Preservation Rhinoplasty

Preservation Rhinoplasty in Newport Beach, CA | Dr. Sajjadian

Preservation rhinoplasty is an innovative approach to enhancing the aesthetic appearance of the nose. The main goal of preservation rhinoplasty is to retain as much of the patient’s original cartilage and bone tissue as possible while improving nasal and facial appearance. This procedure results in the coveted non-operated, natural look that permeates our modern lives.

Over the years, double-board certified plastic surgeon Dr. Ali Sajjadian has incorporated different aspects of this technique into his rhinoplasty philosophy and methodology. Currently, he does the majority of his rhinoplasty surgeries using this technique. Since 2017, it has been the mainstay of how he performs a nose job.

Discover the benefits of preservation rhinoplasty with Dr. Ali Sajjadian, one of the best preservation rhinoplasty surgeons in Newport Beach, CA. You can read on to learn more, or schedule a personalized consultation with Dr. Sajjadian today!

What is Preservation Rhinoplasty?

Preservation rhinoplasty is a nose-adjustment surgery aiming to preserve much of the patient’s nose structural tissue.

The procedure requires sophisticated surgical skills. Dr. Sajjadian alters the nose’s shape by strategically eliminating small amounts of cartilage and bone from beneath the nose bridge. By doing so, he can reduce the height of the nose bridge (nasal dorsum) without shifting the patient’s dorsal lines.

Traditional destructive rhinoplasty techniques usually include removing the nasal hump by multiple floating nasal bone fractures and excision. These methods can create complications later during the natural healing process.

Preservation Rhinoplasty vs. Traditional Rhinoplasty

Most of our patients choose rhinoplasty to decrease the height of the nose bridge. For many, having an arch or hump in the bridge is undesirable.

Many patients experience a reduction in their dorsal hump height after traditional rhinoplasty but feel the results are unauthentic. This is primarily because of the alteration of the dorsal lines.

Because traditional rhinoplasty entails removing cartilage and bone from the top of the nose bridge, the operation significantly alters the natural bone structure of the nose. Thus, while traditional rhinoplasty does correct the problem of a large bump on the nose bridge, the procedure visibly modifies the nose’s natural lines.

Dr. Sajjadian alters the nasal bridge’s height with preservation rhinoplasty by taking cartilage and bone from underneath the nose. This technique maintains the natural appearance of the nose while adjusting the size of the bridge.

The benefits gained from preservation rhinoplasty are much more satisfactory for patients, and the need for revision rhinoplasty is less likely.

Preservation Rhinoplasty refers to three components:

  1. Raising the skin sleeve in a surgical plane known as the subperichondrial-subperiosteal plane
  2. Preserving the nose bridge (the cartilage and bone dorsum)
  3. Maintaining the top cartilages (alar) with minimal excision to achieve optimal shape with sutures.


Skin Sleeve

For many years, surgeons preferred the sub-SMAS plane to elevate the skin sleeve because it is less disruptive than the previously employed subcutaneous plane. This dissection produced significant swelling, prolonged scar remodeling, numbness, and induration.

Long-term soft tissue thinning envelope was a major concern after traditional rhinoplasty. The soft tissue envelope with preservation rhinoplasty resulted in near-normal sensation, minimal swelling, minimal scar remodeling, and less long-term thinning of the soft tissue envelope.


Today, many rhinoplasty surgeries involve resecting the dorsal hump to create an open roof requiring the breaking of cartilage and bone. Preservation rhinoplasty preserves dorsal hump structures while eliminating the hump through a septal resection. This modifies the bridge without destroying the nose’s anatomy.

Alar Cartilage

Traditional rhinoplasty achieved tip shape correction with a combination of incisions, excisions, grafts, and sutures. Results are generally good at first, then a significant percentage of these cases will degrade over time.

The adoption of structural support through columellar struts, tip suturing, tongue and groove procedures, and septal extension grafts have dramatically improved intermediate results. There are fewer tip deformities and projection maintenance.

Preservation rhinoplasty advances tip surgery by preserving almost the entire alar cartilage, reducing potential problems, and enhancing nose function. If a revision is needed, it’s simpler.

Preservation Rhinoplasty Candidates

Patients who seek to correct a bump or reduce nose projection are possible candidates for a preservation rhinoplasty in Orange County. Those who have had a previous nose surgery are usually not good candidates for preservation rhinoplasty.

Optimal candidates are men and women who are discontent with their nose appearance. They worry about nose surgery because they don’t want an artificial appearance. These patients also:

  • Want to reduce a bump on the bridge
  • Have thin skin on the nose
  • Look to reduce nose projection

Dr. Sajjadian evaluates several criteria when choosing if preservation rhinoplasty is best suited for his patients:

  • The caudal septum between the nostrils is straight.
  • The dorsal nasal lines look good.
  • The patient has a small to medium-sized hump.
  • The radix does not need modification.

