Rhinoplasty: preservation and structural approaches
Dr Thomas Colson performs two distinct surgical pathways for rhinoplasty at Sheikh Khalifa Medical City. In the United Arab Emirates, where many ethnicities converge, there is no single nose that suits every face: each rhinoplasty is planned around facial harmony, ethnicity and functional needs.
The choice between the two pathways is made during consultation, not in advance. What follows sets out when each applies. The operative detail, the recovery and the specific situations of revision surgery are covered on the dedicated rhinoplasty site.
Preservation Rhinoplasty
Reducing a dorsal hump has historically involved cutting the top off the nasal bridge, which disrupts the keystone area where bone meets cartilage. Preservation Rhinoplasty works from underneath the nasal foundation instead, so that the natural dorsal roof of skin and cartilage stays intact.
It is generally chosen for patients who want to reduce a hump but are content with the overall shape of their nasal tip.
Structural Rhinoplasty
Structural Rhinoplasty builds a stable framework using cartilage grafts taken from the septum or the rib, to support the airway and define the nasal tip.
It applies where significant tip refinement, a change of projection or the correction of a marked deviation is required, and where a previous nose operation has already taken place. It is also the approach retained for thick skin, which is common in Middle Eastern anatomy: thicker skin conceals surgical change, so a defined cartilage framework is needed for definition to show.
What the consultation assesses
- Facial harmony and the proportions of the face as a whole
- Ethnic anatomy and skin thickness
- Nasal breathing and any functional obstruction
- The shape and support of the nasal tip
- Whether a previous nose operation has been performed
- Which of the two surgical pathways applies