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Preservation Rhinoplasty in New York: A New Solution To an Old Problem

Preservation rhinoplasty is one of the latest trends in the world of cosmetic nose surgery. The surgical procedure offers a different approach to reduce a dorsal hump while preserving the original components. This technique produces a natural result and provides an alternative to the traditional structural rhinoplasty technique for the right patient.   

Preservation rhinoplasty utilizes a different technique for enhancing the aesthetic appearance of the nose. The main goal of this nose reshaping procedure is to retain as much of the patient’s original dorsum, tissue, and cartilage as possible while improving the nasal appearance and facial harmony. Changes are made deeper within the nasal structure, and the upper portion of the nose is eased downward to smooth out the dorsal hump.

Philip J. Miller, MD, FACS, has experience and expertise in performing all types of rhinoplasty procedures. He will help you determine the best procedure to meet your goals.

With his NatraLook process, you participate in a collaborative partnership with Dr. Miller to ensure your rhinoplasty delivers all the benefits the surgery offers and the results you desire. 

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How is preservation rhinoplasty different from traditional rhinoplasty?

Traditional rhinoplasty directly removes the cartilage and bone components of the bump. The procedure reduces nose size by shaving down the bump, but it can also leave an “open roof deformity," much like taking the roof off of a house. When this occurs, the surgeon must address the issue using techniques like cartilage grafting.

With preservation rhinoplasty, the surgeon alters the height of the nasal bridge beneath the overlying bone and cartilage, using tissue resections underneath the bump and letting the bump stretch out and fall backward to create a straight line. Though changing the shape of the bridge, preservation rhinoplasty maintains the natural components of the nasal dorsum so it does not need to be rebuilt. 

Preservation rhinoplasty offers an optional rhinoplasty technique to preserve the existing bone-cartilage junction along the dorsum that is sacrificed when doing a hump resection. This approach remodels the existing nasal anatomy, targeting precise, small sections of the underlying bone and cartilage and rearranging them like a jigsaw puzzle. By remodeling the base of the nose, we can let the bump fall back without significantly altering the appearance of the nasal bridge.  

In the hands of an experienced, board-certified facial plastic surgeon, both preservation and structural rhinoplasty techniques can produce excellent results. However, not every surgeon offers the preservation option at this time, which could limit a patient's options depending on the surgeon they choose.

What can preservation rhinoplasty fix?

In the right hands, preservation rhinoplasty can help:

  • Straighten a crooked nose
  • Correct breathing issues
  • Deproject a disproportionately large nose
  • Smooth bumps on the nasal bridge
  • Reshape the nasal bridge

Benefits of Preservation Rhinoplasty

Preservation rhinoplasty provides the following advantages:

  • Improves facial harmony and balance while maintaining your unique look
  • Ensures a long-term positive outcome
  • Maintains or improves breathing function
  • Provides another technique for patients interested in addressing a dorsal hump
  • Creates a very natural result without the need for reconstructing the bridge of the nose

While the techniques for preservation rhinoplasty are still improving, its philosophy remains –to reshape and preserve existing structures of the nose –making preservation rhinoplasty a viable option for patients wishing to reduce a dorsal hump without the need for a graft or reshaping of the nasal tip. 

Is preservation rhinoplasty the right choice for me?

The type of rhinoplasty you choose depends on your individual goals and expectations, including your reasons for pursuing the surgery. The best way to determine if preservation rhinoplasty is right for you is to consult with a qualified surgeon.

Dr. Miller is a double board-certified facial plastic surgeon who specializes exclusively in facial plastic surgery. With more than 20 years of experience performing rhinoplasty and other facial rejuvenation procedures, he is an expert in the field, offering in-depth knowledge and the most advanced techniques to his patients.

To learn more, contact Dr. Miller to schedule a consultation. 

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Facial Plastic Surgery

Dr. Philip Miller and his team of New York's top rated facial plastic surgery experts provide custom cosmetic treatment plans that include a combination of minimally-invasive techniques and advanced procedures, to help each patient achieve the Aesthetic Confidence® they desire. Our unique NatraFace™ approach to facial rejuvenation includes the following effective procedures:

Eyelid Plastic Surgery

Dr. Miller provides patients with Manhattan's #1 customized care and treatment for smooth, supple skin that brightens the eyes and revitalizes the face. With our NatraFace™ approach, we utilize a combination of effective aesthetic techniques tailored to suit each patient’s needs. We offer:

Rhinoplasty (Nose Jobs)

Dr. Miller and his staff of NYC's best aesthetic specialists offer the NatraNose® process, which is a comprehensive range of minimally-invasive and advanced techniques to achieve natural-looking rhinoplasty results, improve nasal function, and meet the patient’s aesthetic goals. Dr. Miller specializes in nose jobs, nose reductions, non-surgical nose jobs, and more: Adjust the links in these sections as follows:

Skin Care Treatments

Widely acclaimed for our broad range of flawless skincare solutions, Philip J. Miller, MD, FACS and his team of aesthetic specialists offer customized skincare treatment plans to achieve healthy, natural-looking results. As part of our NatraLook™ process, the following procedures may be performed individually or in combination with more advanced surgical treatments for optimal rejuvenation.

Male Plastic Surgery

Philip J. Miller, MD, FACS, is a double board-certified facial plastic surgeon with over 20 years of experience working with male and female patients. He specializes in facial plastic surgery and is recognized as an expert in facial rejuvenation procedures. Utilizing the most advanced surgical techniques, Dr. Miller can maintain or enhance masculine features while producing the most natural-looking results.

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The Plastic Surgery Podcast with Dr. Philip Miller

Tune into The Plastic Surgery Podcast, hosted by facial plastic surgeon Dr. Philip Miller. Dr. Miller is here to answer your questions, de-mystify plastic surgery, and help you feel more knowledgeable and empowered about any procedure performed at our center.

The Plastic Surgery Podcast

  • Episode 44: My First Time

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  • Episode 43: Top 10 Reasons Not To Get A Rhinoplasty ( Plastic Surgery)

    20 min
  • Episode 42: Osteomas & Lipomas

    11 min
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Plastic Surgery w/ Dr. Miller

Plastic Surgery w/ Dr. Miller

If you're thinking about getting a lift, nip, or tuck, this app is for you. It's the most comprehensive pocket encyclopedia of plastic surgery terms, before and after photos, and visualization tools to help you really know what to expect from a procedure, including seeing potential results on your own photo. This app is only available on the App Store for iOS devices.

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