Preservation rhinoplasty is a contemporary approach to nose reshaping surgery that aims to restore balance and harmony to the nose while preserving its natural beauty and underlying structure. This technique differs greatly from traditional rhinoplasty, which typically involves the removal of cartilage, tissue, and bone. Removing these elements from the nose can lead to decreased support in the area, resulting in a higher likelihood of requiring a revision down the line.
Preservation rhinoplasty is designed to achieve long-lasting results without having to alter the nose’s vital support. This process involves remodeling the existing structures, using little to no tissue resections and no grafts. It also involves advanced suturing techniques and more precise surgical techniques.
What are the benefits?
The internal tissues of the nose are vital for proper nasal function. For this reason, it’s vital to preserve them as much as possible.
The benefits of preservation rhinoplasty include:
- Preserving the patient’s unique aesthetic while achieving improved facial harmony and proportions
- Achieve a positive outcome, both from a cosmetic and functional perspective
- Minimize the risk of complications or the need for revision treatments down the line
- Eliminate the need for grafts
- A milder recovery period
- A beautiful new nose
Who is an ideal candidate?
Determining candidacy for a preservation rhinoplasty will require that patients come into our office for a consultation.
That said, ideal candidates for this procedure are typically those who:
- Have a straight caudal septum between the nostrils
- Are undergoing rhinoplasty for the first time
- Want to correct a nasal bump that is small-to-medium in size
- Want to reduce the overall projection of their nose
What issues can preservation rhinoplasty address?
Preservation rhinoplasty can:
- Make a crooked nose straight
- Address breathing issues that cause discomfort
- Reshape a large or bulbous nasal tip
- Smooth out bumps and abnormalities on the nasal bridge
- Decrease the size of large or flaring nostrils
- Reshape the nose bridge
- Achieve a smaller nose
It is important to keep in mind that not all surgeons are qualified to carry out a preservation rhinoplasty procedure. Dr. Wise is one of a few elite surgeons who have the expertise and skills necessary to perform this revolutionary version of rhinoplasty. He uses cutting-edge surgical techniques and an artistic signature to preserve the structural integrity of the patient’s nose while achieving beautiful and balanced results.
What to expect from the procedure
Preservation rhinoplasty is typically performed under general anesthesia. Incisions will be made either between the nostrils or within the nose, allowing Dr. Wise to gain access to the underlying tissues. This allows him to enhance the shape of the nose while preserving the internal cartilage and tissue.
The techniques involved in a preservation rhinoplasty procedure do not remove any alar cartilage. Instead, the cartilage is cut into and moved around in order to achieve more definition. This ensures that the structural integrity is not compromised as well as the risk of unpredictable changes during the healing process.
While the structures that determine the nose’s size and shape are being reshaped, we take extra caution to ensure that the structures are not damaged during the procedure process. Preserving these vital tissues allows for a more predictable outcome that is in line with the patient’s goals.

What does the recovery process entail?
Beyond the other benefits of preservation rhinoplasty, it also comes with a much smoother recovery period. As this approach causes less damage to the nose, patients tend to experience less discomfort, bruising, and swelling throughout the healing process. That said, patients should still take about a week off from work and three weeks off from vigorous activity to ensure a positive healing experience.
Why choose Dr. Wise?
Dr. Wise is a highly respected double board-certified facial plastic surgeon in New Jersey who has garnered a reputation for excellent results in his community of New Jersey and beyond. He is renowned for his innovative and effective surgical methods that incorporate artistic sensibilities into every procedure. Above all, Dr. Wise strives to preserve all of his patients’ natural beauty while achieving the cosmetic changes that they long to see in themselves.
When not working with his esteemed patients, Dr. Wise spends his time serving as Professor of Facial Plastic and Reconstructive Surgery at NYU School of Medicine, a role that is emblematic of his dedication to providing the highest quality of care possible to his patients. Patients who choose Dr. Wise can feel confident that they are receiving the best possible treatment and care.

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