A Note from Dr. Aaron Kosins
Preservation rhinoplasty is not just a technique I perform—it is a philosophy that I have helped develop, refine, and teach across the United States and internationally. I have dedicated my career to advancing rhinoplasty, and preservation rhinoplasty represents one of the most important evolutions in modern nasal surgery.
The Three Core Components of Preservation RhinoplastyI truly live and breathe rhinoplasty. It is my passion, my focus, and the area of plastic surgery where I have invested the majority of my academic, clinical, and research efforts.
In 2013, I helped advance rhinoplasty through the adoption and teaching of ultrasonic (piezoelectric) instrumentation, which transformed how surgeons approach nasal bone surgery. Shortly after, I was at the forefront of introducing and teaching preservation rhinoplasty in the United States, helping to shift the paradigm from traditional reductive techniques to a more refined, structural, and preservation-based approach. I wrote the first article on Preservation Rhinoplasty in the world, and published several chapters in all three editions of the Preservation Rhinoplasty book. Recently, our book Structure Preservation Rhinoplasty was published and I was one of the lead co-editors.
Today, preservation rhinoplasty is widely recognized and taught globally, and I continue to contribute through research, publications, and educational meetings held here in Southern California.
Meet Your Surgeon
Patients choose me for preservation rhinoplasty in Newport Beach because of my experience, innovation, and commitment to advancing the field.
My qualifications include:
I have been at the forefront of both piezoelectric rhinoplasty and preservation rhinoplasty, helping to shape how modern rhinoplasty is performed today.
Elevating Aesthetic Surgery
Preservation rhinoplasty is a modern approach to rhinoplasty in Newport Beach, CA that focuses on preserving the natural structures of the nose while reshaping them, rather than removing and reconstructing them.
Traditional rhinoplasty has typically followed a “reduce and rebuild” philosophy. In contrast, preservation rhinoplasty follows a “preserve and reshape” approach.
This technique is built on three key principles:
By maintaining the natural anatomy of the nose, this approach can produce results that appear more natural, function effectively, and age more predictably over time.
One of the most important advancements in preservation rhinoplasty is the elevation of the skin and soft tissue over the nose.
Traditional techniques often use a sub-SMAS plane, which may lead to:
Preservation rhinoplasty utilizes a subperichondrial-subperiosteal plane, which allows for:
This method has been supported by imaging and clinical research and contributes to smoother recovery outcomes.
In traditional rhinoplasty, removing the dorsal hump creates an “open roof,” requiring reconstruction and repositioning of nasal bones.
With dorsal preservation rhinoplasty, the natural structures of the nasal bridge are maintained, and the dorsum is reshaped by modifying the underlying septum.
This allows surgeons to:
The nasal tip is one of the most complex aspects of rhinoplasty.
Traditional techniques often involve cutting and removing cartilage, which may lead to:
Preservation rhinoplasty focuses on:
This results in a more stable, natural-looking nasal tip with fewer long-term complications.
Patients choosing preservation rhinoplasty in Newport Beach, CA often experience:
Because the technique works with the patient’s natural anatomy rather than removing it, outcomes are often more predictable and stable over time.
Preservation rhinoplasty may be ideal for patients who:
Not all patients are candidates. During consultation, nasal anatomy and aesthetic goals are evaluated to determine whether preservation rhinoplasty or a structural approach is more appropriate.
Traditional Rhinoplasty:
Preservation Rhinoplasty:
A customized approach is always used to align surgical technique with the patient’s anatomy and goals.
Recovery after preservation rhinoplasty is typically easier and faster than traditional rhinoplasty.
Most patients can expect:
Although early recovery is quicker, final refinement continues over several months, with results improving for up to one year.
It is a technique that reshapes the nose while maintaining natural structures instead of removing and rebuilding them.
For the right candidate, it can provide more natural results, less swelling, and improved long-term stability.
Patients with a dorsal hump, strong nasal structure, and a desire for natural results are often good candidates.
Most patients return to normal activities within 7–10 days, with continued refinement over several months.
Preserving natural structures often leads to more stable, long-lasting outcomes.
In some cases, yes. More complex asymmetries may require structural techniques.
It is generally less disruptive to nasal anatomy, leading to reduced swelling and faster healing.
Costs vary depending on anatomy and surgical complexity. A personalized quote is provided during consultation.
One of the primary goals is to create a nose that looks natural and harmonizes with the face.
Patients considering preservation rhinoplasty in Newport Beach, CA are encouraged to schedule a consultation to determine if this advanced technique is the right fit.
Dr. Aaron Kosins works with patients from Newport Beach, Irvine, Costa Mesa, Laguna Beach, and across the country who are seeking natural, refined, and long-lasting rhinoplasty results.
For many patients, a beautifully refined nose is just the beginning. Preservation rhinoplasty restores harmony to the central face — but true facial balance often involves addressing how the entire face has changed over time. Dr. Kosins brings the same philosophy of natural-looking, tissue-respecting results to his full approach to Facial Rejuvenation Newport Beach patients trust, combining surgical and non-surgical solutions — from brow lifts and eyelid surgery to fat transfer and skin care — to help each patient maintain their best appearance for years to come. Click here to learn more about Facial Rejuvenation with Dr. Kosins and discover how a complete approach to facial aging can complement your rhinoplasty results.
Results vary by patient and are not guaranteed.
