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What is Preservation Rhinoplasty?

Preservation rhinoplasty, also known as preservation-based rhinoplasty, is an approach to nasal surgery that focuses on preserving the natural structures and anatomical features of the nose as much as possible while achieving the desired cosmetic and functional improvements. This technique contrasts with traditional rhinoplasty methods that involve more aggressive removal of cartilage and bone to reshape the nose.

Dr Frati is dubbed by many as the Surgeon to the Stars, if you are wanting to price up a cost for either your traditional rhinoplasty in London or Manchester, or a preservation rhinoplasty, it would be best to book your  initial consultation with Dr Frati and his team. With this Dr Frati will be able to ask you all the right questions, and determine which rhinoplasty procedure is right for you, and therefore provide an appropriate rhinoplasty cost.

Take a look at our Nose Job Before and after  pictures.

Interested to know more about what Dr. Frati can do for you?

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What is the Difference between Preservation Rhinoplasty and Traditional Rhinoplasty?

Preservation rhinoplasty and traditional rhinoplasty include two different approaches to nasal surgery, each with its own goals, techniques, and considerations. The primary difference lies in how they approach the manipulation of nasal structures during surgery. Here’s a comparison of preservation rhinoplasty and normal rhinoplasty:

Preservation Rhinoplasty

  1. **Goal:** Preservation rhinoplasty focuses on maintaining the natural anatomy and structural integrity of the nose while making targeted enhancements to achieve the desired cosmetic and functional outcomes.
  1. **Tissue Removal:** This approach minimises the removal of cartilage, bone, and soft tissue. The emphasis is on reshaping the nose without compromising its natural support and strength.
  1. **Structural Integrity:** Preservation rhinoplasty aims to keep the existing nasal framework intact to prevent potential complications, functional issues, and unnatural-looking results.
  1. **Natural Results:** The technique is designed to produce results that are in harmony with the your facial features and maintain their individuality. The goal is to avoid an over-operated or “done” appearance.
  1. **Grafting:** In cases where additional support or augmentation is needed, grafts (e.g., cartilage grafts) may be used to maintain or enhance the nasal structure.
  1. **Long-Term Stability:** Because natural nasal structures are preserved, the results of preservation rhinoplasty tend to be more stable over time, with a lower likelihood of needing revision surgery.

Traditional Rhinoplasty

  1. **Goal:** Traditional rhinoplasty aims to reshape the nose by removing, rearranging, or altering nasal structures to achieve the desired cosmetic outcome. This approach can involve more significant changes to the nose’s underlying architecture.
  1. **Tissue Removal:** Traditional rhinoplasty often involves the removal of cartilage, bone, and soft tissue to achieve the desired shape and size changes.
  1. **Structural Changes:** The approach may involve altering the nasal framework substantially to achieve aesthetic goals. This can result in a higher risk of potential complications and a longer recovery period.
  1. **Results and Healing:** The outcomes of traditional rhinoplasty can be impressive and transformative, but they may require more postoperative care and attention to detail during healing to avoid issues like collapse or asymmetry.
  1. **Suitability:** Traditional rhinoplasty is commonly used to address a wide range of nasal concerns, from aesthetic improvements to functional issues such as breathing difficulties.

Ultimately, the choice between preservation rhinoplasty and traditional rhinoplasty depends on factors such as the your nasal anatomy, cosmetic goals, and functional needs. Both techniques have their merits and are valid options, but it’s important to consult with a skilled and experienced surgeon such as Dr Frati who can recommend the most suitable approach for your unique case based on a comprehensive assessment.

Which rhinoplasty is for me?

Deciding whether preservation rhinoplasty or traditional rhinoplasty is right for you depends on a variety of factors, including your nasal anatomy, cosmetic goals, functional concerns, and preferences. It’s important to have a thorough consultation with Dr. Frati who will assess your individual case and guide you toward the most appropriate approach. Here are some steps to help you make an informed decision:


Schedule a consultation with Dr Frati, a board-certified surgeon who specialises in rhinoplasty, and has an amazing track record. During these consultations, you’ll have the opportunity to discuss your goals, concerns, and expectations.

Medical Evaluation

Dr Frati will conduct a comprehensive medical evaluation of your nasal anatomy and overall health. He will assess factors such as your skin quality, cartilage structure, bone structure, and any functional issues you might have, such as breathing difficulties.


Clearly communicate your aesthetic desires and any functional concerns you have. Discuss what you hope to achieve with the surgery and any specific features you’d like to change or preserve.

Educate Yourself

Learn about the differences between preservation rhinoplasty and traditional rhinoplasty. Understand the benefits and potential drawbacks of each approach. Hopefully this blog will give you an initial idea.

Dr Frati’s Recommendations

Based on your anatomy and goals, the Dr Frati will recommend the most suitable approach for your case. He will explain his rationale and provide you with insights into what can realistically be achieved.

View Before and After Photos

Review before-and-after photos of patients who have undergone both preservation and traditional rhinoplasty. This can give you a better idea of the types of results each approach can achieve.

Ask Questions

Don’t hesitate to ask Dr Frati questions about his experience, his success rates with both techniques, potential risks, and how he will tailor his approach to individual patients. Dr Frati prides himself on his honesty and transparency.

Consider Functional Concerns

If you have breathing difficulties or other functional issues, preservation rhinoplasty might be a more suitable choice as it places a greater emphasis on maintaining nasal function.

