Preservation rhinoplasty is a modern nasal surgery approach that aims to maintain the natural structures of the nose while achieving aesthetic refinement. Unlike traditional techniques, preservation rhinoplasty focuses on preserving the nasal dorsum rather than removing and reconstructing it.
Dorsal preservation rhinoplasty specifically reshapes the nasal hump without cutting the bridge, resulting in a smoother contour and more natural appearance. Preservation rhinoplasty before and after images often highlight subtle yet significant improvements.
Closed preservation rhinoplasty is a popular option, as it avoids external incisions and supports a faster recovery with minimal swelling and bruising. Ultrasonic preservation rhinoplasty combines the preservation method with advanced piezo technology, allowing precise bone work without damaging soft tissue.
The preservation rhinoplasty cost depends on the surgeon’s expertise and location, but it’s considered a worthwhile investment for long-lasting, natural results. Rhinoplasty preservation techniques include push down vs let down methods, each chosen based on nasal anatomy. Low strip preservation rhinoplasty is another variant used in specific structural cases.
Comparing preservation rhinoplasty vs rhinoplasty, the former is less invasive and aims for structural stability. Some patients benefit from structure and preservation rhinoplasty combinations for optimal outcomes.
Preservation rhinoplasty technique is ideal for patients seeking natural refinement with structural integrity.
Anesthesia General Duration 3-4 hours Hospital Stay 1 Day Hotel Stay 7 Days Recovery Time 6-12 months Back to Work 1 WeekFor Your Dream Nose. Perfection Through ProfessionalismYUNUS KAPLAN M.D.
RHINOPLASTY & REVISION RHINOPLASTYBorn in 1979 in Iskenderun, The Yunus Kaplan Private Clinic was founded, a renowned otorhinolaryngologist (ear, nose, and throat specialist) who has specialized in facial aesthetics for more than 15 years in Istanbul. After graduating from Gaziantep University Faculty of Medicine in 2001, Yunus Kaplan left the Department of ENT at Gaziantep University Faculty of Medicine as an expert in 2009.
Overview of Preservation Rhinoplasty in Istanbul, Turkey
What Is Preservation Rhinoplasty?
Preservation Rhinoplasty is a modern surgical method that focuses on maintaining the structural integrity of the nose and aims to preserve the nasal dorsum cartilage and key ligaments. This technique allows for the correction of nasal aesthetics by preserving existing tissues rather than removing or excessively manipulating nasal structures. Unlike traditional rhinoplasty methods, it aims to achieve aesthetic results without disrupting the natural structure of the nasal anatomy. Founded in the early 20th century, this method has regained popularity in recent years with the contribution of technological innovations such as piezoelectric devices.
Free consultation & simulation for Preservation Rhinoplasty in Istanbul, Turkey with Dr. Yunus Kaplan
How Is Preservation Rhinoplasty Performed?
Preservation rhinoplasty is an approach that achieves aesthetic and functional results by preserving the natural structure of the nose as much as possible. This surgical technique aims to correct the external appearance of the nose without disrupting anatomical structures. It particularly focuses on preserving the aesthetic lines of the nasal dorsum and minimizes complications seen in traditional techniques.
The stages of preservation rhinoplasty are as follows:
- Soft tissue elevation
- Preservation of dorsal aesthetic lines
- Osteotomy procedures
- Preservation of the keystone area
In the first stage, the soft tissue of the nose is carefully elevated, ensuring that the nasal connective tissue and vascular structure are not damaged. This process provides less scarring and a more natural healing process in the long term. Dorsal preservation is achieved by avoiding cutting and removing the nasal dorsum and instead moving the nasal structure downward as a whole.
Through osteotomies, the nasal bones are repositioned, helping to shape the nose in accordance with its natural structure. The “push-down” and “let-down” techniques applied by cutting the bones reduce the height of the nose while keeping the nasal dorsum smooth.
The keystone area is an important structure where the nasal bones meet the upper lateral cartilages and septum. Preserving this region ensures nasal stability and prevents postoperative deformities. Preservation rhinoplasty is often preferred in patients seeking milder aesthetic changes, while traditional methods may be used for more dramatic results.
