120 Years of Dorsal Preservation in Rhinoplasty

Overview

Dorsal preservation lowers the natural nasal bridge rather than cutting away the hump. The authors state these techniques are undergoing a renaissance, with new methods and modifications described at an intensifying pace. They note the concept is not new and was first described more than 120 years ago. The article reviews the key techniques and concepts published across that period.

Sections of note

• Historical and technique review; the abstract reports no patient numbers, no outcomes and no follow up.
• Dorsal preservation was first described over 120 years ago.
• The authors describe the current period as a revival of this school of thought.
• New techniques and modifications to existing ones are being published at an increasing rate.
• The article's stated purpose is to review the key techniques and concepts of the past 120 years.

What it means for a patient

• The technique currently presented as new in rhinoplasty marketing has a long documented history.
• The article records how the approach developed, not how well it works.
• No outcomes, complication rates or comparisons appear here.

Why this paper matters

The preservation revival has produced many similarly named variants, and understanding which are genuinely new requires knowing what was already described. This review supplies that historical baseline. It does not evaluate any technique against another.

Terms

• Dorsal preservation: lowering the natural nasal bridge instead of cutting the hump off.
• Nasal dorsum: the bridge of the nose.
• Resection: surgical removal of tissue, here the hump.
• Renaissance: in this context, the return of an older technique to widespread use.