The so-called “preservation“rhinoplasty is nothing new. And especially doesn’t preserve much of anything. It’s an old technique that instead of removing the large hump and anatomically restructuring the nose to look better – that is more elegant and feminine for the woman and more masculine for the male. This creates a space to push it down into the nose without really addressing the problem. It just hiding it.
Theoretically, preservation rhinoplasty preserves certain structures that the proponents of it believe will serve to their advantage to market this procedure to the unknowing. Furthermore, the so-called preservation rhinoplasty does not address the problem. What it does is push the hump down into the nose camouflaging what the patient wanted to remove in the first place.
It’s an old technique that was abandoned because it did not serve the intended purpose. There is no substitute for directly addressing the issues of the nose during rhinoplasty and creating the best possible result using standard known acceptable techniques. More important, is the vision of the surgeon to see and envision the result and then work with the anatomy that the patient must achieve the intended result.
Achieving consistent best results for rhinoplasty is the most challenging and requires knowledge, experience, skill, training, and above all talent. In plastic surgery and medicine, we always embrace new techniques and new treatments to serve our patients. “Preservation” rhinoplasty- is not in my opinion anything new and offers nothing to close, structural changes for this most complex surgical procedure.
I always recommend patients evaluate surgeons’ results by looking at the gallery. If you see consistent improvement comparing the before-and-after’s you probably have the best surgeon. Furthermore, the so-called “preservation” rhinoplasty in my opinion creates excessive length and an excessive tip projection. In my opinion, this extreme tip projection is a telltale sign of the inadequacy of the so-called preservation rhinoplasty.