Low Strip Unifying Hybrid RhinoSeptoplasty (LUHRS): A Novel Classification in Dorsal Preservation Surgery

BACKGROUND: Preservation rhinoplasty techniques continue to evolve. Suture tip-plasty with minimal resection and grafting, lateral crural tensioning, minimal excision from the lateral crura, dorsal preservation, subperichondral dissection, and preservation of the ligaments have become the milestones of modern rhino-surgery. However, every time the dorsal frame is modified by means of rasping, shaving, or osteotomy or the nasal tip is structured using grafts, we are essentially applying structural concepts to our technique. Therefore, the term “hybrid rhinoplasty” seems to include a more appropriate definition of our approach. METHODS: We performed a retrospective analysis of the medical records of patients who underwent primary septorhinoplasty using the LUHRS concept from December 2019 to June 2022. Patient functional and cosmetic satisfaction was evaluated using the Rhinoplasty Health Inventory and Nose Outcome (RHINO) scale. RESULTS: All reported procedures had low revision rates with good cosmetic and functional outcomes. CONCLUSIONS: Tailoring the surgical technique is essential in rhinoplasty. We developed and present a new technical paradigm to help surgeons choose the best approach for dorsal preservation surgery.