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Facial Plast Surg 2023; 39(05): 537-546
DOI: 10.1055/s-0043-1770159
Original Article

Open Preservation Rhinoplasty

Priyesh N. Patel
1   Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, Tennessee
,
Sam P. Most
2   Division of Facial Plastic and Reconstructive Surgery, Stanford University School of Medicine, Stanford, California
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Abstract

Preservation of native nasal structures in rhinoplasty has aesthetic and functional benefits. This ideology can be implemented within open surgical approaches and in the context of structural modifications of the nose, particularly the nasal tip (structural preservation). In addition, modifications of preservation techniques and hybrid approaches to the osseocartilaginous vault have resulted in expanded indications for preservation of the nasal dorsum. These modifications and indications, as well as septal management in preservation cases, are discussed here in the context of an open approach. Importantly, patient-reported measures suggest that both preservation and structural approaches can yield excellent outcomes. An understanding and integration of both techniques offer great versatility for the rhinoplasty surgeon.

Keywords

open dorsal preservation rhinoplasty - dorsal hump - structural preservation


Publication History

Article published online:
12 July 2023

© 2023. Thieme. All rights reserved.

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