The 3D high-definition endoscopic rhinoplasty, pioneered by Dr. Sam Rizk, is a cutting-edge type of rhinoplasty done with minimally invasive incisions inside the nose and uses a high-definition 3D telescope to better visualize the nose structures being changed and enter under and deep to the covering muscle layer, thus preserving it. This technique is a more precise method of getting accurate results with a more rapid recovery.
All nasal structures which we change (ie: cartilage and bone) have a protective soft tissue layer made of muscle, fat and skin. The nerves and blood vessels are in this covering layer so if the nasal structures (cartilage and bone) can be changed without altering this protective layer, then there is less swelling, pain and bruising. Preserving this protective muscular layer using this technique allows for a smoother result with no sharp edges or pointy noses.
Using this technology is akin to how the microscope changed our understanding of microorganisms. Older less precise techniques may enter above the muscle layer and under the skin, thus creating irregularities in the muscle and damaging blood vessels which create more bruising and swelling. So much more detail is seen inside the nose with Dr. Rizk's technique, and thus a precision operation is possible with less of a need for revision surgery. Precision is important in changing the structures of the nose since millimeters make a difference. If the skin is thick and this overlying soft tissue layer needs to be thinned, it can also be done with pinpoint accuracy using this 3D technology.