PRESERVATION RHINOPLASTY: CHANGING THE SHAPE OF YOUR NOSE

The principle of preservation rhinoplasty is to maximize the preservation of your nose’s features while correcting only the main defects such as a prominent bump or an oversized nose. This technique is particularly reserved for patients who have complaints about their ¾ or profile view, but little to no concerns about the front view.

Basically, instead of removing the bump from above (as in standard rhinoplasty technique) and then trying to reconstruct everything identically, the bump is removed from underneath, preserving the unchanged nasal roof. The whole job is done from underneath your actual nasal roof anatomy to preserve it.

Preservation rhinoplasty is a more complex technique than standard rhinoplasty, with the main goal being to remove the bump from underneath rather than from above.

The skin envelope is minimally elevated during preservation rhinoplasty, via a minimal incision at the columella. Thus, the post operative bruises is less common.

The dorsum, or bridge of the nose, is lowered and flattened to correct the bump.

The alar cartilages (responsible for the shape of the nasal tip) are carved, refined, and supported by a small piece of cartilage to prevent a drooping tip.

The procedure takes place in an operating room within a private surgical hospital.

The first step involves administering general anesthesia and clean the patient’s entire face and nose.

The second step is the incision. Dr. Lyor Hanan uses both closed techniques with a hidden incision inside the nose, and open techniques where a discrete incision is made at the columella (the strip of skin separating the nostrils). Through this incision, the nose skin is gently lifted to reshape the cartilage.

The third step is working on the bump, which is done underneath by removing excess cartilage and bone from below, not from above, to preserve maximum characteristics of your nose. The bones are then delicately cut using specific minimally invasive instruments.

The fourth step is reshaping the nasal tip. Excessive cartilage is meticulously removed while maintaining sufficient cartilage height to prevent nostril retraction. Sutures are then placed between the cartilages to refine them.

The last step is the final skin and internal sutures. This closure is performed using dissolvable sutures that disappear after a few days to weeks.

Recovery after preservation rhinoplasty is generally straightforward, with little pain after rhinoplasty. Although Dr. Lyor Hanan doesn’t use post-operative packing, it’s mainly the sensation of nasal congestion (like a cold) that is uncomfortable. These symptoms resolve quickly within a few days.

Post-operative recovery after preservation rhinoplasty is simpler than with classic rhinoplasty because the technique is less invasive.

The goal of preservation rhinoplasty are to correct nasal defects while maintaining your nose’s natural features, preserving maximum initial structures to achieve the most natural result possible.

The price of preservation rhinoplasty is around 40 000 AED.