These are the 3 main techniques used to perform a Rhinoplasty procedure. An Excisional Rhinoplasty sees bone and cartilage removed bit by bit, relying on scar tissue to pull the nose into shape. It is often done using the Closed approach. A Structural Rhinoplasty focuses on reinforcing the nose structure by repurposing the client’s excess tissue to reshape the nose. It can be done using the Closed or Open approach. A Preservation Rhinoplasty aims to retain as much of the client’s original bone and cartilage as possible. Rather than using the ‘top down’ approach of a Structural Rhinoplasty, Plastic Surgeons go under the nasal bridge to remove excess tissue without changing the natural spread of the nose.