From Rush University Medical School and Toriumi Facial Plastics; private practice; and University of California, Irvine School of Medicine.
Plast Reconstr Surg. 2022 May 1;149(5):1105-1120. doi: 10.1097/PRS.0000000000009063. Epub 2022 Mar 9.
Structural preservation rhinoplasty merges two popular philosophies of rhinoplasty-structure rhinoplasty and preservation rhinoplasty-in an effort to maximize patient outcomes, aesthetics, and function. This allows the surgeon to both preserve the favorable attributes of the nose, and also to structure the nasal tip and dorsum with grafts to maximize contour and support. The concept of dorsal preservation is to preserve favorable dorsal aesthetic lines without the creation of an "open roof." However, the addition of some structure concepts can expand the utility of dorsal preservation in primary rhinoplasty patients. The authors discuss these structure concepts and their applicability to dorsal preservation.
结构性保留鼻整形术将两种流行的鼻整形术理念——结构性鼻整形术和保留性鼻整形术——结合在一起，以最大限度地提高患者的效果、美观度和功能。这使外科医生能够既保留鼻子的有利特征，又通过移植物重塑鼻尖和鼻背，以最大限度地改善轮廓和支撑。背侧保留的概念是在不造成“开放式屋顶”的情况下保留有利的背侧美学线。然而，增加一些结构概念可以扩展背侧保留在原发性鼻整形术患者中的应用。作者讨论了这些结构概念及其在背侧保留中的适用性。
