Dorsal preservation rhinoplasty has seen considerable advances in the recent years
as many doctors have improved and developed new ideas on the subject. In the era of
minimal trauma surgery, it is important to achieve a beautiful nasal aesthetic result
with minimum injury to the nose. Preserving the main structures of the nasal pyramid
has been pursued for more than a century, and some different approaches have been
described and developed since then. Their strengths and weakness have been shown.
The present society's demand for perfection is an added reason for improving the stability
and predictability of preservation rhinoplasty. We describe a brand-new philosophy
of approaching the nasal dorsum hump that combines both safety and delicacy in dealing
with the anatomical structures with elegancy and accuracy and achieving the aesthetic
goal required.
Keywords
preservation rhinoplasty - letdown - pushdown - split Tetris concept - Vitruvian Man
split maneuver
