Preservation vs. Structural Philosophy
The most significant debate in 2026 is between Structural and Preservation philosophies. While both aim for facial harmony, their internal approaches are fundamentally different.
Preservation Rhinoplasty: Often called "dorsal preservation," this technique maintains the natural bridge of the nose. Instead of shaving down a hump from the top, surgeons remove a small wedge of bone and cartilage from underneath the bridge. This allows the entire bridge to "drop down" into a flatter profile, preserving the smooth, natural lines of the patient’s original anatomy.
Structural Rhinoplasty: This remains the gold standard for revision surgeries or major reconstructions. It involves building a strong support system using cartilage grafts (often harvested from the ear or rib). This approach is necessary when the patient’s natural nose lacks the strength to support a new shape.