Ultrasonic rhinoplasty is a surgical technique that uses ultrasonic energy to reshape the nose, improving its appearance and function. The procedure involves using a device that emits high-speed sound waves to tiny cutting and shaving tip inserts, which can precisely remove specific bone fragments and dense cartilage without employing traditional nose surgery instruments like chisels and rasps. Unlike traditional methods of rhinoplasty, ultrasonic rhinoplasty only targets the nasal bones, with no additional damage to other tissue. This means there is less trauma to the nose, and as a result, there is less bruising and swelling afterward. The procedure most often removes excess bone and cartilage from the nasal hump, and it is a minimally invasive procedure that can be performed under general anesthesia. Ultrasonic rhinoplasty is a little different from a traditional rhinoplasty in the fact that the surgeon has to undermine the skin of the nose more extensively to fit the device. Also, the device can only be used in open rhinoplasty procedures, which require external skin incisions to expose nasal structures. The procedure has many practitioners in Europe and Turkey, and the FDA approved the device for use in November 2017. Ultrasonic rhinoplasty is expected to be more widely available in time, giving patients more options to change the shape of their nose.