Preservation Rhinoplasty-Outcomes in Dorsal Preservation Rhinoplasty

The recent resurgence of preservation rhinoplasty has been driven by theoretic esthetic and functional advantages of keystone preservation, as well as development of modified techniques that have expanded surgical indications. Current literature is limited but supports superior or equivalent patient-reported esthetic and functional outcomes for dorsal preservation when compared with conventional resection techniques. However, residual hump or recurrence of dorsal convexity remains a challenge. A variety of descriptive studies have reported excellent outcomes for modified preservation methods of bony vault and septal management. Robust comparative studies are needed to further evaluate the benefits and indications for each approach.