Preservation Rhinoplasty Offers a Better Recovery

Another benefit of preservation rhinoplasty comes from the location on the nose where the doctor performs this surgery.

During traditional rhinoplasty, your surgeon must interfere with soft tissue to remove cartilage and bone. Soft tissue contains lymphatics and blood vessels, which are responsible for circulation and healing.

Preservation rhinoplasty happens in a different part of the nose. Dr. Sajjadian doesn’t interfere with soft tissue during the operation. It brings an added benefit of a shorter recovery that is more efficient. The surgery does not disturb the blood supply to the area.

Expectations for Revision Rhinoplasty in Orange County

To prepare for a revision rhinoplasty procedure, the patient must understand what to expect before, during, and after the operation.


As you lead up to your preservation rhinoplasty, expect Dr. Sajjadian to prescribe a healthy diet, plenty of rest, and to plan for your recovery.

If you smoke, stop for six weeks before the surgery, as smoking will hinder your recovery. Nicotine is a vasoconstrictor that inhibits blood circulation to the skin, impairing the body’s ability to heal.

Plan to bring a responsible adult with you to the operation. You will be under the influence of a general anesthetic during the surgery. Your ability to drive afterward will be impaired.


On the day of surgery, expect a final last-minute consultation with Dr. Sajjadian to clarify any questions you may have. When you’re ready, the anesthesiologist will administer your general anesthetic before Dr. Sajjadian starts the operation. The surgery generally takes between one to two hours. 


Once Dr. Sajjadian has completed the procedure, he will place splints on your nose, along with a protective gauze.

Your private nurse will monitor you as you wake up from the anesthetic. Once Dr. Sajjadian deems it’s safe for you to go home, your friend or family member can drive you back to recover at home. Expect recovery to last about six weeks.


Why Dr. Sajjadian

Newport Beach and Orange County rhinoplasty surgeon Dr. Ali Sajjadian is well known and respected because of his compassionate care and unparalleled results. He believes in listening intently to his patients to understand their cosmetic goals. By creating a personalized plan, he focuses on creating magnificent results. He considers each cosmetic procedure a partnership between the patient and him to achieve the best results. Dr. Sajjadian has dedicated his career to developing and implementing advanced cosmetic surgery techniques, which have helped to achieve minimal patient discomfort and natural-looking results.

In 2015, 2016, and 2017, Dr. Sajjadian first described and presented during multiple rhinoplasty meetings methods for preserving the lower lateral cartilage, which is the main structure of the lower portion of the nose and nasal tip. Since 2012, he has been doing sub perichondrial and subperiosteal dissection techniques exclusively. As years have gone by, he has incorporated different aspects of this technique into his philosophy and methods of performing rhinoplasty.

Dr. Sajjadian has one of the best practices for cosmetic nose surgery (rhinoplasty) and corrective and revision rhinoplasty (to improve function and aesthetics). Dr. Sajjadian’s compassionate care, individualized planning, and meticulous techniques have created beautiful and natural-looking surgical results for countless patients. He specializes in and has a particular interest and passion for cosmetic surgery of the face, breast, and body. Using the most advanced techniques and artistic approaches, he has delivered facial beauty through successful nose surgeries.

Schedule your consultation with Dr. Sajjadian today! Also, be sure to check out Dr. Sajjadian’s rhinoplasty before and after photo gallery to see his actual patients’ results.

FAQs for Newport Beach Preservation Rhinoplasty

The six weeks following your preservation rhinoplasty are vital in ensuring a successful recovery.

Dr. Sajjadian will discuss what to do during these six weeks. He will see you after one week to ensure your recovery is going smoothly.  

You will need complete rest during the first week of recovery, which is best to spend at home. A nasal drip pad will be utilized for the first two days to handle any bleeding. You will also need to irrigate your nose after surgery by using nasal saline. You will continue this for three months.

Do not take your recovery lightly. Dr. Sajjadian will provide detailed instructions on the dos and don’ts during this time. If followed, you can expect a successful healing process and outcome as well.

Most patients return to work about 10 days after the operation. This will, of course, depend on the type of work you do. This will be discussed further during your consultation and subsequent visits.

Patients may resume their regular workout routine three to four weeks after the operation. You’ll need to limit physical activity for two days. After that, you may start moving around the house and doing light workouts.

After one week you can start walking in the neighborhood. Of course, this depends on your recovery progress. It is best to err on the side of caution. It would be best if you gave your body time to heal according to what it tells you. Please don’t push it.

Adequate sleep and resting will not only help you achieve the best results but minimizes the chance of any potential complications.

The final cost of your preservation rhinoplasty depends on a variety of factors, including the scope of the treatment, anesthesia and surgeon fees, and much more. You can get an itemized cost breakdown after you are evaluated by Dr. Sajjadian in a consultation.

Contraindications for preservation rhinoplasty include allergies, severe traumatic nose deformity, completely low nasal bridges, drug addiction, wound-healing problems, smoking, and bleeding disorders.

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