What is Preservation Rhinoplasty?
Preservation Rhinoplasty is a modern, advanced surgical technique designed to maintain the natural anatomical structures of the nose while reshaping it.
The method typically involves techniques such as lowering the bridge of the nose to reduce a hump – removing cartilage or bone from underneath rather than shaving from the top – or reshaping the tip of the nose with sutures rather than cutting the tissue.
Unlike traditional rhinoplasty methods that involve significant disruption of nasal bones and cartilage, this approach prioritizes the preservation of critical blood supply (via the perichondrium and periosteum) and ligamentous support to ensure optimal healing and long-term structural integrity.
Who is a Candidate for Preservation Rhinoplasty?
Preservation Rhinoplasty is applicable to approximately 90% of patients seeking nasal refinement when performed by a surgeon proficient in this advanced technique. It is particularly suitable for individuals seeking natural-looking results with minimal disruption to nasal anatomy.
Ideal Candidates:
Patients with Aesthetic or Functional Nasal Concerns:
- Low nasal dorsum (underprojected bridge).
- Bulbous nasal tip (thick, rounded tip).
- Bifid nasal tip (split or widened tip).
- Deviated nasal tip (asymmetrical or crooked tip).
- Dorsal hump (prominent nasal bridge: hump, V-shaped, S-shaped, straight, or curved).
Advantages of Preservation Rhinoplasty
The biggest advantage is fast recovery! You can return to social life on the 3rd day after surgery. Minimal pain, swelling, and bruising are expected. There is no incision scar on the tip of the nose, and since the natural structure of the bridge is preserved, no irregularities can be felt. The nasal tip remains mobile and flexible—no “rock-hard” or “frozen” feeling! Since natural ligaments are preserved, the risk of tip drooping or deformation is very low.
Disadvantages of Preservation Rhinoplasty
There are no known medical disadvantages of this technique. However, since it is a new and specialized method, the number of expert surgeons worldwide is quite limited. You may need to do some research to find an experienced surgeon.
Surgical Technique of Preservation Rhinoplasty
Preservation Rhinoplasty is performed under general anesthesia and takes about 2-3 hours. The procedure is done without an incision on the nasal tip, using internal incisions. Deviated septal cartilage is corrected, and excess cartilage is used as grafts. The nasal tip cartilages are reshaped to achieve a natural look. Any hump or deviation on the nasal bridge is corrected with precise bone cuts. The surgery is completed with tampons placed inside and on the bridge of the nose.
