Preservation rhinoplasty :technique indications resultats
Seance of wednesday 05 february 2025 (Communications libres)
DOI number : 10.26299/t7bt-kf73/2025.05.02
Abstract
As a plastic surgeon I know that rhinoplasty is the most challenging facial plastic surgical procedure .in statistic side, rhinoplasty is a constantly increasing procedure (+3,7 % in 2020: Preservation rhinoplasty was born from this idea of conserving the original anatomy of patients.
Preservation rhinoplasty strives to maintain the structure of the nose, by reshaping the existing structure instead of removing it. As such, this technique avoids the need for reconstruction by grafting. Most importantly, preservation rhinoplasty improves nasal stability over time, yielding a long-lasting result. Preservation rhinoplasty is not new: the first push down was described in 1898 by Goodale; then Cottle’s paper in 1954 with a S shape septal excision with push down and let down technique. Yves Saban described in 2018 a modified high strip procedure and Rollin Daniel and Baris Cakir during Istanbul meeting in 2018 popularized the preservation rhinoplasty. then multiples techniques in dorsal preservation emerged.
Preservation rhinoplasty strives to maintain the structure of the nose, by reshaping the existing structure instead of removing it. As such, this technique avoids the need for reconstruction by grafting. Most importantly, preservation rhinoplasty improves nasal stability over time, yielding a long-lasting result. Preservation rhinoplasty is not new: the first push down was described in 1898 by Goodale; then Cottle’s paper in 1954 with a S shape septal excision with push down and let down technique. Yves Saban described in 2018 a modified high strip procedure and Rollin Daniel and Baris Cakir during Istanbul meeting in 2018 popularized the preservation rhinoplasty. then multiples techniques in dorsal preservation emerged.