<i>Background</i> <p>In dorsal preservation techniques of rhinoplasty, problems such as residual and recurrent hump and dorsal irregularities are encountered. In this study, we combined paramedian dorsal component excision with low septal strip septoplasty by preserving the keystone area. The clinical results of this combination on the dorsum were evaluated.</p> <i>Patient and Methods</i> <p>Ninety-four patients who underwent hybrid rhinoplasty technique with paramedian dorsal component excision and low septal strip septoplasty combination between January 2023 and March 2024 were included in the study. All cases were primary rhinoplasty, and endonasal approach was performed in all cases. Patient demographics, complications, revision surgeries and follow-up were analyzed retrospectively.</p> <i>Results</i> <p>A total of 65 female and 29 male patients were included in the study. The mean age of the patients is 32.30±9.55 years (18–57). The mean follow-up period was 10.08 ± 2.78 months (6–15 months). Complications were observed in 6.38% of the patients (<i>n</i> = 6/94). All these patients underwent revision surgery. Revision surgeries were performed for tip drooping in three patients, dorsal irregularities in two patients and nasal deviation in one patient.</p> <i>Conclusions</i> <p>Providing ideal dorsal aesthetic lines with hump treatment is one of the most important parts of dorsal preservation rhinoplasty techniques. Our hybrid technique, which combines a low septal strip with paramedian dorsal component excision, can effectively reduce hump recurrence and achieve ideal dorsal aesthetic lines.</p> Level of Evidence III <p>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors <a href="http://www.springer.com/00266">www.springer.com/00266</a>.</p>