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Rhinoplasty (also known as a nose job) has evolved over the last decades. Nowadays, cosmetic surgeons use modern techniques, and they craft the Rhinoplasty procedure to suit the anatomy, aesthetic preferences and the functional longevity of the patient. Today, two major philosophies dominate the field: Preservation Rhinoplasty and Structural Rhinoplasty, although both of them help in making a perfect figure and enhancing the functionality of the nose, but still differ from each other.

This guide will explain comparison between preservation rhinoplasty and structural rhinoplasty. You will also get to know who the ideal candidates are, core principles, benefits, which rhinoplasty technique is better, and how to know which method is right for you.

What Is Preservation Rhinoplasty?

Preservation Rhinoplasty (PR) is a more conservative technique that aims at preserving natural structure of the nose. Instead of excising and reconstructing large portions, the surgeon preserves important parts such as the nasal dorsum (bridge), cartilage, soft tissue, and ligaments.

Core Principles of Preservation Rhinoplasty

1. Keep the Natural Dorsum Intact

Preservation Rhinoplasty does not remove the natural hump or rebuild the bridge; instead, it brings down the entire nasal pyramid as a unit. This maintains natural lines and does not have an artificial appearance as a result.

1. Minimal Trauma to Tissues

Due to less suturing and cutting, the patients usually have:

1. Less swelling.
2. Faster healing.
3. A more natural feel.

1. Respect for Ligament Systems

Preservation Rhinoplasty maintains the ligaments of the tip of the nose. This helps in keeping the mobility of the tip and provides a more natural look.

1. Subtle and Refined Outcomes

The method is effective for moderate to mild issues and particularly with patients who want:

1. A smoother bridge.
2. Small profile improvements.
3. Natural, “unoperated” results.

Ideal Candidates for Preservation Rhinoplasty

Preservation Rhinoplasty method is not for every nose, but the Ideal Candidates for Preservation Rhinoplasty are:

1. Individuals who have a straight or slightly bent nose.
2. Patients having a small to moderate dorsal hump.
3. Individuals whose tip support is already strong.
4. Patients who seek small changes and not reconstruction.
5. Patients who demand a faster healing process and less swelling.

Benefits of Preservation Rhinoplasty

1. You get the natural outcomes.
2. Reduced downtime.
3. Reduced postoperative swelling.
4. Preserves native cartilage and tissue intactness.

What Is Structural Rhinoplasty?

Structural Rhinoplasty (SR) is an established and commonly used technique that entails reconstructing the nose by changing and strengthening the internal structures of the nose. It involves sculpting, adjusting, and reconstructing.

Core Principles of Structural Rhinoplasty

1. Rebuild for Strength and Long-Term Stability

The surgeon excises, reforms, or repositions cartilage and strengthens the nose with grafts (typically of the septum). This ensures the nose:

1. Heals.
2. Maintains shape over time.
3. Performs well functionally.

1. Precise Control Over Nasal Shape

Structural Rhinoplasty enables surgeons to make the nose more refined, including:

1. Tip rotation.
2. Tip projection.
3. Bridge height.
4. Deviations.
5. Asymmetries.

1. Cartilage Grafting Is Common

Here are some common graft types used in structural rhinoplasty:

1. Spreader grafts.
2. Columellar struts.
3. Alar rim grafts.

Ideal Candidates for Structural Rhinoplasty

The Ideal Candidates for Structural Rhinoplasty are those who have:

1. Great asymmetry or deviation.
2. A hanging, poor or unsustained tip.
3. Thick skin needs to be more defined.
4. A previously operated nose (revision cases).
5. Trauma, inborn defects, or complicated structure.
6. Significant aesthetic changes.

Benefits of Structural Rhinoplasty

1. Greater control of ultimate form.
2. Fits well in the case of complicated noses.
3. High long-term support and stability.
4. Good for noses that require actual reform.

Preservation Rhinoplasty vs. Structural Rhinoplasty

Which Rhinoplasty Technique Is Better?

Choose Preservation Rhinoplasty if:

1. You desire natural and slight alterations.
2. Your nose has strong underlying support.
3. Want faster healing.
4. You want to preserve your natural nasal identity.

Choose Structural Rhinoplasty if:

1. You need major reshaping.
2. Your nose is twisted, dissimilar or feeble.
3. You desire the sharp definition of tips.
4. You are going through revision rhinoplasty.
5. You are looking for dramatic improvement.

How to Know Which Method Is Right for You

An experienced rhinoplasty surgeon will examine:

1. Nasal formation and internal support.
2. Skin thickness.
3. Degree of functional issues.
4. Your aesthetic goals.
5. Previous surgeries or injuries.

Final Thoughts

Preservation Rhinoplasty and Structural Rhinoplasty are two distinct procedures, but both have the same goal of achieving a beautiful, functional, and balanced nose. Preservation Rhinoplasty prioritizes maintaining native nasal structures to achieve natural-looking outcomes, and Structural Rhinoplasty deals with complex or transformative cases.

For a comprehensive evaluation of your nasal procedure, consult with Dr. Saurabh Jain, a skilled cosmetic surgeon specializing in both advanced techniques.

Dr. Saurabh Jain provides consultations in Los Angeles, drawing upon his specialized expertise to develop a surgical plan tailored to your unique anatomy and aesthetic goals.