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Preservation rhinoplasty is one of the most popular topics in rhinoplasty in recent years. This technique is not suitable for all patients who want rhinoplasty. The back of the nose is suitable for people who look beautiful from the front, but arched from the side. Approximately 70-80 percent of people who have not had nose surgery before can be applied preventive rhinoplasty. In addition, if there are problems that cause nasal congestion, they are corrected together with aesthetic nose surgery. I routinely use this technique in my own clinical practice and am satisfied with my results.
In the classical technique, the nasal arch is taken. The nasal bones are narrowed from the side and the nasal ridge is reshaped. In the let-down technique, the back of the nose, which is beautiful, does not deteriorate at all, a sufficient amount of bone and cartilage strips are removed from the base, the back of the nose is lowered down one floor like an elevator, and the arched appearance from the side is corrected. In appropriate cases, I think it makes more sense to complete the operation by preserving the beautiful one, rather than distorting and reshaping the back of the nose.
Only the back of the nose is not protected in preventive rhinoplasty surgery. Other important protected structures are briefly the following:
-the perichondrium of the cartilage of the tip of the nose and the back of the nose is protected by working under the membrane. Nasal glare and tissue damage become less. The skin does not atrophy
-since the need for a graft is minimal in protective rhinoplasty, the cartilage in the nose, which we call the septum, is largely preserved. Thus, the cartilage need in possible revisions is again met from the septum. There is no need to take cartilage from the ribs or ear.
- by protecting the pita guy ligament, which ensures that the tip of the nose is soft and mobile, more mobile and soft nose tips are obtained.
-respiratory functions of the nose are better preserved because the nasal November muscles are not damaged by working under the membrane.