The new buzzword with my Houston rhinoplasty patients is Preservation Rhinoplasty. This is a form of rhinoplasty where the nasal hump is not chiseled or filed down. With preservation rhinoplasty, the bones around the hump are fractured and then the hump is pushed or let down to create a smooth profile. This technique began in Turkey and has now become popularized in the United States. As a Houston rhinoplasty expert, Dr. Funk is versed and has performed preservation rhinoplasty in the appropriate cases.
This novel form of rhinoplasty typically refers to the nasal dorsum where a dorsal hump or nasal bump may occur. This hump usually occurs at the junction of the bony and cartilaginous dorsum. Traditionally, this hump was removed by excising cartilage and removing bone with chisels and rasps. This can lead to an issue called an open roof which must be reconstructed with controlled fractures of the bone and cartilage grafts. The concept behind preservation rhinoplasty is to avoid having to do this reconstruction. Controlled fractures are made in the bone and a small amount of cartilage is excised. The bony hump is then “let down” or pushed down to create a natural smooth bridge with aesthetically pleasing dorsal lines.
Preservation rhinoplasty may also refer to the nasal tip cartilages. Over-resection of nasal tip cartilages to attempt to define the tip can lead to a pinched appearance with functional breathing issues. Dr. Funk avoids over-resection of this cartilage and utilizes suturing and grafting techniques to create a more refined, natural, and functionally strong nasal tip.
Not every patient is a candidate for the let down or push down form of preservation rhinoplasty for a nasal hump. Dr. Funk will evaluate you during your consultation, examine your nose, and discuss the best option to obtain the most pleasing, natural and long lasting form of rhinoplasty that will be right for you.
Dr. Funk is a top rhinoplasty surgeon in Houston Texas.