Preservation Rhinoplasty in Istanbul, Turkey Before & After
When Is Preservation Rhinoplasty Performed?
Preservation rhinoplasty is a method preferred especially in cases where preserving the natural structure of the nose is important. This technique aims to correct aesthetic and functional problems without damaging the sensitive areas of the nasal anatomy. It is an approach preferred for patients to achieve both a more natural appearance and a quick postoperative recovery process. The main situations where preservation rhinoplasty can be applied are:
- Correction of dorsal hump
- Nasal bridge asymmetries
- Irregular nasal contour issues
- Dorsally involved septal deviation
- Mild to moderate post-traumatic deformities
- Requirement for secondary rhinoplasty
This aesthetic procedure provides an advantage especially in cases where the dorsal region can be reshaped without excessive removal of cartilage and bone. Thanks to the preservation of the soft tissue envelope, patients achieve more satisfying results both aesthetically and functionally. Since preservation rhinoplasty does not involve direct removal of nasal bones and cartilage, it also reduces the risk of postoperative complications. Even when advanced deformities or revision surgeries are required, this technique offers successful results.
Who Is Not Suitable for Preservation Rhinoplasty?
Preservation rhinoplasty may not be a suitable method for every patient. In some cases, the anatomical structure of the nose and existing problems may limit the effectiveness of this technique. Particularly, nasal asymmetry, severe deviations, thick skin structure, and previous nasal surgeries are among the situations where preservation rhinoplasty is not recommended. In such cases, different surgical approaches may be necessary.
- Significant nasal asymmetry
- Severe nasal deviations
- Thick nasal skin
- Previous nasal surgeries
Apart from these contraindications, preservation rhinoplasty offers fewer complications and a faster recovery process for suitable patients. However, a detailed preoperative evaluation allows for determining the most appropriate technique based on the patient’s nasal structure and skin characteristics. Although this method focuses on a natural appearance, the surgeon’s experience and patient expectations also play an important role in success.
How Is Preservation Rhinoplasty Applied?
Preservation rhinoplasty is a technique aiming to achieve aesthetic and functional results by preserving the natural structure of the nose. By focusing on preserving the nasal dorsum, unnecessary interventions in the nasal anatomy are avoided. This technique allows for the preservation of natural lines during the reshaping of the nasal bones and cartilage.
- A detailed preoperative evaluation is performed
- Ultrasound and other imaging techniques are used
- Soft tissue thickness is assessed
- Subperichondrial or sub-SMAS planes are applied
- Precise instruments like piezoelectric devices are used
- Techniques that preserve the nasal dorsum are preferred
One of the most important elements in this approach is the repositioning of nasal bones using “push-down” and “let-down” techniques. Surgeons provide aesthetic balance by lowering the nasal bones instead of removing the bony structure. At the same time, controlled reduction of nasal height is achieved through septal modifications while avoiding extensive dissection of the nasal skin.
Preservation rhinoplasty also takes a careful approach in interventions to the nasal tip. Instead of aggressive cartilage removal in the tip area, the natural lines of the nasal tip are preserved with suture techniques, ensuring functional harmony.
What Are the Side Effects of Preservation Rhinoplasty?
Although Preservation Rhinoplasty (PR) is a technique focusing on preserving the natural structure of the nasal anatomy, it carries some risks and side effects. Generally, fewer complications are seen compared to traditional methods, but patients may experience some undesirable results. The most common side effects include aesthetic irregularities and functional problems.
- Irregularities on the nasal dorsum
- Recurrence of the hump
- Nasal congestion
- Disruption of airflow
- Prolonged edema
- Overcorrection or undercorrection
- Skin necrosis
This technique aims to minimize possible complications by avoiding excessive intervention in the nasal dorsum and nasal structure. However, in some cases, issues such as aesthetic dissatisfaction or breathing difficulties may arise. Especially irregularities occurring on the nasal dorsum can have negative effects on patient satisfaction.
On the other hand, some patients who undergo preservation rhinoplasty may require revision surgery. When the need for additional surgical intervention arises due to aesthetic or functional reasons, this is usually aimed at improving the previous procedure.
How Successful Is Preservation Rhinoplasty?
