Dorsal Preservation Rhinoplasty
High septal strip push down.
What Is Preservation Rhinoplasty?
Preservation rhinoplasty refers to a philosophical approach to nose job surgery. Broadly speaking this involves preserving the natural ligaments and cartilages of the nose, and instead of cutting away tissue reshaping it instead to change the shape of the nose.
From a technical perspective this involves preserving the dorsum(bridge), preserving the ligaments, and the lifting the soft tissue envelope in a plane just above the cartilage (subperichondrial).
How Is Preservation Rhinoplasty Performed?
During preservation rhinoplasty the soft tissue envelope (skin of the nose) is lifted off the cartilage in a subperichondrial plane (the layer just above the cartilage). This results in less trauma which means less bruising and swelling, and ultimately faster healing and recovery.
The dorsum or the bridge of the nose instead of being cut away to remove a bump is instead lowered.
Finally the ligaments in the nose are preserved or reconstructed so the nose has its support mechanisms in place.
How Painful Is Nasal Reconstruction?
Surprisingly most patients that have nose surgery do not report much pain after the operation. The main sensation is one of pressure in the nose. This can be uncomfortable. The best way to deal with this in the recovery period is to make sure you sit as upright as possible. Cold drinks, sucking on ice-cube and ice lollies help reduce swelling and decrease the pressure sensation in the face. In some patients simple pain killers such as paracetamol (acetaminophen) and ibuprofen can be taken.
After one week the pressure sensations will have nearly completely resolved.
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