Tip Ligament Preservation and Suspension: Why and How?

Abstract

This issue of Clinics explores the concept of "preservation" rhinoplasty. At present, this topic is gaining considerable attention. As proponents of preservation suggest, a great number of problems we encounter in rhinoplasty are problems that were not present before the surgery; therefore, they can often be attributable to the deconstruction and reconstruction that took place. Preservation rhinoplasty should be viewed generally as a mindset to limit deconstructive steps in rhinoplasty when possible, understanding that these steps and those to later reconstruct provide the potential to create new problems that did not previously exist.

Keywords: Ligament; Midvault; Reconstruction; Rhinoplasty; Surgery; ala; intercrural; interdomal; preservation; projection; rotation.