Preservation rhinoplasty surgeries generally have high success rates both aesthetically and functionally. Studies show that low complication rates and positive long-term results are achieved. This technique offers less need for revision and a faster recovery process compared to traditional methods.
- Revision rate of 3-4%
- Postoperative dorsal hump recurrence of 4%
- Revision surgeries less than 10%
The majority of patients are quite satisfied with the aesthetic results. Additionally, functionally, preserving the nasal structure contributes to preventing breathing problems. When long-term results are evaluated, preservation rhinoplasty stands out with fewer complications and better aesthetic outcomes. This technique, which preserves structural integrity, ensures that patients have a natural nasal appearance and better breathing functions.
How to Prepare Before Preservation Rhinoplasty?
Preservation Rhinoplasty is a surgery requiring meticulous planning and a detailed preparation process. The surgeon develops a patient-specific approach by focusing on preserving the natural structure and functions of the nose at every step. In this process, nasal anatomy and aesthetics are carefully examined, and a series of evaluations are made for the surgery to be successful. The steps to follow during preparation for preservation rhinoplasty are:
- Analysis of the nasal dorsum and tip
- Evaluation of the septum
- High-resolution photography
- Ultrasound imaging
- Examination of ligament structures
While special planning is made for each patient, the surgeon outlines a roadmap based on the patient’s aesthetic and functional requirements. Advanced techniques contribute to making surgical outcomes more predictable. One of the techniques applied in this process is subperichondrial or subperiosteal dissection. This technique minimizes damage to nasal ligaments and structural elements, accelerating postoperative healing.
The selection of anesthesia and surgical instruments is also of critical importance. Minimal tissue trauma is provided with local anesthesia, while specially designed instruments enable the surgeon to work more precisely. Techniques like “push-down” or “let-down” are applied to preserve dorsal convexity. These techniques allow for reshaping bone and cartilage structures without removal.
How Should Postoperative Care Be After Preservation Rhinoplasty?
Postoperative care after preservation rhinoplasty is very important for the successful outcome of the surgery and rapid recovery. It is necessary to rest well in the first days and avoid activities that may harm the nasal area. The basic care elements to pay attention to during this process are:
- Avoid heavy exercises for the first 2-3 weeks
- Take light walks to reduce swelling
- Stay away from contact sports for about 2 months
- Do not use aspirin and similar blood-thinning medications
- Keep incisions clean and monitor for signs of infection
- Splints are removed within 7 days
- Do not wet the nose; be careful when washing the face
- Apply cold compresses to reduce swelling
- Use glasses in a way that does not put pressure on the nose
- Avoid direct sunlight; use strong sunscreen
- Nasal congestion may occur in the first weeks; do not touch the nose
In addition, regular doctor check-ups should not be neglected. In the healing process, it is necessary to consult a doctor immediately in cases of severe pain, excessive redness, or abnormal swelling to detect possible complications early. Furthermore, patients are advised to avoid stress and excessive fatigue during the postoperative recovery period to feel comfortable. Patience is required to allow the body to adapt to the healing process during this time.
Wie viel kostet Preservation Rhinoplasty in Istanbul, Turkey?
Die Kosten für Preservation Rhinoplasty in Istanbul, Turkey liegen typischerweise zwischen 4.500 € und 6.500 €. Die Preise variieren je nach Operationsart, Paketdetails und Krankenhaus, aber die Kosten für Preservation Rhinoplasty in Istanbul, Turkey sind günstiger als in westlichen Ländern und es ist eine ausgezeichnete Option für eine Operation im Ausland.
Eine Vergleichstabelle der Kosten für Nasenkorrekturen in verschiedenen Ländern
| Land | Durchschnittliche Kosten für Nasenkorrekturen im Jahr 2025 |
| Vereinigte Staaten | $15.000 - $30.000 |
| Vereinigtes Königreich | £10.500 - £21.000 |
| Kanada | CAD 14.250 - CAD 28.500 |
| Australien | AUD 22.500 - AUD 45.000 |
| Irland | 11.250 € - 22.500 € |
| Neuseeland | NZD 25.500 - NZD 51.000 |
| Türkei | 4.500 € - 6.500 € |
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