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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

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Roof Modification Methods in Preservation Rhinoplasty.

Umut Tuncel¹, Onur Hasret Yurtsever², Goran Lazovic³

¹Department of Plastic Reconstructive and Aesthetic Surgery, Medical Faculty, Samsun University, 55100, Samsun, Turkey. drumuttuncel@gmail.com.

Aesthetic Plastic Surgery

|August 13, 2025

Summary

Preservation rhinoplasty roof techniques modify the nasal roof without excision, preserving structural integrity. These methods reduce complications and improve aesthetic outcomes for a harmonious nasal profile.

Keywords:

Dorsal preservation Hybrid methods Modification Nasal dorsum Roof

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Area of Science:

Plastic Surgery
Otolaryngology
Facial Plastic Surgery

Background:

Preservation rhinoplasty techniques focus on modifying the nasal roof (bone and cartilage) without excision.
These methods are crucial for addressing dorsal hump modifications and preventing complications like asymmetry or recurrence.

Purpose of the Study:

To review and analyze roof modification techniques within preservation rhinoplasty.
To highlight differences and indications of various roof methods.

Main Methods:

Systematic review of articles on roof methods in preservation rhinoplasty.
Keywords included: rhinoplasty, preservation rhinoplasty, full preservation, dorsal preservation, roof flap, graft.

Main Results:

Three roof techniques were identified, emphasizing nasal dorsum/pyramid integrity preservation.
Current popular techniques involve repositioning the dorsum and creating dorsal roof flaps with varying soft tissue preservation.

Conclusions:

Roof techniques are increasingly significant for aesthetic harmony, functional preservation, and reduced complications.
Advancements in preservation rhinoplasty will expand the application of roof techniques, improving outcomes and recovery.