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Abstract

Among the various nasal deformities addressed through rhinoplasty, dorsal prominence often characterized by a hump or bump on the bridge of the nose is a frequent concern for patients. Objectives: The main objective of the study is to find the comparison between dorsal preservation and hump reduction in patients with dorsal prominence who underwent rhinoplasty. Methods: This comparative observational study was conducted at PNS Shifa Hospital, Karachi during December 2022 to May 2023. Data were collected from 30 patients who underwent rhinoplasty. Data were collected from patient medical records and postoperative follow-ups. Demographical data related to age, gender, and baseline nasal characteristics were recorded. Results: Group A (Dorsal Preservation) comprised 15 patients with an average age of 28.4± 6.3 years, including 9 females and 6 males. They had undergone an average of 2.01 previous rhinoplasties and presented with a preoperative hump size of 3.2± 0.5mm. Group B (Hump Reduction), also consisting of 15 patients with an average age of 29.1± 7.2 years, included 10 females and 5 males. This group had an average of 3.11 previous rhinoplasties and a preoperative hump size of 3.3± 0.7mm. Surgical durations were 150± 15min for Group A and 140±20min for Group B, indicating slightly longer procedures for dorsal preservation compared to hump reduction. Conclusion: Dorsal preservation represents a significant advancement in rhinoplasty, offering superior aesthetic results, high patient satisfaction, and favorable long-term outcomes compared to traditional hump reduction techniques.