Preservation Rhinoplasty for the Dorsum and Tip

By performing a preservation rhinoplasty, the surgeon can achieve natural and stable results by intraoperative replacement of resection with preservation and excision with manipulation of ligaments, cartilages, soft tissues, and the osseocartilaginous dorsum. In this article, the authors explain step by step the dorsal preservation rhinoplasty with low septal strip and a combination of nasal bones osteoplasty and osteotomies, the tip preservation rhinoplasty based on nose tip polygons, and the authors’ technique for modify the nasal tip projection and rotation with a posterior strut or anterior septal strip. © 2020 Elsevier Inc.