Nose Modification Surgery

Preservation rhinoplasty is a modern approach to traditional rhinoplasty surgery that is designed to create long-lasting, natural results by preserving the internal structure of your nose. Not all plastic surgeons perform preservation rhinoplasty procedures, but Dr. Diktaban is experienced in precision reconstructive surgery and can use these latest innovations to effectively enhance the appearance of your nose without the need for costly and tricky revision rhinoplasty surgery later on.


What is Preservation Rhinoplasty?

Preservation rhinoplasty utilizes a new approach to preserve as much of the natural tissue in the underlying nasal structures as possible and reduce the amount of surgical change created by traditional rhinoplasty. One of the most common applications of preservation rhinoplasty is to remove a hump on the nasal bridge.

Instead of removing large amounts of nasal bone and cartilage from the top of the nasal bridge, tissue is removed from below the hump (inside the nasal septum) to smooth out the nasal hump deformity from the foundation of the structure. By preserving the natural tissue and overlying structure of the nose, the results last longer and there is less likelihood that revision surgery will be needed. The internal nasal structure and tissue are manipulated rather than removed or drastically altered.

Preservation Rhinoplasty Candidates

The best candidates for a preservation rhinoplasty procedure are those who have never had a rhinoplasty before and want to correct a small to medium-sized dorsal hump or reduce the projection of their nose. Having a straight septum between your nostrils is also preferred since there will be a lower need to alter that internal structure.

What Happens During Preservation Rhinoplasty?

Facial plastic surgeon Dr. Diktaban will use precise preservation rhinoplasty techniques to carefully enhance the shape of your nose by removing small amounts of tissue until the desired result is achieved. If you are treating a nasal hump, incisions will be made deep within the nose to remove small pieces of bone and cartilage and create a space for the nasal bridge to move down. This may also remove a nasal obstruction that is impacting your breathing. If you desire a smaller nasal tip, Dr. Diktaban will manipulate the nasal cartilage in the appropriate area in a conservative fashion to create a more defined structure.

Results and Recovery from Preservation Rhinoplasty

Since preservation rhinoplasty involves less damage and trauma to the tissues of the nose than a traditional rhinoplasty, you should experience less bruising and swelling while you heal. You should still wait three weeks before doing any strenuous activities such as exercising, and you will need to take about one week off from work after your surgery. Sleeping with your head elevated will also help reduce swelling and speed up your recovery. Within six weeks, you should be mostly recovered and able to see the results of your surgical procedure.

Schedule a Consultation

Dr. Diktaban is an experienced surgeon and ENT who is among the few experts in the country that specializes in preservation rhinoplasty in addition to traditional rhinoplasty procedures. To learn more about your options for nose surgery of any kind, fill out our online contact form or call our office at (646) 906-9449.

Who is candidate for Preservation Rhinoplasty?

Both men and women who have a straight or deviated septum can be candidates for Preservation Rhinoplasty. However, those with a deviated septum may need traditional rhinoplasty if cartilage grafts and more intensive manipulation are needed.

Is there any age limitation to undergo a Preservation Rhinoplasty procedure? There is no age limitation as long as the nose has shown satisfactory mature growth.?

There is no age limitation as long as the nose has shown satisfactory mature growth. We are happy to help teenage patients who want to enhance their facial features and improve their self-confidence.

Is the more or less swelling and bruising with the Preservation Rhinoplasty procedure?

There is less swelling and bruising with the Preservation Rhinoplasty technique because the surgeon elevates the soft tissues over the dorsum of the nose in a deeper and less bloody plane.

Will breathing be negatively impacted by the Preservation Rhinoplasty procedure?

Nasal breathing will most likely be preserved because the internal nasal valve area is not divided and reconstructed as it is in the structural rhinoplasty technique.

What is Preservation Rhinoplasty?

Preservation Rhinoplasty is a technique that keeps the natural-looking roof of the nose intact but the roof can be lowered to reduce the hump or bump by taking away cartilage or bone from underneath the roof. In so doing, the natural lines of the roof are preserved and the bump or hump goes away.

Will the results of Preservation Rhinoplasty hold up for several years?

The results of Preservation Rhinoplasty will most likely hold up longer than conventional rhinoplasty because the dorsum or the roof of the nose is not interrupted as the bump or hump is lowered away. The intact dorsum or roof is stable and secure from a structural point of view.

What kind of anesthesia is used in order to perform the Preservation Rhinoplasty?

General anesthesia is the safest way to undergo most or all rhinoplasty operations including Preservation Rhinoplasty. Being awake under local anesthesia could understandably make the patient nervous which would impact the procedure. Your airway is protected during the entire procedure.

How is preservation rhinoplasty performed?

Preservation rhinoplasty is performed via the open or closed approach. It entails a different approach to managing the nasal bony and cartilaginous framework in order to reshape the internal and external appearance of the nose. In so doing, the goal is to improve the appearance and the breathing function of the nose.

How many years will rhinoplasty last?

Of all the cosmetic operations, a rhinoplasty procedure will last the longest because nasal bones and nasal cartilage will maintain support and strength compared to soft tissues structures. We are talking about decades of lasting results.

What is ultrasonic preservation rhinoplasty?

The Ultrasonic technique applies energy to reshape and cut the nasal bones in a very precise and controlled manner. It is not used on the nasal cartilages.

Is preservation rhinoplasty better?

Both Preservation and Structural rhinoplasty procedures have pros and cons. It is not easy to choose which one is better.

What is structural rhinoplasty?

Structural rhinoplasty involves separating nasal structures, reshaping them and then suturing them back together in a new formation.

How do you remove cartilage from nose?

Nasal cartilage can be removed with a knife, scissor ot using the VaporNose technique.

Why do I have a crooked nose?

A crooked nose develops because of trauma, surgery or a congenital condition.

What is septoplasty surgery?

A septoplasty corrects a deviated nasal septum that can effect nasal breathing and aesthetics. The septum is a partition that divides the left and right sided nasal passages.

What is a preservation rhinoplasty?

Preservation rhinoplasty is performed via the open or closed approach. It entails a different approach to manage the nasal bony and cartilaginous framework in order to reshape to the internal and external appearance of the nose. In so doing, the goal is to improve the appearance and the breathing function of the nose.

What is dorsal preservation rhinoplasty?

Dorsal preservation preserves the natural lines and contours of the nose while still reducing any humps or bumps from a different level.

Can closed rhinoplasty fix asymmetry?

A closed rhinoplasty can fix minor nasal asymmetries. An open approach can more suitably address more complex asymmetries.

Are you born with a dorsal hump?

You are not born with a visible dorsal hump. A dorsal hump can become visible after puberty as related to genetics and/or trauma.

Who invented preservation rhinoplasty?

Preservation rhinoplasty was described in the early and mid 1900s but has recently experienced a resurgence with dramatically improved techniques and instrumentation.

Theodore Diktaban, MD, FACS
Double Board-Certified Plastic Surgeon

For over 35 years, Theodore Diktaban, MD, FACS, has made it his life's work to enhance the natural beauty of his patients in the Upper East Side and surrounding areas of New York City. As a double board-certified plastic surgeon, Dr. Diktaban provides the ideal blend of realistic, aesthetic, and safe cosmetic treatments and procedures.