Abstract
The term SPAR (septum pyramidal adjustment and repositioning), aims to conserve the
nasal dorsum without detachment of the upper lateral nasal cartilage of the nasal
septum, based on the Cotte's principles, unlike classical rhinoplasty. The aim of
the study is to describe surgical technique of SPAR with the surgical steps used to
reviewing the literature on the surgical treatment of the nasal dorsum. This is a
less invasive form of rhinoplasty, but no less effective, not being necessary additional
techniques to nasal reconstruction, and preservation of essential nasal structures.
It is an evolution of push down and the other conservative surgery, making a more
modern technique and may be suitable for most types of cavities. More studies are
needed, especially comparative, showing the following late sequelae, complications,
and their long-term results.
Keywords
SPAR - preservation rhinoplasty - conservative rhinoplasty
