Joseph Periosteal Elevator – Rhinoplasty and Nasal Periosteal-Elevator
The Joseph-Periosteal-Elevator from Adas Instruments is a precision rhinology instrument used to elevate periosteum and soft tissue flaps over bone during rhinoplasty, septoplasty, and nasal reconstruction. This Joseph nasal elevator features a slender, slightly curved blade that follows the contour of the nasal bones and facial skeleton, allowing surgeons to create smooth subperiosteal tunnels with excellent control. It is widely used in functional and aesthetic nasal surgery as a dependable periosteal nasal elevator for fine dissection.
During rhinoplasty and nasal fracture repair, the Joseph nasal Periosteal-Elevator is used to separate periosteum from the nasal bones, frontal process of the maxilla and adjacent facial structures. The gently curved blade shape helps the surgeon stay close to the bone while protecting the overlying soft tissues and skin envelope. A well-balanced handle provides secure grip and tactile feedback, making this Joseph nose elevator a key instrument for controlled elevation prior to dorsal hump reduction, osteotomie,s or graft placement.
Design and features
The Joseph-Periosteal-Elevator typically has a single, narrow blade with a slightly curved profile and a blunt, rounded or subtly pointed tip (model dependent). This design concentrates force along the edge of the periosteal nose elevator so that the periosteum can be lifted cleanly without tearing. Overall length is usually around 16–19 cm, giving enough reach for nasal and midfacial work while maintaining fine control in confined spaces. A flat or hollow handle keeps the instrument lightweight and easy to manoeuvre, and the satin stainless steel surface reduces glare under operating lights.
Clinical applications of rhinoplasty periosteal elevator
- Subperiosteal elevation over nasal bones and the frontal process of the maxilla during rhinoplasty.
- Periosteal elevation for dorsal hump reduction and lateral or medial osteotomies.
- Elevation of soft tissue flaps in nasal fracture repair and post‑traumatic reconstruction.
- General periosteal-elevator use in ENT and facial plastic surgery around the nose and midface.

Technical details
| Specification | Detail |
|---|---|
| Instrument name | Joseph nasal periosteal elevator, Joseph elevator nasal surgery |
| Primary use | Periosteal elevation in rhinoplasty, septoplasty, and nasal reconstruction |
| Overall length | Approx. 16–19 cm (model dependent) |
| Blade design | Slightly curved, narrow periosteal blade with blunt or fine tip |
| Handle type | Flat or hollow handle for lightweight, secure grip |
| Material | Surgical‑grade stainless steel |
| Finish | Satin/matte finish to reduce glare |
| Reusability | Reusable, autoclavable periosteal elevator supplied non‑sterile |
| Specialties | Rhinology, ENT, plastic and reconstructive facial surgery |
Discover more rhinology instruments in our ENT Instruments and Rhinology Instruments categories.
You may also like the Cottle Septum Elevator Double-Ended, Graduated, Joseph Masing Septum Elevator / Periosteal Elevator and the Rhinoplasty Instrument Set to complete your nasal and facial surgery tray.
People also ask
Q: What is the Joseph Periosteal Elevator used for?
A: The Joseph Periosteal Elevator is used to lift periosteum and soft tissue flaps from the nasal bones and facial skeleton during rhinoplasty, septoplasty and nasal fracture repair.
Q: How is the Joseph Periosteal Elevator different from a septum elevator?
A: A Joseph periosteal elevator is optimized for subperiosteal elevation over bone, whereas septum elevators are designed mainly for mucoperichondrial and mucoperiosteal flaps along the septal cartilage
Q: In which rhinoplasty steps is the Joseph Periosteal Elevator commonly used?
A: It is commonly used for dorsal exposure, subperiosteal tunnelling, hump reduction, osteotomy preparation and repositioning of nasal bones.
Q: What sizes are available for the Joseph Periosteal Elevator?
A: Typical models range from about 16.5 cm to 19 cm in length with a narrow, slightly curved blade suitable for nasal and midfacial work.
Q: Is the Joseph Periosteal Elevator reusable?
A: Yes, it is manufactured from surgical stainless steel, reusable and fully autoclavable when processed according to standard hospital protocols.








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