5 Romanian JouRnal of medical PRactice – Vol. XVii, no. 1 (86), 2022 Corresponding authors: Urs Rodica E-mail: rodyk_16@yahoo.com Traditional rhinoseptoplasty vs Preserving rhinoplasty – Literature Review Rodica URS 1 , Ion ANGHEL 1 , Adriana Oana RAJPUT ANGHEL 3 , Alina Georgiana ANGHEL 2 1 Central Military Emergency Hospital “Dr. Carol Davila” Bucharest, Romania 2 University Clinic Hospital “Sf. Maria” Bucharest, Romania 3 “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania Abstract The nasal pyramid is an essential structure in the physiognomy of the individual, and the external appearance of the nose is very important in the modern society in which we find ourselves. That is why the anatomical diversity of the nasal pyramids has led to the development of various surgical technique for reshaping the nasal structures. Rhinoseptoplsty has changed considerably in recent decades, from a standardized reduction procedure to a procedure focused on very differentiated problems, reductions, relocations and augmentations of frequently combined tissues Most surgeons around the world have agreed on a new concept of surgery, that of preserving different structures of the nose given the fact that the principle of preservation is better than that of resection, with a more natural result. Material and method. Review of the two surgical concept of rhinoplasty regarding the main advantages and disadvantages of each type of rhinoseptoplasty surgery. Results and conclusions. Proper patient selection is important for good results. Before surgery, nasal analysis should perfomed clinically and photographically to determine the necessary corrections. Rhinoplasty is still one of the most challenging procedures in facial plastic surgery. With the right surgical experience and proper surgical techniques the results are most often good and the patients are satisfied. Keywords: structural traditional rhinoseptoplasty, preservation rhinoseptoplasty, nasal dysmorphia General papers Ref: Ro J Med Pract. 2022;17(1) DOI: 10.37897/RJMP.2022.1.1 Article History: Received: 1 March 2022 Accepted: 7 March 2022 IntroductIon Nasoseptal dysmorphia can be alterations of shape and position (lateral deviation) or development prob- lems, in deficit (hypoplasia) or in excess (hyperplasia), accompanied by functional and aesthetic prejudice. Functional prejudice of nasoseptal dysmorphia could be: breathing disorders, sight disorders, sound disor- ders [2,3,6]. Rhinoseptoplasty techniques have been perfected over time, following two main surgical approaches: rad- ical, structural rhinoplasty (resection/reconstruction) and conservative (preservative rhinoplasty) [2,13,20]. For most surgeons, the concept of “preservation” in rhinoseptoplasty and especially the preservation of the back of the nose is new. Preservative rhinoplasty refers to the preservation of several anatomical structures, in- cluding the nasal bones, lateral cartilage, and nasal lig- aments where possible. The methods used were devel- oped many years ago by the pioneers of rhinoplasty surgery. However, with the apparition of open-proce- dure rhinoplasty, many of these techniques have been forgotten or replaced by more aggressive resection techniques [4,25]. In 1946, Cottle and colleagues described the push- down technique, in which the continuity of the nasal