Background: Preservation rhinoplasty (PR) techniques are continuously evolving and many variations of established techniques have been proposed since Daniel coined this term in 2018.
Objectives: The aim of this study was to describe indications for a new "3-level impaction" technique, allowing, in selected cases, a complete profile correction and dorsal reduction without dissection of the dorsal soft tissue envelope (STE).
Methods: Three hundred and fifty primary closed rhinoplasty cases were retrospectively studied from January 2018 and October 2019.