Structural vs. Preservation Rhinoplasty
By 2026, a paradigm shift has occurred from "reductive" surgery (removing bone and cartilage) to Preservation Rhinoplasty, which focuses on maintaining the nose's natural ligaments and dorsal bridge.
Structural Rhinoplasty: The "traditional" method where parts of the bridge are removed and reconstructed using cartilage grafts (often from the septum or rib). It is essential for significant deformities or corrective revision surgery.
Preservation Rhinoplasty: A modern technique where the surgeon modifies the bone underneath the bridge, allowing the original "bridge line" to drop into a new position. This preserves the natural aesthetic lines of the nose and reduces the risk of long-term structural collapse.
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