Rhinoplasty is one of the most requested plastic surgeries worldwide. Traditionally, this procedure has focused on changing the shape and contour of the nose, but in recent years an innovative technique known as preservation rhinoplasty has emerged. This approach seeks to maintain the original nasal structure, while improving aesthetics and functionality. Join us to discover the details of this innovative technique.
What is preservation rhinoplasty?
Preservation rhinoplasty, Also known as preservative rhinoplasty, it is one of the most modern and advanced rhinoplasty techniques.It consists of correcting the shape of the nose while preserving (hence its name) the nasal bridge, cartilages, and ligaments as much as possible.
It is a surgical technique for reshaping the nose that seeks to maintain as many of its natural structures as possible, such as cartilage, bone, and ligaments, rather than removing or overly altering them. Unlike traditional rhinoplasty, where parts of the nasal bridge (the "hump") are typically cut and removed to change the shape, this technique adjusts the nose in more subtle ways, for example, by lowering the intact bridge using methods such as "push-down" or "let-down." The goal is to achieve a natural result with less tissue trauma, faster recovery, and potentially fewer complications.
Before and after photos
Here are some examples of before and after photos taken recently in the operating room.
What type of patients is it recommended for?
This technique is not suitable for all rhinoplasty cases; It will depend on how your nose is configured and your expectations of the result.
the surgery of Rhinoplasty Preservative rhinoplasty is recommended for patients seeking discreet changes, people who prefer a natural-looking result that doesn't betray the surgical intervention. It's also recommended for those with minor deformities, such as asymmetries or slight deviations in the nose, who are seeking subtle corrections. Those with breathing problems who wish to improve nasal function without drastically altering its shape also have this rhinoplasty option. If you're considering this type of surgery, The specialist doctor will have the final say, after making the respective evaluation.
Benefits
Preservation rhinoplasty offers multiple benefits that make it an attractive option:
Less trauma
Surgical trauma is reduced by avoiding the removal of nasal structures. With less bruising and swelling, the patient will be less in pain.
Faster recovery
This procedure is less invasive than traditional rhinoplasty, allowing for a faster recovery and fewer complications.
natural results
The technique allows the original appearance of the nose to be maintained, achieving aesthetically pleasing and natural results, avoiding the “operated nose” result that many do not desire.
Lower risk of complications
By preserving the nasal structure, the risk of post-surgical problems, such as scarring or deformities, is reduced.
Difference between structural ultrasonic rhinoplasty and preservation ultrasonic rhinoplasty
Both rhinoplasties, both the ultrasonic rhinoplasty Like ultrasonic preservation rhinoplasty, these are performed in our clinic using ultrasound. However, there is a difference, which we'll share with you below. The technique chosen depends on each patient, and often, in the operating room, when viewing the nasal structure at the time of surgery, it's possible to decide which technique is best for you.
However, here we tell you:
| Appearance | Structural Ultrasonic Rhinoplasty | Ultrasonic Preservation Rhinoplasty |
|---|---|---|
| main focus | Structural modification of the nose, including changes in the shape and support of the nasal skeleton. | Preservation of the natural nasal structure, with minimal adjustments and a focus on functionality. |
| Technique used | It uses ultrasound to remodel bones and cartilage, allowing precise and controlled cuts. | It uses ultrasound to make minimally invasive cuts, preserving natural anatomy as much as possible. |
| Objective | Significant cosmetic and functional changes, such as reducing size or correcting deformities | Maintain the anatomical integrity of the nose, subtly improving respiratory function and appearance. |
| invasiveness | More invasive, as it involves bone and cartilage remodeling. | Less invasive, with less alteration to nasal tissues and structures. |
| Recovery | May require longer recovery time due to increased manipulation of structures. | Faster and less painful recovery, as it is less traumatic for the tissues. |
| Ideal patients | People seeking drastic changes in the shape of their nose or with significant deformities. | Patients who desire subtle improvements and prioritize respiratory function. |
How is it the procedure?
Typical steps of surgery are described below:
Preoperative consultation
A thorough evaluation of the nose is carried out and the patient's expectations and wishes are discussed. Digital simulations are performed to visualize possible results. If necessary, the doctor will request a CT scan.
Procedure
Depending on the agreement between the patient and the specialist, local or general anesthesia is administered. Then the surgical procedure is carried out, which is divided into two stages:
- Impaction of the bony dorsum (Push Down technique) (Let Down): The Push Down technique allows the height of the back to be reduced without altering its upper structure. It is performed through a closed rhinoplasty approach, avoiding direct manipulation of the nasal dorsum. A complete osteotomy is performed around the nasal pyramid, causing a fracture that facilitates lowering of the nasal dorsum by impaction.
