목적: Pediatric rhinoplasty, particularly in patients without congenital anomalies, has traditionally raised concerns due to its potential impact on facial growth. However, psychological distress related to appearance during adolescence can influence personality development and social interactions well into adulthood. This study presents our experience with a preservative surgical technique, emphasizing perioperative considerations and the potential benefits of pediatric rhinoplasty. 방법:A retrospective review was conducted on pediatric rhinoplasty cases performed for aesthetic purposes by a single surgeon at Samsung Changwon Hospital between June 2022 and October 2024. Patients with definite congenital anomalies were excluded. Data analyzed included patient demographics, surgical indications, operative techniques, outcomes, and perioperative management. 결과:A total of eight pediatric patients (mean age: 13–17 years; seven males) underwent rhinoplasty. Six patients had a history of nasal trauma. Indications included deviated nose correction (n = 3), augmentation rhinoplasty (n = 3), and hump nose correction (n = 2). All procedures were performed via an endonasal approach using meticulous, cartilage-preserving techniques, with seven patients undergoing concomitant septoturbinoplasty for nasal obstruction symptoms. Septal cartilage was used as grafting material in four cases. All patients reported satisfaction with their surgical outcomes, and no revisions or complications were observed. Thorough perioperative evaluation and shared decision-making with both parents and pediatric patients are crucial for ensuring informed consent and satisfactory outcomes. 결론:Pediatric rhinoplasty can be a safe and effective intervention for adolescents with nasal deformities when performed with expertise and a meticulous, growth-preserving surgical approach. Comprehensive perioperative assessment and counseling, involving both parents and adolescent patients, are essential for achieving optimal functional and psychological outcomes.