BackgroundThe dorsal roof flap (DRF) technique was developed as a modification of the retractable roof method (1), which is a variant of dorsal preservation (DP). ObjectiveThe paper aims to present new results of the DRF technique and dorsal deformity analysis created for the technique. MethodsA total of 57 primary rhinoplasty patients treated with DRF technique between 2022-2023 years were included in the study. A dorsal deformity classification based on the anticipated amount of dorsal reduction, nasal bone shape, and hump content was used. According to the classification, the noses were categorized into 3 types. All data were obtained from patient records, computed tomography views, and pre-and postoperative photographs. Aesthetic and functional results were assessed pre-and postoperatively using a visual analog scale (VAS) (0-10, 0 points means very poor). ResultsThe mean follow-up period was 10.1±3.9 months. 23 cases were type 1, 14 were type 2, and 20 were type 3. The anticipated amount of dorsal reduction in type 1 was 2-4mm, 5-7mm in type 2, and 8-10mm in type 3 deformity. Of the total, 27 cases had a V-shaped nasal bone and 30 had an S-shaped. The hump composition was cartilaginous in 13 cases and bone and cartilage in 44 cases. Pre- and postoperative aesthetic and functional VAS scores were significantly different (p ≤0.001). No complications and therefore no revisions were observed during the follow-up period. ConclusionIt is a versatile method to reshape the nasal dorsum and minimize the revisions associated with dorsal preservation when used in appropriate cases.