목적: Dorsal preservation rhinoplasty (DPR) has emerged as a promising technique in Western populations for nasal hump reduction, yet its feasibility and long-term outcomes remain unexplored in Asian individuals, who possess distinct nasal anatomies. Our objective was to assess the feasibility and long-term aesthetic outcomes of DPR in Asian hump noses, elucidating its efficacy tailored to the unique characteristics of the Asian demographic. 방법:A retrospective cohort study analyzed twenty patients undergoing primary DPR between April 2019 and November 2022. Seventeen patients with a minimum one-year follow-up and standardized photographs were selected for evaluation. Surgical techniques, aesthetic measurements using anthropometric factors, and subjective outcomes were evaluated. 결과:Seventeen Asian patients (6 males, 11 females) aged 22.53 ± 5.22 years underwent DPR. All patients underwent DPR utilizing either the push- down technique (n = 6) or the let-down technique (n = 11) under general anesthesia with an open approach. Patients exhibited significant reductions in the nasofacial angle (NFcA) and rhinion angle (RA) post- DPR, indicating successful hump correction (p < 0.0001 for both). Subjective aesthetic outcomes indicated high patient satisfaction near 'very satisfied.' No instances of residual hump or recurrence were observed during the follow-up period. 결론:DPR demonstrated successful hump correction in Asian hump noses, showcasing sustained aesthetic outcomes and high patient satisfaction. These findings underscore the technique's viability in addressing the unique characteristics of the Asian nose, warranting further exploration for broader adoption in Asian rhinoplasty.