Preservation Rhinoplasty represents a revolutionary change in how we approach rhinoplasty surgery. The goal is to replace resection with preservation, excision with manipulation, and secondary reconstruction with minimal revisions. The three basic principles are employed elevating the skin sleeve in a subperichondrial-subperiosteal pocket preserving the osseocartilaginous vault, and maintaining the alar cartilages with minimal excision while achieving the desired shape using sutures. The contributors to Preservation Rhinoplasty hope that this book will shorten the learning curve for other surgeons and minimize post-operative problems which could lead to revisions. During the past year, it has become obvious to all of us that Preservation Rhinoplasty is not just a series of surgical techniques, but rather a fundamental approach and philosophy of how to perform the entire rhinoplasty operation.