What is Preservation Rhinoplasty

Preservation rhinoplasty is a new but popular concept in the world of facial plastic surgery that involves less invasive techniques that preserve the structure of the nose to create the most natural results. With the invention of this modern technique, many of the traditional aggressive surgeries were forgotten. Dr. Farzan Rezaei is one of the skilled rhinoplasty experts that will explain more about this modern technique to help patients who search for the best procedure to look more attractive on their face.

Preservation Rhinoplasty - Dr. Farzan Rezaie

Preservation nose surgery is a less invasive surgery that focuses on preserving as much of the existing structure as possible during the surgery. The surgeon follows the goal of preserving and maintaining your current nose while making improvements to its overall aesthetic appeal to achieve a natural-looking nose on your face.

Am I a Good Candidate for Preservation Rhinoplasty?

rhinoplasty preservation technique is a modern form of plastic surgery that enables you:

  • To change the crooked appearance of your nose
  • To correct the droopy or wide tip of your nose
  • To have the opportunity to get rid of the hump
  • To benefit from the eye-catching results through less invasive surgery
  • It is worth mentioning that if you are considering revision rhinoplasty, preservation technique has some limitations that may make it inappropriate for correcting more complex nasal deformities.
  • It should be noted that all patients have their specific physical features, so if you wonder whether preservation rhinoplasty is right for you or your specific goals and aesthetics, you must consult with an experienced preservation rhinoplasty fellowship surgeon in iran to make the right decision.

Cons and Pros of Preservation approach

✔ The Pros :

Preservation rhinoplasty has less-invasive elements vs traditional reduction rhinoplasty. It produces a smoother natural-appearing results. Removing less of the nose structure reduces amount of swelling and healing time compared to traditional rhinoplasty. Again, due to removing less of the nose structure, there is less risk of blocking airways or structural problems.

❌ The cons :

The modern technique of preservation rhinoplasty is not for everybody. Traditional structural techniques are required to correct complex nasal deformities and get the best results. It is also unsuitable option for patients with very thick nasal skin and soft tissue or cartilage.

Differences of Traditional and Preservation Rhinoplasty

To figure out how preservation rhinoplasty differs from traditional procedure of nose surgery it would be a good idea to know more about the features of each procedure. Most patients who consider rhinoplasty, look for the reduction the size of their nose. For many, having a hump on the bridge of their nose is really embarrassing.

Traditional rhinoplasty makes changes in the nose of the patient through the reduction in the bone or cartilage of the bridge. Still, it can make you feel that the result may appear fake, primarily due to the changes of the natural dorsal lines of the nose.  To contour the nose some times the surgeon grafts cartilage that it makes the procedure more invasive. On the flip side, in preservative rhinoplasty the surgeon works on the existing nasal structures and avoids any unnecessary removal of the bone and cartilage. It results in a more natural appearance in the nose. It is sometimes unnecessary to graft any additional cartilage to contour the nose, too.

Tips to Prepare for your Preservation Rhinoplasty Surgery

To be ready both physically and mentally for the procedure may make you closer to the result you dreamed about. During your first consultation with your doctor for preservation rhinoplasty surgery, your surgeon listens to your expectations from the results. Your doctor will examine your nose and facial structure and discuss the possibilities and the procedure that suits the best for the case. A plan will be specified for you to have a smooth recovery phase. Some of these recommendations are as follow:

  1. Stop smoking at least two weeks before surgery
  2. Avoid blood thinning medication a few days before the procedure

How is the procedure of preservation rhinoplasty done?

Like all rhinoplasty procedures, preservation rhinoplasty in Tehran includes the 3 following phases to get appealing results:

The first step: consultation session during which your plastic surgeon may:

  • Evaluate your general health and risk factors
  • Examine the whole face and the features
  • Recommend the best treatment to get satisfying results
  • Evaluate your candidacy for preservation rhinoplasty procedure
  • It is best to discuss your allergy history with your rhinoplasty expert before preservation rhinoplasty procedure.

