Combining Preservation and Structural Rhinoplasty

Structural preservation rhinoplasty (SPR) uses structural methods and dorsal preservation. SPR approaches include (1) dorsal preservation techniques coupled with structural approaches to the lower third/nasal tip complex; (2) use of structural methods to convert a nasal dorsum to a preservation candidate; (3) preservation ideology applied to structural tip pasty, emphasizing suture modification and limited resection; (4) minimization of the degree of soft tissue disruption at the middle vault and dorsum in preservation and structural cases; (5) modified dorsal preservation techniques in which some components of the nasal dorsum are treated with structural methodology while others are treated with preservation methods.