoplasty in Boise under general anesthesia for optimal patient comfort and safety. 

 

Ultrasonic rhinoplasty, or Piezo rhinoplasty, uses targeted acoustic vibrations that only affects the nasal bones, leaving nasal soft tissue and cartilage completely unharmed. Dr. Gray uses the Piezo device to precisely sculpt nasal bones, allowing for more refined contouring with minimal trauma. This advanced technique not only improves accuracy but also reduces pain, recovery time, bruising, and swelling—an important factor, as swelling can affect how the nose heals and ultimately looks.

 

Because the Piezo device requires direct visualization of the bone, this procedure is always done using an open rhinoplasty approach rather than a closed (scarless) technique. While an open rhinoplasty leaves a barely perceptible scar, the benefits of greater precision and improved healing far outweigh this minor trade-off.

How Much Does Ultrasonic Rhinoplasty Cost in Boise, ID?

The cost of a Cosmetic Rhinoplasty in Boise, Idaho by Dr. Gray ranges from $6,500 to $7,500. The price is widely determined by the rhinoplasty techniques that Dr. Gray uses and the degree of changes necessary to meet your aesthetic goals. Dr. Gray’s listed pricing includes surgeon fees; however, facility and anesthesia fees can be variable based on the time of procedure.

 

The best way to find out how much it will cost for you is to come in for a personalized visit and let Dr. Gray create your surgical plan once an in-depth consultation process is complete.

 

Dr. Gray uses standardized photography and advanced imaging software to create a simulation of a realistic rhinoplasty result. Once a treatment plan is agreed upon, our team will be able to provide a detailed quote detailing the price breakdown for your procedure and offer financing options where appropriate.

Gray Facial Plastic Surgery

Why choose Dr. Gray for Ultrasonic rhinoplasty?

Rhinoplasty should be performed by a fellowship-trained surgeon using the most advanced, proven technologies and continues to advance their skillset. Dr. Gray is committed to delivering the highest quality results for his patients, which is why, after extensive evaluation and testing, he chose to adopt the cutting-edge Piezo ultrasonic system. He is currently the only surgeon in Idaho offering this technology and one of the few in the Intermountain West offering this procedure. During your consultation, Dr. Gray will explain how this innovative approach can help achieve results that are precise, predictable, and beautifully refined.

 

At Gray Facial Plastic Surgery, we take a specialized approach that sets us apart. While many plastic surgery practices offer procedures for the entire body, we focus exclusively on one area: the face. We believe that this singular, undistracted focus allows for true mastery of the field. 

Dr. Gray is one of the only Fellowship-trained Facial Plastic and Reconstructive Surgeons in Idaho with dual training in Otolaryngology – Head and Neck Surgery (ENT). This training pathway allows for the highest level of specialization regarding both the functional and cosmetic aspects of nasal surgery

American Academy of Facial Plastic Surgery
American Board of Otolaryngology-Head and Neck Surgery
Rhinoplasty society

ULTRASONIC RHINOPLASTY FAQs

Who is a candidate for a Ultrasonic Rhinoplasty?
  • Healthy non-smokers with realistic expectations
  • Those seeking precision-based narrowing of the nasal bridge
  • Those looking to reduce a dorsal hump
  • Those with a crooked nose
  • Those unhappy with an overly wide or large nose
  • Those seeking to restore nasal symmetry and balance
What are the benefits of Ultrasonic Rhinoplasty?

Using the advanced Piezo System, Dr. Gray can precisely sculpt nasal bone while leaving the surrounding skin, soft cartilage, and mucosa untouched. This gentler technique offers several key benefits:

 

  • Significantly reduces facial trauma due to the Piezo device not affecting surrounding soft tissue

  • Minimizes post-operative pain, swelling, bruising, and bleeding

  • Provides unmatched surgical precision beyond traditional tools (hammer and chisels)

What is the risk of Ultrasonic Rhinoplasty?

