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120 Years of Dorsal Preservation in Rhinoplasty
Chew Lip Ng1, Alwyn Ray D'Souza2
1Department of Otolaryngology-Head and Neck Surgery, Ng Teng Fong General Hospital, Singapore, Singapore.
Facial Plastic Surgery : FPS
|February 23, 2021
Summary
Dorsal preservation techniques in rhinoplasty are seeing renewed interest, with new methods emerging. This review examines 120 years of dorsal preservation in rhinoplasty, coinciding with its current revival.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Facial Plastic Surgery
Background:
- Dorsal preservation rhinoplasty techniques are experiencing a resurgence.
- While not a new concept, its historical roots trace back over 120 years.
- Contemporary advancements are rapidly evolving existing methodologies.
Purpose of the Study:
- To review key techniques and concepts in dorsal preservation rhinoplasty.
- To provide a historical perspective on the evolution of these techniques.
- To contextualize the current revival of dorsal preservation approaches.
Main Methods:
- Comprehensive literature review of dorsal preservation rhinoplasty techniques.
- Historical analysis of publications spanning the last 120 years.
- Synthesis of key concepts and modifications in technique.
Main Results:
- Identification of seminal works and evolving techniques in dorsal preservation.
- Documentation of the historical trajectory and recent advancements.
- Analysis of the conceptual underpinnings driving the revival.
Conclusions:
- Dorsal preservation in rhinoplasty has a long history, now experiencing a significant revival.
- The review highlights the enduring principles and recent innovations in these techniques.
- This resurgence reflects a growing appreciation for conservative approaches in rhinoplasty surgery.