The second step: Surgeon needs to know about your health status to make sure about your body readiness for the procedure. During the consultation, doctor prescribes some preoperative examinations. It is also recommended to the patient to avoid eating and drinking about 8 hours before the procedure.

The third step: At the operating room

Medications are administered for your comfort. The choices include intravenous sedation or general anesthesia. The best choice will be recommended by your doctor.
Preservation rhinoplasty is performed through the inside incisions allowing access to reshape the nasal structure by removing extra bone or cartilage or reshaping it. Correcting the tip of the nose by this surgical procedure involves preserving the cartilage while reshaping tip and ligaments in the nose.

The skin of the nose will not be lifted up during the surgery, that means less swelling and bruising after procedure. Contouring the nose is another feature that is cared a lot in preservation procedure. At the end of the surgery all the incisions will be closed. The incisions are limited to the inside of the nose that means no scar after the procedure.

Can the preservational technique be used for nasal reconstruction?

Reconstructive nasal surgeries must be performed with the highest precision and sensitivity because the tissues have undergone surgery once and their sensitivity has increased. Considering that preservation rhinoplasty is a completely safe method with the goal of changing the nose while preserving natural tissues, it can be very suitable for repairing noses that have undergone surgery once.


According to the preservation rhinoplasty fellowship surgeon in iran , the first 6 weeks of the recovery period are a critical timeframe for achieving satisfactory improvement. The doctor thoroughly discusses with you what actions you should take in this situation and advises you on what activities to avoid.

To ensure that the healing process and improvement proceed acceptably, they may schedule a weekly visit for you. It is your responsibility to be present at the clinic on the appointed day. According to the surgeon’s recommendation, it is better to spend more time at home and rest in the initial days, as resting provides the necessary energy for tissue healing. For resting, placing your head higher than your body prevents increased nose bleeding and swelling.

It is normal to experience slight nosebleeding in the first two to three days. Placing a drop-shaped pad at the end of the nose helps absorb the blood and aids in quicker cessation of bleeding. Additionally, to prevent infection and inflammation at the surgical site, you should clean that area using saline drops.

Keep in mind that while preservation rhinoplasty is a type of modern, minimally invasive nose surgery, it doesn’t mean that its recovery period is not important, and the nose doesn’t require care. Generally, after any type of surgery, the care instructions specific to it must be strictly followed.

Frequently Asked Questions about Preservation Rhinoplasty:

1. Is preservation rhinoplasty performed without anesthesia?

The nose surgeon decides on the appropriate anesthesia method for the patient, considering their condition and circumstances. Therefore, the surgery may be performed under local anesthesia or general anesthesia.

2. What are the side effects of modern preservation rhinoplasty?

As this technique involves less invasiveness, the risk of postoperative complications is reduced but not eliminated. Like other surgeries, there may be possibilities of infection, allergic reactions to anesthesia drugs, or even postoperative bleeding.

3. Is the cost of this surgery covered by insurance?

Nose surgery for cosmetic purposes is typically considered elective, and insurance usually does not cover such services. Therefore, the individual is responsible for covering the expenses of preservation rhinoplasty.

4. Is the result of rhinoplasty using preservation technique permanent?

Some individuals may think that because this method involves minimal and restricted changes to tissues, there is a possibility of nasal deformities recurring after surgery, such as a hump or protrusion. However, it should be noted that this assumption is incorrect, and the result obtained from the preservation technique is permanent.

5. Is there an age limit for preservation rhinoplasty?

When cosmetic surgery is performed at an appropriate age, it yields the best results. The age range for preservation rhinoplasty is generally in line with the typical age for cosmetic procedures, meaning individuals who have reached maturity and completed nasal growth can undergo the surgery.

6. Does preservation rhinoplasty involve the use of graft tissues?

The basis of this technique is to minimize the invasiveness of the nasal procedure, so adjustments are made in a way that avoids the need for graft tissues. However, it’s essential to note that there are always exceptions that may slightly alter the standard process.

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