Preservation Rhinoplasty: A Decade of Progress and Technical Refinement

Eight years have passed since the introduction of the term "preservation rhinoplasty." This approach has now gained worldwide popularity, and it is clear that preservation rhinoplasty has become an accepted philosophy due to its ability to produce stable, reliable, and beautiful results while minimizing the likelihood of secondary deformities that often arise from deconstruction-reconstruction (structural) rhinoplasty. Compared to only 5 years ago, the techniques are now more accessible than ever to learn, due to the publication of textbooks and academic journal articles on the topic as well as in-person courses. This article serves as a brief synthesis of the important evolutions in preservation rhinoplasty to date, and in addition provides: an up-to-date review of the history and development of preservation rhinoplasty; a description of the prevailing techniques such that a novice rhinoplasty surgeon can approach them in a logical order; and an overview of known complications and pitfalls. Level of Evidence: 5 (Therapeutic) For image description, please refer to the figure legend and surrounding text.