Clarifying Dorsal Preservation Rhinoplasty: Insights and Classification from Over a Thousand Cases

Highlight

• Dorsal preservation rhinoplasty (DPR) techniques evolved through three distinct phases across 1,191 cases, demonstrating a U-shaped learning curve.
• Initial proof-of-concept cases showed low revision rates, but uncontrolled expansion to complex anatomies increased revisions significantly.
• Systematic classification and application of a pyramidal framework with W-point septoplasty in later series optimized patient selection and surgical decision-making, reducing revision rates to initial levels.
• The study provides a standardized terminology and methodology, consolidating DPR as a reproducible approach in aesthetic nasal surgery.

Background