Preservation Rhinoplasty in Seattle

Facial harmony is deeply personal, and for many people, even small changes in the shape or contour of the nose can influence how they feel in photographs, conversations, or professional settings. When the desire is to refine these features without compromising the natural character of the nose, patients often look for an approach that respects both anatomy and identity. Preservation rhinoplasty has emerged as one of the most advanced techniques for achieving that balance.

At Allure Esthetic, Dr. Javad Sajan brings extensive experience in advanced rhinoplasty techniques, including preservation methods. His approach emphasizes anatomical accuracy, structural stability, and natural proportions. During each consultation, Dr. Sajan evaluates the nasal framework, skin thickness, facial balance, and patient goals to determine whether preservation rhinoplasty is the ideal fit.

Preservation rhinoplasty is an advanced method of nasal reshaping that focuses on adjusting the internal architecture of the nose while keeping the visible dorsum intact. Instead of removing bone or cartilage from the bridge, deeper internal modifications are made to lower and refine the nasal profile. This approach preserves integral attachments between bone, cartilage, and skin, helping maintain durability and a more naturally structured appearance.

Preservation rhinoplasty requires a balance between surgical knowledge and an understanding of each patient’s facial identity. Dr. Javad Sajan approaches every case with the goal of enhancing natural features rather than reshaping them into a predetermined ideal.

Dr. Sajan says: “My goal is never to make the patient fit the technique. I always want the technique to fit the patient in rhinoplasty.”

This perspective guides the entire planning process. Each procedure begins with a thorough evaluation of nasal structure and facial relationships. Dr. Sajan considers how the nose interacts with surrounding features and selects techniques that support proportion, function, and long-term stability.

Preservation rhinoplasty aligns closely with this philosophy because it maintains important anatomical support while refining outside appearance in a subtle, thoughtful way.

Preservation rhinoplasty can offer structural and aesthetic benefits, especially for patients who want refined results without significant alteration of their natural features.

• Natural Appearance: By preserving the dorsal bridge and underlying connections, the results tend to maintain natural nasal lines and proportions. The nose appears balanced and cohesive with the rest of the face.
• Reduced Tissue Trauma: Because the surgery avoids removing major portions of bone or cartilage, surrounding tissues experience less disruption. This typically leads to reduced bruising and swelling after surgery.
• More Comfortable Recovery: With minimal structural disturbance, many patients experience a smoother recovery period.
• Long-Term Stability: The preserved framework supports lasting results. The nose maintains its shape reliably because its natural support structures remain in place.

Preservation rhinoplasty is performed under anesthesia to ensure comfort throughout the surgery. Once the patient is fully relaxed, Dr. Javad Sajan makes precise internal incisions inside the nose, allowing him to access deeper structures without disturbing the natural bridge. Using advanced preservation techniques, he gently repositions and reshapes the existing framework rather than removing or reconstructing the bone and cartilage. This approach helps maintain the nose’s natural strength and continuity while refining its contour.

The procedure typically takes a few hours, depending on the patient’s anatomy. After surgery, patients are monitored until they are ready to return home (often the same day). Detailed instructions are provided before discharge to ensure a smooth and supported recovery process.

Recovery following preservation rhinoplasty is often more comfortable compared to traditional approaches because the nasal framework is largely preserved. Patients often experience mild to moderate swelling and minimal bruising during the first one to two weeks, with significant improvement occurring as the tissues begin to settle. A small external splint may be placed to support the nose during initial healing and is usually removed within a week at a follow-up visit.

Dr. Sajan and the team at Allure Esthetic provide clear, structured aftercare guidance, including how to manage swelling, when to resume normal activities, and what to expect at each stage of healing. Follow-up appointments allow for close monitoring of recovery, ensuring the nose continues to heal smoothly and naturally. While subtle refinement continues over several months, patients may feel comfortable returning to social and professional activities within one to two weeks.

