How a repulsive word, isn’t it?; to break. It has been forgotten that Osteotomy word is a term in Latin, and translated as ‘break’. Perhaps the relevant word here should be to shape the bones. If we take into consideration the fact that the major part, volume of the nose is bone, a surgery (except tip plasty) to be performed without interfering in the bones is an incomplete surgery. Of course the bones are reshaped. There are different techniques for this. In theese technics we use the latest Piezo Technology while performing our operations.