An ultrasonic nebulizer is provided that has a liquid chamber to receive a liquid. A piezoceramic transducer is attached to one end of the liquid chamber. The piezoceramic has an orifice to allow the liquid inside the chamber to exit. A plunger movably and sealbly is inserted into the liquid chamber from its other end, which is moved by a moving mechanism to push the liquid out of the liquid chamber. The plunger forms a small liquid droplet on the surface of the piezoceramic. Oscillation of the piezoceramic at megahertz frequencies results in atomization and formation of small droplets from the surface of the sessile droplet. The present nebulizer is a total consumption nebulizer, since all its droplets are substantially within 2 to 5 microns, which is the size range to penetrate into the lunges of a user.