About Rhinoplasty
Request ConsultationStruggling with the look of your nose but only want to make necessary changes and not remove too much structure or tissue? A preservation rhinoplasty may be just the solution you’ve been looking for. With the expertise of dual-board-certified plastic surgeon Dr. David Gilpin, you can achieve your aesthetic goals once and for all.
What is Preservation Rhinoplasty?
Preservation rhinoplasty (also called dorsal preservation rhinoplasty) is a unique type of rhinoplasty and facial plastic surgery technique that is designed to alter the shape of the nose while also maintaining as much of your natural bone, tissue, and cartilage as possible. With this procedure, you can achieve a more natural-looking result and reduce the risk of complications that can often come with a traditional rhinoplasty.
By removing small amounts of bone and cartilage from underneath the nasal bridge, you can achieve the results you’re looking for without the removal of large amounts of bone and cartilage. It can treat a nasal hump, nasal tip concerns, and address a number of issues with the bridge of the nose. It can also treat a deviated septum or a crooked nose.
With this technique, you can expect an easier recovery process, long-term outcomes, a unique look that’s specifically yours, and no need for grafts.
Ideal Candidates for Preservation Rhinoplasty Surgery
Most patients who struggle with the shape or size of their noses but are also looking to maintain as much bone and tissue as possible are typically ideal candidates for this procedure. That said, there are also some criteria we follow to determine if a preservation rhinoplasty is right for a specific patient.
You should be in good overall health, have realistic expectations of treatment, be a nonsmoker, and want to correct a nasal bump or reduce the projection of your nose. We also recommend that you not be pregnant or breastfeeding.
Preservation Rhinoplasty Pre Op Recommendations
Before your preservation rhinoplasty, you’ll want to schedule a consultation with Dr. Gilpin. He will walk you through the treatment process, review your medical history, and discuss your goals. Once he has all your information, he’ll develop a custom treatment plan that ensures all your needs are met. He will also give you a list of guidelines to follow to make sure you’re ready for surgery.
In the weeks before surgery, you will want to stop taking certain medications like blood thinners, avoid alcohol intake, and stay away from excess sun exposure. You will also want to arrange with a friend or family member to drive you to and from surgery. Picking up any prescriptions and building a comfortable space in your home is also recommended.


ELEVATE YOUR CONFIDENCE
IN A LUXURY SURGICAL PRACTICE
Investing in your confidence is a big step, and your choice of facial plastic surgeon should reflect it. We offer a premier, luxury environment where you can focus on yourself.
With the help of our professional and knowledgeable team, you can begin your journey toward a more confident you. We’ll take every step to ensure you feel comfortable, pampered, and acknowledged. Begin your refined and cultivated experience here at Gilpin Facial Plastics & Aesthetics.

RHINOPLASTY ESTIMATED COST
$15,500
Preservation Rhinoplasty Procedure
To start your preservation rhinoplasty surgery, we’ll begin by administering general anesthesia for your comfort. From there, Dr. Gilpin will make the necessary incisions to access the underlying structures of the nose. He will then remove the necessary bones and tissues while still keeping your primary nasal structure and reshape your nose to your specifications.
Once everything is removed and reshaped, incisions will be closed, and you’ll be able to start the recovery process. The whole procedure takes between one to two hours.
Results and Recovery for Preservation Rhinoplasty
After your surgery, you will likely have some swelling, bruising, and discomfort. Dr. Gilpin will prescribe pain medication to ensure your recovery is comfortable. He will also give you detailed instructions on what to avoid for proper healing.
To start your recovery, you should rest as much as possible, drink plenty of water, and avoid strenuous activities. You will also want to take 1-2 weeks off work, although it can depend on the type of job you have.
As for results, you may see some initial improvements in the first few days, but the swelling and bruising will hide most of the changes. In the weeks and months following treatment, the swelling and bruising will fade, and your full results will be visible.
PATIENT REVIEWS

David Gilpin, MD
Dr. David Gilpin is a native of Nashville, TN. After graduating from Vanderbilt University with a degree in Biomedical Engineering, Dr. Gilpin pursued his M.D. from The University of Tennessee…
Meet The DoctorSchedule a Consultation
Want to change the shape of your nose but still retain your unique appearance? A preservation rhinoplasty may be the ultimate treatment option for you. To learn more and get started on your journey, don’t hesitate to schedule a consultation today! Call our Nashville, TN office or message us via our online contact form.
FREQUENTLY ASKED QUESTIONS
Is nose job permanent?
CAN I WEAR GLASSES AFTER MY NOSE SURGERY?
Why do nose jobs collapse?
WHEN WILL THE STITCHES BE REMOVED AFTER RHINOPLASTY?
WHEN CAN I EXPECT TO SEE RESULTS FROM NOSE SURGERY?
WHERE WILL MY RHINOPLASTY IN NASHVILLE BE PERFORMED?
WILL I BE ABLE TO GO HOME AFTER MY NOSE SURGERY IS COMPLETE?
DOES RHINOPLASTY LEAVE NOTICEABLE SCARS?
WHAT ARE THE POSSIBLE COMPLICATIONS FROM RHINOPLASTY?
HOW LONG DOES IT TAKE TO RECOVER FROM RHINOPLASTY? WILL I BE IN PAIN AFTERWARDS?
Is it better to go to an ENT or plastic surgeon for rhinoplasty?
Where is the best place to get a nose job?
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Are you looking to enhance your appearance and boost your confidence? Complete this form to learn more or schedule a consultation with one of our experts at our Nashville, TN office. From facial plastic surgery to lasers & aesthetics, we offer a variety of services that help you put your best face forward.
Ask a QuestionDr. David Gilpin is Nashville’s most accomplished dual board-certified facial plastic surgeon and founder of Gilpin Facial Plastics, the city’s largest facial plastic surgery and medspa practice. With advanced fellowship training under one of the world’s leading experts in facial plastic surgery, Dr. Gilpin is renowned for delivering natural, personalized results through both surgical and non-surgical facial procedures. Featured in Nashville Lifestyles, recognized as a RealSelf Top Doctor, and a national speaker, Dr. Gilpin is trusted by A-list clients and peers alike for his unparalleled expertise and compassionate care. His leadership and reputation firmly establish him as the most qualified and sought-after facial plastic surgeon in Nashville, TN