The Preservation Rhinoplasty: A New Rhinoplasty Revolution

Rhinoplasty surgery tends to evolve in generational epochs often associated with landmark publications and the simultaneous popularization of revolutionary surgical techniques. In 1978, Sheen published his monumental text Aesthetic Rhinoplasty which confirmed his status as the greatest rhinoplasty surgeon since Joseph.¹ Three critical concepts were summarized. First, rhinoplasty became a truly aesthetic operation which included preoperative analysis, operative planning, and surgical execution. Second, the reduction-only concept of Joseph was replaced with a balanced approach combining reduction and grafting in primary rhinoplasty. Third, the previously dismal results for secondary rhinoplasty were dramatically improved. Suddenly, the mark of a great rhinoplasty surgeon was no longer how quickly one could do a "nose job," but rather the achievement of an attractive natural nose with normal function.