- Preservation of the ligamentous, muscular and cartilaginous apparatus:
Surgical maneuvers are implemented here to promote the opening of the nasal valves, minimizing cartilage and ligament resections as much as possible. Preservation of the ligaments contributes to a natural positioning of the nasal tip.
Postoperative
At the end of the surgical procedure, splints or bandages are placed to stabilize the nose and the patient is given instructions on postoperative care. It is important to follow these instructions to the letter, since the success of the surgery will depend on this.
How much does a preservation rhinoplasty cost?
In Spain, the price of a preservation rhinoplasty can vary considerably depending on several factors, but in general terms ranges between 9.000 and 20.000 eurosIt is important not to take the cheapest option, but to choose a specialist with experience and a good reputation. Do not skimp on the price, after all, your nose will be with you for life.
Risks in a preservation rhinoplasty
There are risks in every surgical procedure, and preservation rhinoplasty is no exception. But, fortunately, are less common and less severe than those associated with traditional rhinoplastyPossible risks include bleeding during or after surgery, infection, unpredictable outcomes (sometimes requiring additional surgery), and, very rarely, complications related to respiratory function.
We reiterate the Importance of choosing a surgeon with proven experience in preservation rhinoplasty, in order to minimize the risks mentioned above and ensure the best results.
Recovery and postoperative care
Recovery after preservation rhinoplasty is usually quicker compared to traditional rhinoplasty. You should still carefully follow your surgeon's recommendations to ensure a proper recovery. Some post-operative care includes:
Rest
It is essential to rest during the first few days and avoid intense physical activities during the first few weeks to avoid the possibility of nosebleeds.
cold compresses
Applying cold compresses helps reduce swelling and discomfort. Ice is always recommended after facial surgery, as it not only reduces inflammation but also acts as a local anesthetic.
Pharmaceutical products
Following medical advice on the use of painkillers and anti-inflammatories will help reduce pain and swelling. Antibiotics will prevent infection.
Incision care
Keeping the incisions clean and dry is essential to prevent infection and promote good healing.
Follow-up appointments
It is important to attend follow-up appointments with your surgeon to monitor your recovery.
How long does it take to see the final result?
Although the initial results of preservation rhinoplasty are usually visible almost immediately, the swelling takes weeks to disappear. During the first two weeks, the edema gradually decreases, and the inflammation gradually reduces. up to six months, at which point the result can be considered final.
Can preservation rhinoplasty be combined with other surgeries?
Yes, preservation rhinoplasty can be combined with other aesthetic procedures, such as liposuction, breast augmentation or blepharoplasty, among others. The bravest patients undergo simultaneous surgeries, as long as the surgeon evaluates the feasibility and potential risks of combining procedures.
It may interest you: liposuction before and after.
What should I consider before performing the procedure?
It is wise to consider several aspects before undergoing preservation rhinoplasty. Let's take a look:
- Realistic expectations: You must be clear about your expectations regarding the results. Know and understand that surgery will not solve all problems related to personal image or self-esteem. Discussing this during your consultation with a qualified surgeon will help you in this regard.
- General health: Your overall health is important, the surgeon should be aware of any pre-existing medical conditions.
- Answer these two questions: Are you willing and committed to following all pre- and post-operative instructions to ensure a successful recovery? Do you have someone to help and support you in the early post-operative days? These are important points to consider before embarking on this adventure.
- Financing: Evaluate the price and financing options available to you.
- Investigation: Make sure you choose a plastic surgeon with experience in preservation rhinoplasty, ask for recommendations, the experiences of those who have undergone the same procedure are valuable.
Finding an empathetic specialist who inspires confidence from day one is no small feat. Plastic Surgery Clinic in Madrid by Dr. Gustavo Sordo, We are experts in procedures of Ultrasonic rhinoplasty in Madrid and also specialized in preservation and structural rhinoplasty.
Dr. Sordo, plastic surgeon in Madrid, is dedicated to offering personalized solutions for each patient, with an aesthetic and functional approach. Considered one of the Best rhinoplasty surgeons in Spain, has more than 20 years of experience in the aesthetic field and has the most advanced equipment in medical technology. We invite you to schedule an initial consultation, we are sure to meet all your expectations.
We recommend you take a look at all their cases before and after rhinoplasty.
Conclusion
Preservative rhinoplasty is a promising technique that offers patients the opportunity to improve the aesthetics and functionality of their nose without compromising its natural structure. In the hands of the right surgeon, this intervention can transform not only the physical appearance, but also the patient's confidence and self-esteem.
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