27/07/2026
Preservation Rhinoplasty | Before & After
This patient presented with concerns regarding a dorsal hump, a broad nasal tip, and asymmetry when viewed from the front. Her preference was for a smoother bridge with either a gentle curve or a flatter dorsal profile.
On examination, the nose demonstrated a convex profile, reduced tip projection in relation to nasal length, no defined supratip break, and an acute columella–labial angle.
In rhinoplasty, these features cannot be considered independently. The bridge, nasal tip, projection, rotation, and frontal symmetry all contribute to the overall appearance and balance of the nose.
Following assessment, preservation rhinoplasty was discussed as a potential surgical approach. This technique aims to modify the shape of the nose while retaining as much of the existing structural framework as appropriate, rather than routinely removing and reconstructing the nasal bridge.
Careful pre-operative planning is essential. This includes assessing the internal and external nasal anatomy, discussing the patient’s preferred outcome, and determining whether further investigations, such as a CT scan, may be required before surgery.
Every rhinoplasty is planned individually according to the patient’s anatomy, concerns, and treatment objectives.
Patient information shared with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 [email protected]
