Why are more Drs not using the preservation rhinoplasty technique in the UK?

The so called preservation rhinoplasty means nothing other than the fact that sounds appealing. Forget the term and go by your instincts as far as who you feel dies the best work and is highly ecueruenced.

Ultrasonic Rhinoplasty device Piezo®:

In traditional Rhinoplasty, surgical instruments known as rasps and osteotomies (hammer and chisel) are used to reshape the nasal bones by removing the hump and/or narrowing the nasal bone width. These tools are relatively imprecise and their use can lead to contour irregularities, etc. if not used in the proper manner. Recently, a technology that uses sound waves has been developed to contour nasal bones in a precise and far less traumatic way when compared to traditional techniques. Ultrasonic, or Piezo, Rhinoplasty is now the most advanced technology available for minimally traumatic nasal bone reshaping and hump removal during Rhinoplasty. There will be hardly any bruising and swelling which will make the recovery period a lot easier for the patient.

Preservation rhinoplasty is a newly rediscovered trend. It is helpful in some situations, indeed, but less so in others. Excellent results are available regardless of the technique. I do several different techniques depending upon the person and the goal, but would never want someone to request a specific approach. You should focus on the outcome and let a good surgeon do their work to get you there.