Despite the accelerated recovery, decreased bruising and swelling with Ultrasonic Rhinoplasty, the underlying risks associated with Ultrasonic Rhinoplasty are the same as traditional Rhinoplasty surgery, which can include persistent breathing difficulty, infection, scarring, nosebleeds, septal perforation, asymmetry, or poor cosmetic results.

 

While the ultrasonic Piezo device is used for sculpting the nasal bones, the cartilage and nasal tip is still addressed in the same fashion with grafts and sutures. 

What are the different types of Rhinoplasty?

Primary Rhinoplasty (“Cosmetic Rhinoplasty”):

 

Primary rhinoplasty refers to the original (or first-time) rhinoplasty. As rhinoplasty is a complex and detailed procedure with every patient having unique anatomy, the best opportunity for perfect results is during primary rhinoplasty. In subsequent (or revision) rhinoplasty surgery, the scar tissue and work done during previous surgery significantly complicates the procedure.

 

Revision Rhinoplasty:

 

Revision rhinoplasty is a procedure to correct unsatisfactory results from a previous rhinoplasty. This surgery is more complex due to the altered anatomy caused by scar tissue and prior surgical manipulation. Additional support grafts are often needed to stabilize the nose, which can be taken from the ear (conchal grafts) or the rib (chondral grafts). Dr. Gray is one of the few rhinoplasty experts in Idaho who performs rib cartilage grafting for major revision cases.

 

Functional Rhinoplasty:

 

A patient may present with nose issues regarding breathing or trauma. When a patient undergoes rhinoplasty with a history of problems with breathing or due to injury to the nose, it is considered a functional rhinoplasty.

What is the cost of Ultrasonic Rhinoplasty?

Dr. Gray believes in complete transparency with procedure pricing. Dr. Gray’s rhinoplasty fee is located on our Procedure Pricing Page.

What is the recovery timeline for a Rhinoplasty?

Ultrasonic Rhinoplasty decreases trauma to surrounding tissues, with results in less swelling, bruising, pain. Therefore, Dr. Gray finds the average patient recovers in 7-10 days. A degree of swelling will be present thereafter, but it will be manageable and come down with time.

 

Patients typically recover from a Traditional Open Rhinoplasty after 2 weeks, with average social downtime 10 days. 

 

Regardless of technique, the final result of a Rhinoplasty can take up to 12 months. It is important to understand this and be mentally prepared prior to making this decision. 

 

Surgery Day:

 

You’ll arrive at surgical center in the morning for check-in. After your nose surgery, a small cast will be placed on your nose. You’ll rest in the recovery area and go home the same day. Cold compresses, head elevation, and rest are important for the first evening.

 

1 Day Later:

 

You may experience some swelling or bruising around your nose, though most patients report little to no pain, managed with Tylenol. A small amount of prescription pain medication is provided just in case. Take it easy for the week, avoid exertion, and use saline spray frequently.

 

1 Week Later:

 

During your post-op check-up with Dr. Gray, the cast and will be removed. Most patients are ready to resume normal social and work activities.

 

2 Weeks Later:

 

With ultrasonic Rhinoplasty, only a small amount of overall swelling may still be present.

 

1 Month Later:

 

The post-surgical period is almost over, and the results are becoming clearer.

 

3 Months Later:

 

Any swelling is steadily decreasing, especially at the lower third of the nose, which appears more refined. By now, you’ve adjusted to your new nose.

Is Ultrasonic Rhinoplasty covered by insurance?

Cosmetic Rhinoplasty is not covered by insurance.

 

Financing is available for rhinoplasty. Please contact the office for more information. 

 

Functional (for nasal breathing) Rhinoplasty can be covered by insurance; however, it is unpredictable how much an any insurance plan will cover outright, and they typically require prior authorization, submission of photographs, and documentation of nasal trauma or nasal obstruction that fails medical management. 

 

For select patients with a desire for cosmetic changes AND also have functional nasal issues/breathing difficulty, it is possible to request insurance for a portion of the surgery and a quote can be provided for the cosmetic portion of the case. 

 

Schedule a consultation to review options. 

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