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Preservation Rhinoplasty: A Modern Approach to Nasal Surgery

In recent years, a technique called Preservation Rhinoplasty has gained popularity among both surgeons and patients for its innovative and less invasive approach. By preserving the natural anatomical structures of the nose as much as possible while still achieving the desired aesthetic changes, this method not only reduces trauma but also minimizes the risk of irregularities along the dorsum, making it an appealing choice for many patients.

In this blog, Dr Turner, a Specialist Plastic Surgeon in Sydney, explores what preservation rhinoplasty is, how it differs from functional rhinoplasty, its limitations, and what to expect during recovery.

What Is Preservation Rhinoplasty?

Traditional rhinoplasty techniques involve separating the nasal bones and cartilages into individual elements before modifying and reconstructing the nose based on structured rhinoplasty principles. This approach has been used for many years to effectively reshape the nose and restore nasal function through functional rhinoplasty surgery.

Preservation rhinoplasty, on the other hand, focuses on remodeling the nasal structures without compromising the stability or function of the nose, particularly for those seeking a minor improvement of a dorsal hump and subtle enhancement of the nasal tip. Due to the minimal alteration of nasal bones and cartilages, preservation rhinoplasty typically results in reduced bruising, swelling, and a faster recovery period.

Benefits of Preservation Rhinoplasty

  • Natural Contours: By conserving the natural bony dorsum, it reduces the risk of contour irregularities along the nasal bridge.
  • Reduced Trauma: Less manipulation of the nasal structures means decreased swelling and bruising.
  • Shorter Recovery Time: Patients experience a quicker return to normal activities.
  • Maintained Nasal Functionality: Preserving important nasal anatomy helps maintain breathing functions.

Several studies have reported a reduced risk of developing breathing problems after preservation rhinoplasty because this technique avoids removing excessive nasal tissue, which can narrow air passages.

Addressing the Dorsal Hump

One of the key components of preservation rhinoplasty is dorsal preservation. Traditional rhinoplasty techniques require the removal of the dorsal bony hump through a combination of nasal rasping and osteotomies. This allows the surgeon to move the nasal side walls closer together to narrow the bony nasal base, which can create an “open roof” deformity that can be felt through the nasal skin if not performed accurately.

In preservation rhinoplasty, the dorsal hump is preserved. The surgeon removes excess bone from the base of the nose, allowing the bridge of the nose to be moved backward to reduce the appearance of a bony hump. This technique maintains the natural contour of the bony dorsum and minimizes any risk of dorsal irregularities. Dr Turner utilizes a “let-down” manoeuvre, which softens the dorsal hump while maintaining its original structure, resulting in a natural, unoperated appearance.

Preservation Rhinoplasty Techniques

Refining Nasal Tip Issues

Another area where preservation rhinoplasty excels is in addressing nasal tip cartilages. Traditional rhinoplasty methods involve using a combination of excision, sutures, and grafts to reshape and support the nasal tip. In preservation rhinoplasty, the tip is reshaped by modifying the existing cartilage with sutures. This subtle modification ensures the tip maintains its natural support, reducing the likelihood of long-term deformities or the need for revision surgery.

Balance between Preservation & Structure?

When considering rhinoplasty, it’s important to find the right balance between preservation and structural rhinoplasty techniques. While structural rhinoplasty can achieve dramatic results, preservation rhinoplasty has gained popularity due to its ability to create more subtle changes that result in a natural-looking appearance.

The structural rhinoplasty approach involves removing or reshaping existing nasal cartilage and bone to create a more desirable appearance. This technique is typically reserved for cases where preservation rhinoplasty would not achieve the desired outcome, such as in trauma cases, revision rhinoplasty, or patients with nasal obstruction (deviated septum or nasal valve collapse), where a functional rhinoplasty procedure is recommended.

Recovery with Preservation Rhinoplasty

One of the main appeals of preservation rhinoplasty is the smoother and faster recovery process. Because the surgery is less invasive, patients can typically expect:

  • Reduced Swelling and Bruising: Since the surgery involves minimal disruption to the nasal framework, there is less post-operative swelling and bruising. Most patients see a significant reduction in these side effects within the first week.
  • Shorter Recovery Period: Patients can generally return to their regular activities within 1 to 2 weeks. This is considerably faster than the 3 to 4 weeks often associated with traditional rhinoplasty.
  • Less Pain: The preservation approach results in less tissue trauma, which means less post-operative pain. Over-the-counter pain relief is often sufficient for managing discomfort during the recovery phase.
  • Final Results Sooner: While it can take up to a year to see the final results of any rhinoplasty, patients who undergo preservation techniques typically see their desired outcomes sooner due to the quicker subsiding of swelling.

Is Preservation Rhinoplasty Right for You?

Preservation rhinoplasty is an innovative and effective approach for those seeking subtle, natural-looking nasal enhancements. It offers many benefits over traditional open structural rhinoplasty, including a less invasive procedure, quicker recovery, and more predictable results.

Dr Turner generally employs a hybrid approach to rhinoplasty surgery, incorporating principles from both preservation and structural techniques to achieve the desired aesthetic outcome while maximizing nasal function.

To learn more about Preservation Rhinoplasty with Dr Turner

  • Schedule a ConsultationContact us at 1300 437758 or visit drturner.com.au to book your appointment.
  • Prepare for Surgery: Follow any preoperative guidelines provided, such as avoiding certain medications and arranging for post-surgery care.
  • Plan for Recovery: Set aside time for rest and healing and arrange for assistance during your initial recovery phase if needed.

DisclaimerThis article is for informational purposes only and does not constitute medical advice. Consult with a qualified healthcare professional to determine the best treatment options for your individual needs.

References

American Society of Plastic Surgeons. What is Preservation Rhinoplasty and Is It Right for You?

Australasian Society of Aesthetic Plastic Surgeons. New trends in Rhinoplasty Preservation vs Structural Approach/