Combining Preservation and Structural Rhinoplasty

Rahul K Sharma; Sam P Most; Priyesh N Patel

doi:10.1016/j.fsc.2025.01.002

Combining Preservation and Structural Rhinoplasty

Facial Plast Surg Clin North Am. 2025 May;33(2):229-240. doi: 10.1016/j.fsc.2025.01.002. Epub 2025 Mar 14.

Authors

Rahul K Sharma¹, Sam P Most², Priyesh N Patel³

Affiliations

¹ Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.
² Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head & Neck Surgery, Stanford University School of Medicine, Stanford, CA, USA.
³ Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, TN, USA. Electronic address: priyesh.patel.1@vumc.org.

PMID: 40253110
DOI: 10.1016/j.fsc.2025.01.002

Abstract

Structural preservation rhinoplasty (SPR) uses structural methods and dorsal preservation. SPR approaches include (1) dorsal preservation techniques coupled with structural approaches to the lower third/nasal tip complex; (2) use of structural methods to convert a nasal dorsum to a preservation candidate; (3) preservation ideology applied to structural tip pasty, emphasizing suture modification and limited resection; (4) minimization of the degree of soft tissue disruption at the middle vault and dorsum in preservation and structural cases; (5) modified dorsal preservation techniques in which some components of the nasal dorsum are treated with structural methodology while others are treated with preservation methods.

Keywords: Dorsal hump; Dorsal preservation; Structural preservation rhinoplasty.

Publication types

Review

MeSH terms

Humans
Nasal Cartilages / surgery
Nose* / anatomy & histology
Nose* / surgery
Rhinoplasty* / methods
Suture Techniques