The split preservation rhinoplasty: “the Vitruvian Man split maneuver”

Rhinoplasty is undoubtedly one of the most challenging operations in the face. Since its introduction by the fathers of modern cosmetic rhinoplasty such as John Orlando Roe in the United States and Jack Joseph in Europe, we have witnessed many advances and refinements in the nose approach, and specifically in the management of the nasal dorsum. This is the case of the conservative rhinoplasty techniques, Push down and Let down, that have become very popular again in recent years. The aim of this article is to present a new modification of the dorsal conservative techniques with predictable and lasting esthetic results. We introduce the side split movement for the nasal septum and the front split movement for the lateral wall using the Vitruvian Man studies by Leonardo da Vinci to better understand how it reflects on the nasal profile. Level of evidence: Level V, therapeutic study.