he dorsum of the nose can be reconstructed in many ways, sually with satisfactory results.1 Many patients require corection of the upper lateral cartilages to improve the shape rom the anteroposterior view and in profile. Care must be aken with the horizontal and vertical reduction of the upper ateral cartilages. To avoid over-resection, it should be begun fter the osteotomies have been completed, as the upper latral cartilages will drop down after the nasal bones have been epositioned.2 Substantial reduction of the upper lateral carilages may result in the roof of the nose requiring spacer rafts at the rhinion to fill the gap. Spreader grafts may also be equired to lateralise the upper lateral cartilages from the sepum either to widen the nose aesthetically or support the upper ateral cartilages, which may narrow the internal valve.2 Over-resection of the dorsum has been reported to be one f the main complaints that lead to revision rhinoplasty,3 hich may be demanding when the dorsum has been altered nd scarred after the primary operation.4 We present what s to our knowledge a new technique for preservation of the riginal structures of the dorsum of the nose in open rhinolasty.