Preservation Rhinoplasty is one of the newest and most revolutionary approaches in rhinoplasty. Unlike traditional methods that are based on destroying and rebuilding the nasal structure, this method focuses on preserving as much natural tissue as possible.
Below, we will examine the detailed details of this advanced technique:

What is the core concept of “Preservation”?

In traditional surgery, to correct a nasal hump, the surgeon cuts the nasal roof (Resection) and then brings the bones closer together. However, in the preservation method, the philosophy has changed:

Dorsum Preservation: Instead of cutting the hump from the top, the surgeon removes a small portion of cartilage and bone from underneath the nasal bridge (the septum area). This way, the entire nasal bridge is guided downwards without altering the natural appearance of its roof (like an elevator descending).
Preservation of Nerves and Vessels: In this method, the outer layers of bone and cartilage (peri-chondrium and periosteum) are carefully preserved, which leads to better blood supply.
Preservation Rhinoplasty, or “conservative rhinoplasty,” is one of the newest and most revolutionary approaches in cosmetic nasal surgery. Unlike traditional methods that were based on destruction and reconstruction of the nasal structure, this method focuses on the maximum preservation of natural tissues.

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3. Benefits of Preservation Surgery

• Ultra-natural appearance: Because the skin and cartilage of the nasal roof remain intact, the nose does not appear to have been operated on, and the Dorsal Aesthetic Lines are completely natural.
• Reduced breathing problems: By preserving the internal nasal valves, the risk of nasal congestion that sometimes occurs after traditional surgeries is greatly reduced.
• Natural touch: The nose does not become stiff and rocky after the operation, and the movement of the cartilage remains largely similar to that of a natural nose.
• Less scarring: Many surgeons perform this procedure in a closed manner, meaning no incision is made on the columella (the skin between the two nostrils).

4. Suitable Candidates

This procedure is not suitable for all noses. The best candidates are:
• Those undergoing surgery for the first time (Primary Rhinoplasty).
• Those with bony or cartilaginous humps.
• Those seeking natural changes and avoiding the appearance of a "practical nose".
• Note: In noses that are severely deviated or have previously undergone surgery (reconstruction), traditional or structural methods are usually more useful.

5. Recovery Period

Due to less invasion of lymphatic and blood vessels:
• Bruising of the eyes is very rare or very mild with this procedure.
• The main swelling goes away within a week.
• Patients usually report less pain because tissue damage is limited.

Conclusion

Preservation surgery requires a high level of skill and delicacy from the surgeon, as the work is performed in confined spaces and with millimeter precision. This method is essentially a return to the body's natural anatomy with modern tools.