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What Is Preservation Rhinoplasty?
Preservation rhinoplasty is a modern surgical technique that refines the nasal shape while keeping key structural components intact. Instead of removing cartilage and bone, the procedure involves precise modifications that lower, reposition, or reshape the nasal structures without significant disruption. By preserving the nasal dorsum and ligaments, this approach minimizes trauma, reduces scar tissue formation, and promotes a more natural healing process.

Candidates for Preservation Rhinoplasty
Patients looking for natural nasal enhancement may be excellent candidates for preservation rhinoplasty. This technique is ideal for individuals with a dorsal hump who want a smoother nasal bridge without aggressive bone removal, as well as those seeking tip refinement while preserving essential ligament support. Ideal candidates have good skin elasticity, as this helps the skin adapt to the new nasal shape, and they typically have not undergone previous nasal surgery, though some revision cases may still qualify. A consultation with Dr. Daraei will help determine if this technique aligns with the patient’s anatomy and aesthetic goals.
Preservation Rhinoplasty Procedure
Performed under general anesthesia, preservation rhinoplasty typically takes two to three hours, depending on the procedure’s complexity. Unlike traditional techniques that remove the dorsal hump by excising cartilage and bone, this procedure reduces nasal height by modifying underlying structures while leaving the bridge intact. The push-down or let-down technique, commonly used in preservation rhinoplasty, repositions the nasal framework instead of removing it, maintaining a natural slope. Tip refinement is achieved by adjusting existing ligament structures rather than extensive reconstruction.

Preservation Rhinoplasty Recovery
Because preservation rhinoplasty minimizes disruption to nasal tissues, recovery is often shorter and more comfortable than traditional rhinoplasty. Swelling and bruising are typically less severe, allowing most patients to return to work and social activities within seven to ten days. Initial swelling subsides significantly within a few weeks, while the final, fully refined results emerge as residual swelling dissipates over six to twelve months. To ensure optimal healing, patients should sleep with their heads elevated, avoid strenuous activities for at least four weeks, and follow Dr. Daraei’s post-operative care instructions for the best results.
Preservation Rhinoplasty Results
Patients can expect a naturally enhanced nose that complements their facial features while preserving structural integrity. The nose retains its original support system, leading to a stable, long-lasting outcome with a lower risk of complications. Because this technique avoids excessive tissue removal, results tend to be more subtle, with a smoother nasal bridge and well-proportioned tip. Additionally, preservation rhinoplasty reduces the likelihood of requiring revision surgery, making it an effective option for long-term aesthetic refinement.
Schedule a Consultation
If you are considering preservation rhinoplasty, scheduling a consultation with Dr. Daraei is the first step in deciding if this technique is right for you. Contact our office today to learn more about preservation rhinoplasty and schedule a consultation.
Paul Daraei, MD
Dr. Paul Daraei is deeply committed to excellence and patient-centered care. As a Double Board-Certified Facial Plastic Surgeon, he specializes in all surgical and non-surgical procedures of the head and neck. Dr. Daraei completed a rigorous head and neck surgical program, followed by a fellowship dedicated solely to cosmetic facial plastic surgery. He has worked with prestigious and elite surgeons nationally and internationally to provide comprehensive and state-of-the-art care for his patients in the Atlanta area.
Learn more about DR. daraei


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