A Segmental Approach in Dorsal Preservation Rhinoplasty: The Tetris Concept

Rhinoplasty has become a detail-dependent surgery. With precise techniques better results have been achieved. We are continually searching for the ideal technique to offer predictable, accurate, and desired long-term results. Conservative rhinoplasty techniques have been described for more than 100 years as an alternative to dorsal resective surgeries and have reemerged as the new fashion among rhinoplasty surgeons. This article presents our philosophy when approaching the nasal dorsum regarding its segments and their specific anatomic aspects and surgical demands. We describe our intermediate septal strip approach, the intermediate split and the Tetris concept, and discuss their advantages and limitations.