Personal Aesthetic Goals

Consider how much change you’re seeking. If you’re looking for more dramatic changes to your nose’s shape and size, traditional rhinoplasty might be better suited than preservation rhinoplasty.

Long-Term Goals

Think about the long-term results you desire. Preservation rhinoplasty may offer more stable and natural-looking results over time due to the preservation of natural structures.

Ultimately, the decision should be based on a combination of your Dr Frati’s recommendations, your individual needs, and your aesthetic preferences. Dr Frati is experienced and skilled in both techniques, and can provide valuable insights to help you make an informed choice. Remember that open communication, realistic expectations, and trust in your Dr Frati’s expertise are crucial for a successful rhinoplasty experience, regardless of the chosen technique.

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Dr Frati is such an amazing surgeon and his team are wonderful. Everything about my journey with Dr Frati from start to finish.

Beth McPoland, London

Dr Frati is amazing, professional, personable and puts you at ease through the whole process. His work is impeccable and I’m so pleased with the results!

Paul Gibson, Manchester

A+++ service very good doctor! Fully recommend, from ringing up to aftercare amazing service. Fully recommend, if you are not sure just book it you won’t regret it!

James Murray, Cheshire

From the very start from my consultation, to the procedure to now 6 weeks post op my experience with Dr Frati has been fantastic.

Zoe Collins, North London

I was suffering with my nose for over 3 year then found dr Frati. He is absolutely amazing. I’m only 4 weeks post op but I am so happy with everything! The aftercare provided is excellent.

Mandy-Lee Perkins, Essex

I had a breast enlargement with Dr Frati in 2018 after a lot of research and following him for a while. It was honestly the best decision I’ve ever made. I would recommend him to all my friends as I have so much trust in him and his work!

Paulina Teixeira, Birmingham
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Preservation Rhinoplasty Recovery process

Preservation rhinoplasty recovery time is generally similar to the recovery time for traditional rhinoplasty, but there might be some differences due to the more conservative approach of preserving nasal structures. Keep in mind that recovery experiences can vary based on individual factors, surgical techniques, and the extent of the procedure. It’s important to follow Dr Frati’s post-operative instructions for the best results. Here’s an overview of what to expect during preservation rhinoplasty recovery:

Immediate Postoperative Period (First Week)

  1. Bandaging and Splint.  A nasal splint or cast is typically applied after surgery to support the nose and protect it during the initial healing phase.
  2. Swelling and Bruising.  Swelling and bruising around the nose and eyes are common after rhinoplasty. Swelling may peak within the first few days and gradually subside over the following weeks.
  3. Discomfort and Pain.  Some discomfort, tightness, and pressure around the nose can be expected. Your surgeon will provide pain medication to manage any discomfort.
  4. Breathing.  Breathing through the nose may be limited initially due to swelling and congestion.

First Few Weeks

  1. Splint Removal.  The nasal splint is typically removed around one week after surgery, but the timing can vary based on the surgeon’s preference.
  2. Visible Swelling.  While much of the initial swelling resolves within the first few weeks, residual swelling may persist for several months. Swelling is typically less pronounced compared to more aggressive rhinoplasty techniques.
  3. Social Recovery.  Many patients feel comfortable returning to work or social activities within a week or two, although you should continue to avoid strenuous activities that could impact the nose for a few weeks longer.
  4. Sun Protection. Protect the nose from sun exposure during the early stages of healing to prevent hyperpigmentation.

Longer-Term Recovery (Months to a Year or More)

  1. Final Results.  Although most swelling subsides within a few months, it can take up to a year or more for the nose to fully settle and the final results to become apparent.
  2. Scar Healing.  Incisions are typically well-hidden inside the nostrils, leading to minimal visible scarring. Scar maturation continues over time, becoming less noticeable as it fades.
  3. Exercise and Activities.  Strenuous exercise and activities that might impact the nose should be avoided for several weeks to ensure proper healing.

As with any surgical procedure, closely following Dr Frati’s recommendations, attending follow-up appointments, and giving your body time to heal are essential for achieving the best results from preservation rhinoplasty. Remember that every individual’s recovery experience is unique, so it’s important to be patient and maintain open communication with Dr Frati and his team throughout the healing process.


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Preservation Rhinoplasty with Dr Frati

If you’re curious to know more about the diverse array of Rhinoplasty offerings provided by the esteemed Dr. Frati whether it be preservation rhinoplasty, Ethnic rhinoplasty, Asian rhinoplasty, or if you have any other cosmetic queries, don’t hesitate to get in touch with our approachable team. You have the option to complete a contact form, send an email to info@dr-frati.com, or use the contact numbers listed below, tailored to your preferred clinic location.

To inquire about our Rhinoplasty services in London, feel free to dial 020 3633 2619.

For queries related to our Rhinoplasty services in Manchester, kindly call 0161 327 2139.

We’re excited for you to  call!

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    More Nose Job FAQs

    Depending on many factors such as open or closed rhinoplasty's and also the bespoke requirements of each patient, you can expect rhinoplasty costs to be between £5,000 and £7,000.

    Every surgery is risky, period. There is always a risk of a reaction to anaesthesia for example, or internal bleeding, even infection of the operated area - unfortunately this is the nature of surgery. However, Dr. Frati is one of the best qualified surgeons in the UK and with this comes the mineralisation of risk, something to really take into account when choosing your surgeon.

    Whilst we would recommend to take around 2 weeks off work for recovery, it may take up to 6 months for swelling to completely disappear.

    Normally, Rhinoplasty surgery takes around 2-3 hours to complete

    Membership of professional organisations…