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As the field of craniofacial surgery has advanced, the need for novel techniques to improve safety and patient outcomes has grown considerably. Historically, clinicians have relied on mechanical chisels, oscillating saws, and rotating burrs to perform osteotomies. 1 Although able to successfully cut bone, these techniques have the potential pitfalls of increased risk of osteonecrosis, impaired bone regeneration, and more. 1,2 To prevent the morbidity associated with conventional bone-cutting modalities, Vercellotti 3 introduced piezosurgery in 1988. Piezosurgery is a bone-cutting technique that takes advantage of electrical current that moves ceramics inside a device that then leads to ultrasonic oscillation of a vibrating insert that is applied to bone. The bone is broken down and suctioned from the surgical area to decrease heat generation and prevent mechanical injury. 4,5 The characteristics of the piezosurgery microvibrations allow for precise cutting of mineralized structures and prevent damaging underlying soft tissue and vasculature. 3 This increased precision can lead to not only better surgical outcomes but also improved cosmesis as well because of decreased bleeding and

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