PIEZO Rhinoplasty, also referred to as Ultrasonic rhinoplasty, is a new technology that has revolutionised the world of medicine by allowing surgeons to create more refined nasal contours and cut bone without the need to break them anymore. For over 100 years, rhinoplasty surgeons had to rely on the same principle, using a hammer and a chisel to break your bones to permit bone movement and other forms of altering. Ultrasonic technology opened up a new era of delicate treatment options for aesthetic bone refinement. Piezo uses highly selective technology which allows changes to be made to the bone, without causing any trauma to adjacent tissue. Patients benefit from significantly less pain, bruising, and swelling after Piezo Rhinoplasty, and have an overall reduced post-operative downtime.
Mr. Bran has extensive experience in Piezo Rhinoplasty and is frequently invited to meetings in order to share his expertise and to train colleagues in Piezo Rhinoplasty.
Simple, easy to understand answers to the most frequently asked questions by our rhinoplasty surgery patients.
Other beneficial procedures that can be performed in conjunction with Piezo Rhinoplasty include forehead rejuvenation or brow lift surgery, face lift, or neck lift. In order to find out more you should book a confidential consultation with Mr. Bran. As an expert in facial plastic surgery, he will be able to answer all of your questions and explain the details of your tailored procedure.
Incisions are placed across the columella, the piece of skin between your nostrils. If a narrowing of the nasal base is required, additional incisions will be placed on the floor of your nostrils. The scars will initially be red and raised, however as scars continue to mature they will become barely visible. Mr. Bran wrote his PhD on scars and continuously improved his surgical techniques in order to create the least noticeable scars.
We advise our patients to plan enough time for their recovery. The minimum after Piezo Rhinoplasty operation is usually 10-14 days. In this time, you should expect swelling around your eyes and cheeks. Most of the swelling will usually resolve over the first week. Due to the delicate nature of our nasal structures, residual swelling can take up to 10 weeks to settle. You may be advised to use a specific nasal spray to elevate any temporary breathing difficulties you may be having due to swelling. You will also be advised to sleep with your head elevated to help reduce swelling. After 6-7 days the sutures used to close the incisions will be removed. The cast on your nose will be removed around day 10. Patients can go back to their daily activities approximately 7 to 10 days after surgery. We advise our patients to avoid strenuous activities or exercise completely for 3 weeks after surgery.
During most primary rhinoplasties the contours or alignment of the nasal bones need to be addressed. Different to conventional methods (e.g. using rasp, hammer and chisel) Piezo rhinoplasty enables us to improve the contours of the nasal bones with no trauma to the soft tissue surrounding the bone. This results in less post-operative pain and discomfort. Although less than if a conventional rhinoplasty method were used, you should still expect some swelling. The initial swelling will extend down to your cheeks and your upper lip in the first days after surgery. Patients report breathing impairment and a tender feeling along their nose due to swelling. Some patients experience oozing from the nose in the first few days post-operatively. You will be given adequate pain medication and appropriate instructions how to take care of your nose and how to keep your discomfort at a minimum.
Piezo Rhinoplasty takes between 2-2.5 hours in primary cases, which means a nose that has not been previously operated.
We pride ourselves in doing great work and we pride ourselves in sharing the wonderful results we’ve helped our patients achieve.
When you choose to have surgery with us, you embark on a journey with a team that has your best interests at heart. Not only will we guide you through the process, but we’ll make sure that you understand everything, each and every step of the way.
You’ll get access to a free library of educational resources to learn what the best next steps are for you.
Whenever you’re ready, you can request a consultation with Dr Bran to discuss the right option for you.
If you decide to proceed with surgery, we’ll organise everything required to deliver you world-class treatment.
Following your surgery, we offer a bespoke after care service which is included in all our surgeries.
Like any master craftsman, we do what we do, because we love what we do. Our work is made more fulfilling by the fact that each and every one of our patients, can walk away with a new spring in their step and a more confident way of living their lives.
Dr.Bran is amazing! I did a rhinoplasty in March 2019. Very satisfied with the result so far. Loving my new nose every day!! He has been totally honest and very understanding of what I requested, very patient I have been e-mailing him a lot and he wasna’t bothered at all. He explained to me the whole process clearly and showed how my nose would look like. I would totally recommend him.
Throughout the whole process, Dr. Bran and his team were fantastic! He explained things very clearly and gave me much confidence that I was in safe and professional hands. I was amazed how quick the healing process was and how much Mr. Bran was able to achieve with my nose leaving a barely even viable scare. I can only say thank you so much for giving me my ''old nose'' back and today I have the confidence to look people in the eye with my head held high. I highly recommend GB Aesthetics for their results and amazing team!
