Ann Plast Reconstr Surg | Volume 4, Issue 2 | Research Article | Open Access

Extended Dorsal Preservation in a New Concept of Preservational Rhinoplasty

António Sousa Vieira, Dunja Milicic*, Carlos Torrão Pinheiro, and Guilherme Carvalho

Department of Otorhinolaryngology, Hospital Lusiadas, SA Porto, Portugal

*Correspondance to: Dunja Milicic 

Fulltext PDF


Background: A dorsal preservation rhinoplasty concept was discussed and the benefits vs. contraindications and limitations were presented. In specific cases of severe nasal septal deformations associated with necessity of major septoplasty, focused on perpendicular plate, a New Concept of Extended Dorsal Preservation Rhinoplasty is presented (New Extended PR-D). PR-D is based on septoplasty, rhinosculpture and partial osteotomies. Goals: The objective of this paper is to present a new approach in some cases of rhinoplasty named as extended dorsal preservation rhinoplasty. Methods and Results: Partial and incomplete osteotomies were introduced as method to avoid disinsertion of nasal pyramid of glabellar area and to avoid bony step in areas off osteotomy cut. Rhinosculpture in its extended mode was promoted for modulation of bony structure with obtaining immediate aesthetic and structural results, minoring a surgical trauma. Conclusion: The principles of Preservation Concept were respected in this New Extended PR-D Concept.


Preservation Rhinoplasty; Partial Osteotomies; Rhinosculpture; Dorsal preservation rhinoplasty


Vieira AS, Milicic D, Pinheiro CT, Carvalho G. Extended Dorsal Preservation in a New Concept of Preservational Rhinoplasty. Ann Plast Reconstr Surg. 2020; 4(2): 1055.

Subscribe to Our Newsletter