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Technique

[ 8 min ]

By Dr. Mara Cassian

Preservation rhinoplasty, explained

Why we keep the bridge you were born with and reshape from underneath.

Preservation rhinoplasty, explained

Classic rhinoplasty reduces a hump by removing it, then rebuilds the bridge from what is left. Preservation rhinoplasty takes the opposite approach: the bridge stays intact, and the structure beneath it is lowered as one piece.

The advantage is the surface. Skin, cartilage and the smooth line of the dorsum are never opened, so there is no edge to heal, no irregularity to correct a year later, and the light falls on the nose the way it always has.

It is not for every nose. A very wide or crooked bridge, or a nose that has been operated before, may still need structural work. The consultation drawing shows which approach your profile calls for, and why.

Recovery is often shorter, with less swelling on the bridge. The tip still takes its time: up to a year to settle into the drawing.

We change the foundation, and the roof follows.

Related

Recovery

· 6 min

What the first seven days actually look like

Clinic

· 4 min

Why we draw before we operate

Recovery

· 5 min

Sleeping, sun and swelling

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[ 9601 WILSHIRE BLVD ·

BEVERLY HILLS, CA 90210 ]

[ © 2026 CASSIAN ]

Cassian

Clinic

Procedures

Results

Surgeons

Pricing

Visit

Journal

About

Consultation

Privacy & legal

[ 9601 WILSHIRE BLVD ·

BEVERLY HILLS, CA 90210 ]

[ © 2026 CASSIAN ]

Cassian

Clinic

Procedures

Results

Surgeons

Pricing

Visit

Journal

About

Consultation

Privacy & legal

[ 9601 WILSHIRE BLVD ·

BEVERLY HILLS, CA 90210 ]

[ © 2026 CASSIAN ]

Cassian

Procedures

Results

Surgeons

Pricing

Journal

About

Book

Cassian

Procedures

Results

Surgeons

Pricing

Journal

About

Book

Cassian

Book

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