Piezo surgery it is a medical method used to cut tissue whose device is hard, such as bone. Piezo surgery is an operation in which piezo is used to shape the nose of bones. Piezo technology was developed by Italians in the 1980s. It is the process of cutting or chipping hard tissues such as Bones by vibrating them using ultrasonic sound waves. The essence of the technology is that ultrasonic vibrations are obtained with the piezo device and these vibrations are transmitted to the specially designed tips. Soft tissues do not suffer any damage to this vibration because they can vibrate themselves. Hard tissues such as bones, on the other hand, are cut without proper bleeding because they cannot vibrate in the face of this vibration. It allows for sensitive bones, ease of use from the point of view of the doctor, no damage to soft tissue because the bone is cut; the method, which is extremely traumatic when using attractive chisels and rasps on the nasal bone, is abandoned. A more delicate thin, elegant nasal skin is created. Recovery is faster. Because it does not damage sensitive tissue and the mucous membrane of the nose, very little bleeding occurs. Because it reduces traumatic results, post-operative swelling and bruises are less traumatic and will be used more frequently worldwide in piezo electric rhinoplasty operations that respect the tissues. It is almost impossible to create a smooth line with a hammer and chisel used in classic osteotomy ( bone cutting ) methods. Prof. Dr. Ersin Ulkur refers to the creation of a nose with a thinner smooth surface after surgery.