Preservation Rhinoplasty: A Comprehensive Guide

Edited by Dr. Sam P. Most, this issue of Facial Plastic Surgery Clinics delves into the intricacies of Preservation Rhinoplasty, a surgical technique that aims to preserve the natural structure of the nose while enhancing its aesthetic appeal. This issue is part of a series of four, carefully selected each year by the esteemed Consulting Editor, Dr. J. Regan Thomas.

Articles Overview

This issue comprises a collection of articles that provide in-depth insights into various aspects of Preservation Rhinoplasty. These include:

• Introduction and History of Preservation Rhinoplasty: An overview of the concept, evolution, and principles of Preservation Rhinoplasty.
• Concepts, Indications, and Contraindications of Preservation Rhinoplasty: A detailed exploration of the rationale behind Preservation Rhinoplasty, its suitability for different patients, and situations where it may not be advisable.
• Anatomy of the Dorsal Hump: A comprehensive analysis of the dorsal hump’s anatomical structure and its significance in rhinoplasty procedures.
• The Let Down Method of Endonasal Dorsal Reduction: A step-by-step guide to the Let Down method, a technique used in endonasal dorsal reduction.
• Endonasal Approach to the Pushdown Method: Insights into the endonasal approach for the Pushdown method, highlighting its benefits and challenges.
• External Approach to the Pushdown and Letdown Methods: A comparative analysis of the external approach for both the Pushdown and Letdown methods, discussing their respective merits and drawbacks.
• Incorporating Dorsal Preservation into Clinical Practice: Practical advice on integrating dorsal preservation techniques into everyday rhinoplasty practice.
• Subperichondrial and Periosteal Dissection of the Nose: A detailed look at the subperichondrial and periosteal dissection techniques used in rhinoplasty, emphasizing their importance in preserving nasal structure.
• Tip Ligament Suspension: An examination of the tip ligament suspension technique, used to enhance the stability and aesthetic appeal of the nasal tip.
• Piezo-electric Osteotomies in Dorsal Reduction: An exploration of the role of piezo-electric osteotomies in dorsal reduction procedures, highlighting their precision and effectiveness.
• Advanced Septal Reconstruction and Dorsal Preservation: A discussion on advanced techniques for septal reconstruction, emphasizing the importance of dorsal preservation in maintaining nasal function and aesthetics.
• Modified Skoog Method for Hump Reduction: A review of the Modified Skoog method, a surgical technique used for reducing nasal humps while preserving the dorsal structure.
• Component Hump Reduction: An analysis of the component hump reduction technique, which involves breaking down the dorsal hump into smaller components for more precise reduction and preservation.

This comprehensive guide offers a wealth of knowledge for both novice and experienced rhinoplasty surgeons, providing them with the tools and techniques necessary to master Preservation Rhinoplasty and deliver optimal results for their patients.