I had my first rhinoplasty performed abroad in 2016. The result was a not very good. Before the surgery, I only had a slight hump, but after the procedure, my nose was crooked with a ski-slope in profile and you could also see my nostrils from the side .I was horrified just thinking about another operation, but the idea of living with this result made me very unhappy. My search for an experienced surgeon took me a long time. I found this surgeon through a recommendation of a friend of mine. She had her nose operated by Dr. Bran and I really liked her nose.After the first few minutes of my consultation I was already very confident having found the right surgeon for my revision surgery. Dr. Bran is very friendly, patient, easy to talk to and a perfectionist. After the surgery, I hardly had any pain or bruising. The result is fantastic. I feel much better seeing myself on photos now, I love my new nose.
I met with Dr. Bran in summer 2018 for my initial consultation after various knockbacks from at least 4/5 ‘renowned’ facial plastic surgeons across London and Manchester. My case is slightly different and a little out the ordinary following complications post rhinoplasty 3 years ago leaving me with facial paralysis and an elongated lip (no teeth show).This did not phase him and he was determined to do everything to help me regain my confidence and correct the damage that had been done to my face following the complications from the first surgery. He put in a lot of time and research to put together a treatment plan, discussed this with me in length and always asked for my opinion on his suggestions. He always puts me at ease and I always feel relaxed each time I speak to him. I built a lot of trust and felt confident and comfortable moving forward with the lip lift surgery. The procedure went extremely well and I am over the moon with the results! I felt very relaxed going in to surgery knowing I was in good hands and trusted him to give me the result I wanted. All the staff were great, with prompt email replies and friendly manner. The whole process with Dr Bran has been great from start to finish and I cannot recommend him enough!! He has a great passion for his field and is an amazing surgeon.I will be forever grateful for what he has done for me.
I had rhinoplasty performed by Mr. Greg Bran and I could not be happier with the result and the overall process. I am a highly anxious patient and he handled this circumstance remarkably well! Mr. Bran always took plenty of time in the several consultations before the actual procedure and aims for nothing but perfection. I can highly recommend Mr. Bran and his team and I can guarantee you that you will be in the best hands. Enjoy the transformation!
I was considering surgery because I didn’t like the appearance of my nose and my upper lip. My nose was too big and had a hump and my upper lip was too thin. Mr. Bran performed Rhinoplasty and combined it with a Lip Lift. I am so happy with the result. Both my nose and lips look natural and in my eyes are so much nicer than before the surgery. When I went back to work, some of my colleagues hadn’t noticed that I had had surgery but were giving me compliments and saying that I somehow, look better! Mr. Bran, spends a lot of time with his patients, and makes sure he understands what exactly his patients are hoping to achieve. He goes through every detail of the surgery with you and gives you a realistic idea of what the outcome of surgery will be. He is very meticulous in his work and warm hearted to his patients. Prior to my consultation with Dr. Bran, I saw several other surgeons for consultations. After meeting him, I immediately knew that he was the right surgeon for me. Mr. Bran has changed the prominent features of my face and given me the shapes I have always wanted.
I decided to make one of the biggest decisions a person can make. The decision of undertaking cosmetic surgery is one that will remain with you for the rest of your life, thus choosing your surgeon to make this change for you is vital. I met many surgeons before I chose Dr GB. I had consultations in the UK and overseas. I explored all my options. I took into consideration experience of the surgeon, recovery time, which rhinoplasty was chosen, reviews from previous patients, aftercare, etc. However, Dr GB went beyond my expectation during my initial consultation with him. He covered aspects which I had not even considered, aspects which were not necessary but useful i.e. why the abnormalities were present to begin with. All you need is one meeting with your surgeon. In that initial consultation if you don’t feel confident, move on. A Harley Street surgeon in itself speaks volume, however I’ll still say for everyone looking to do rhinoplasty, (I had open rhinoplasty) that I would strongly advice for you to look no further and book your consultation with Dr GB, for I assure you, you will not be disappointed.
My name is Eve Salvail. I am a well-known fashion model. I had my first rhinoplasty 30 years ago. I gave Mr. Bran the considerable challenge to perform revision surgery on my nose aiming for a result that would not make me look different from all my previous photos. He excelled with flying stars. My own mother did not notice the difference else than saying that I looked beautiful and awfully rested. Greg is not only talented, meticulous and sweet, he is a true artist. I make a point to stop by his office each time I come to London for my touch ups (he keeps me young... see me @evesalvail) for Wrinkle-filler and filler. Thank you Mr. Bran for all the youth you brought back into my life and on to my face!