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Dorsal Preservation Rhinoplasty: The Perspective of "Preservers" vs. "Structured" Surgeons
Mariline Santos1, Sam P Most2, Ivan Wayne3
1Department of Otolaryngology, Centro Hospitalar Universitário de Santo António; Instituto de Ciências Biomédicas Abel Salazar-Porto University, Porto, Portugal.
Facial Plastic Surgery & Aesthetic Medicine
|November 6, 2024
Summary
Dorsal preservation (DP) rhinoplasty is gaining traction, especially among plastic surgeons. While surface techniques (ST) are favored for ease and predictability, concerns about hump recurrence lead some surgeons to combine DP with structural methods.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Facial Plastic Surgery
Background:
- Dorsal preservation (DP) is an evolving rhinoplasty technique.
- Understanding surgeon adoption and technique preferences is crucial for its advancement.
Purpose of the Study:
- To describe surgeons incorporating dorsal preservation (DP) into their practice.
- To analyze DP techniques, surgeon experience, and comparisons with structural rhinoplasty.
Main Methods:
- Anonymous survey distributed to 145 surgeons worldwide via the Evidence-Based Rhinoplasty Research Group Telegram channel.
- Surgeons categorized into 'Preservers,' 'Mainly Structural,' and 'Structural exclusively' based on their approach.
- Analysis of technique preferences, experience levels, and use of surface techniques (ST).
Main Results:
- DP is more prevalent among plastic surgeons than otolaryngologists/facial plastic surgeons.
- DP techniques are favored by surgeons with 10-20 years of experience; structural techniques by those with >20 years.
- Surface techniques (ST) are widely used, particularly by structural technique proponents, and are perceived as more stable, predictable, with a shorter learning curve.
Conclusions:
- Dorsal preservation (DP) rhinoplasty is increasingly adopted, with surface techniques (ST) favored for perceived ease and predictability.
- Concerns regarding hump persistence/recurrence persist, leading some surgeons to integrate DP with structural rhinoplasty.
- A significant portion of DP users also employ structural rhinoplasty, highlighting a blended approach to address specific concerns.
