Preservation rhinoplasty marks a transformative approach in nasal surgery, prioritizing the conservation of key nasal structures to achieve harmonious aesthetic results while preserving functional integrity. This technique emphasizes maintaining the cartilages, ligaments, and osseocartilaginous dorsum by employing a precise subperichondrial and subperiosteal dissection. Guided by the “less is more” philosophy, it favors structural manipulation over resection, significantly reducing the need for secondary reconstruction. Successfully implementing this approach demands advanced surgical expertise, an in-depth understanding of nasal anatomy, and mastery of specialized techniques. As a growing global trend among surgeons, preservation rhinoplasty consistently delivers stable, natural-looking outcomes, ensuring subtle enhancements that avoid the telltale signs of surgical alteration.