What is Preservation Rhinoplasty?

This is a relatively new development in rhinoplasty that allows for long-lasting results, minimizes unexpected issues, and minimizes recovery time.  

Who is an ideal patient?

It is suitable for a particular patient population. After a full physical exam, we will discuss with you whether this is appropriate in your situation. 

How does it work?

Preservation Rhinoplasty is a fundamental shift in rhinoplasty concepts from reducing and rebuilding to preserving and reshaping the nose’s internal structure.  

The skin elevation and surgical plane are in the subperichondrial-subperiosteal plane. This reduces the swelling postoperatively and the long-term chances of skin thinning. 

The bridge of the nose and the connection between the cartilages are maintained, reducing the chance of long-term deviations, irregularities, and breathing issues.  

The tip cartilages (called the lower lateral cartilages) are maintained with minimal excision. This prevents long-term alar retraction and other unpredictable deformities. We achieve the desired shape with suturing. Onlay grafts are minimized as they can lead to long-term unpredictable results. 

We use septal extension grafts and tongue-in-groove procedures to maintain a stable position of the tip. 

We preserve the ligament connections between the cartilage and the cartilage and bone as much as possible. This again improves the long-term predictability of the result.  

In certain cases, an alar reduction (Weir excision) is used to reduce the width of your nose.