Comparison of preservation rhinoplasty versus conventional rhinoplasty techniques: a systematic review of aesthetic and functional outcomes - Report - MDSpire

Comparison of preservation rhinoplasty versus conventional rhinoplasty techniques: a systematic review of aesthetic and functional outcomes

  • By

  • Anas Bassam Barnawi

  • Abdulelah F. Alshehri

  • Abdulmohsen Alanazi

  • Faisal Almutairi

  • Turki Ahmed Aljuhani

  • Feras Alkholaiwi

  • July 14, 2026

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Clinical Report: Evaluating Aesthetic and Functional Results of Rhinoplasty

Overview

This systematic review compares preservation rhinoplasty (PR) and conventional rhinoplasty (CR) techniques. Complication rates were low for both techniques.

Background

Rhinoplasty is a prevalent surgical procedure aimed at improving both aesthetic and functional nasal characteristics. The emergence of preservation rhinoplasty represents a shift towards techniques that minimize tissue disruption.

Data Highlights

StudyOutcome MeasurePre-op ScorePost-op Scorep-value
Zarei et al.SCHNOS-O6.65 ± 6.723.06 ± 4.04< 0.05
Zarei et al.VAS-O7.15 ± 3.318.56 ± 2.02N/A

Key Findings

  • PR showed significant improvements in SCHNOS-O and VAS-O scores postoperatively.
  • Complication rates were low for both PR and CR, with similar revision rates reported.
  • No major complications were observed in the studies reviewed.
  • Functional outcomes measured by rhinomanometry and acoustic rhinometry were comparable between PR and CR.
  • Patient selection is critical, with PR being more suitable for primary cases with moderate humps and thinner skin.

Clinical Implications

Surgeons should consider the benefits of preservation rhinoplasty in suitable candidates.

Conclusion

Preservation rhinoplasty presents a viable alternative to conventional techniques, offering comparable safety and functional outcomes.

Related Resources & Content

  1. American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS), Clinical Practice Guideline, 2017 -- Improving Nasal Form and Function after Rhinoplasty
  2. Sung Ryul Shim et al., Journal of Plastic, Reconstructive & Aesthetic Surgery, 2025 -- Preservation Rhinoplasty Versus Structural Rhinoplasty in Dorsal Hump Reduction: A Systematic Review and Meta-Analysis of Randomized Controlled Studies
  3. PMC, 2018 -- The 10-Item Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS) for Functional and Cosmetic Rhinoplasty
  4. conexiant — Achieving Long-Term Success in Recurrent Rhinophyma
  5. Correlation between Rhinomanometry and Computational Fluid Dynamics Derived from Computed Tomography
  6. Comparable Outcomes in Nasal Symptoms After Microscopic Versus Endoscopic Transsphenoidal Surgery: Findings from a Multi-Center Prospective Study
  7. conexiant — Pediatric Allergic Rhinitis: When Meds Fall Short
  8. Achieving Long-Term Success in Recurrent Rhinophyma
  9. Correlation between Rhinomanometry and Computational Fluid Dynamics Derived from Computed Tomography
  10. Comparable Outcomes in Nasal Symptoms After Microscopic Versus Endoscopic Transsphenoidal Surgery
  11. Clinical Practice Guideline: Improving Nasal Form and Function after Rhinoplasty - American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS)
  12. The 10-Item Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS) for Functional and Cosmetic Rhinoplasty - PMC
  13. Preservation Rhinoplasty Versus Structural Rhinoplasty in Dorsal Hump Reduction: A Systematic Review and Meta-Analysis of Randomized Controlled Studies - Sung Ryul Shim, Jong-Yeup Kim, Seon-Min Lee, Ki-Il Lee, 2025
  14. Preservation rhinoplasty versus conventional structural reduction: a systematic review of aesthetic, functional, and patient-reported outcomes - PubMed
  15. Dorsal preservation versus dorsal reduction rhinoplasty techniques for aesthetic and functional outcomes: a systematic review and meta-analysis - PubMed
  16. Comparison of Dorsal Preservation Rhinoplasty and Dorsal Hump Reduction Rhinoplasty: A Systematic Review and Meta-Analysis of Postoperative Outcomes - PubMed
  17. Does Dorsal Preservation Rhinoplasty Preserve Nasal Airway Function? A Systematic Review - PubMed
  18. Outcomes of let-down preservation rhinoplasty versus conventional rhinoplasty technique | The Egyptian Journal of Otolaryngology | Springer Nature Link
  19. Shaping the Future of Nasal Surgery: A Systematic Review of Preservation Rhinoplasty | Aesthetic Plastic Surgery | Springer Nature Link

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