Candidates for preservation rhinoplasty in Seattle often include:

• Those with a dorsal hump or mild nasal deviation.
• First-time rhinoplasty patients.
• Individuals seeking natural-looking results.
• People with good nasal symmetry and structure.
• Active individuals and professionals.

In a detailed consultation with Dr. Javad Sajan, each patient undergoes a comprehensive facial assessment that considers nasal anatomy, skin type, lifestyle, and aesthetic goals.

For many transgender patients, facial alignment plays an important role in gender affirmation and self-expression. Preservation rhinoplasty can be an appealing option for those who wish to soften the nasal profile or refine the contour while maintaining features that feel authentic to their identity.

Dr. Sajan considers both aesthetic and gender-affirming goals, helping patients understand how preservation rhinoplasty may complement their overall transition plan. Every treatment is tailored to the individual, ensuring decisions reflect both appearance and identity.

Both preservation rhinoplasty and structural rhinoplasty aim to improve the appearance and function of the nose, but they differ significantly in technique.

Preservation Rhinoplasty

Preservation rhinoplasty focuses on refining the nose while maintaining its natural support structures.

Key features include:

• Maintains the original nasal framework for natural balance and strength.
• Less tissue disruption, leading to reduced bruising and swelling.
• Faster, more comfortable recovery.

Structural Rhinoplasty

Structural rhinoplasty takes a more transformative approach, rebuilding or re-supporting the nose by adjusting cartilage and bone structure. This method allows for extensive correction and greater control over shape and projection.

Key features include:

• Restructures and reinforces nasal anatomy using grafts and sutures.
• Allows greater precision for complex aesthetic or functional corrections.
• Longer healing period due to more tissue manipulation.
• Best suited for revision cases, major deformities, or functional reconstruction.

During a comprehensive consultation with Dr. Javad Sajan, patients receive an in-depth assessment to determine which method aligns with their needs.

At Allure Esthetic, preservation rhinoplasty is tailored to maintain facial harmony while addressing the individual goals of each patient.

• Expertise: Dr. Javad Sajan focuses on nasal techniques that preserve the existing framework, supporting natural contours.
• Customized Treatment Planning: Every patient undergoes an in-depth assessment of nasal anatomy, skin quality, and facial balance to determine whether preservation rhinoplasty is the most fitting approach.
• Recovery-Focused Protocols: Surgical execution is paired with thoughtful post-operative care to encourage minimal swelling, reduced downtime, and a smoother healing process.
• Holistic Integration: Preservation rhinoplasty at Allure Esthetic is designed to align seamlessly with surrounding facial features, ensuring that the nose complements rather than competes with the overall facial identity.
• Patient Communication: Our team provides clear explanations of procedure options, expected outcomes, and realistic timelines, helping patients make confident decisions about preserving their nasal structure.

What is the preservation technique in rhinoplasty?

The preservation technique reshapes the nose by working underneath the existing framework rather than removing or rebuilding it. Surgeons preserve the nasal dorsum (bridge) and reposition tissues to create smoother, more balanced contours.

What is the difference between preservation and structural rhinoplasty?

Preservation rhinoplasty refines the nose while keeping much of its original cartilage and bone intact, focusing on gentle modification. Structural rhinoplasty, by contrast, rebuilds or repositions nasal structures for more dramatic changes or functional corrections.

Is preservation rhinoplasty permanent?

Yes, the results of preservation rhinoplasty are long-lasting because the nose’s natural support structures are maintained. However, as with any surgery, subtle changes can occur over time due to the natural aging process.

What is the recovery time for preservation rhinoplasty?

Patients may notice reduced swelling and bruising within two to three weeks, with visible improvements appearing sooner than traditional rhinoplasty. Full healing and final results typically continue to refine over several months.

What is the cost of preservation rhinoplasty?

The cost of preservation rhinoplasty varies depending on the surgeon’s expertise, the complexity of the procedure, and geographic location. During a consultation, we’ll provide a detailed estimate based on the patient’s anatomy and treatment plan.