Dorsal Preservation Rhinoplasty (DPR) is a relatively modern approach to performing rhinoplasty that centers around the preservation of the keystone region to minimize the risk of postoperative osseocartilaginous abnormalities. Despite its theorized benefits, mixed reports in the literature regarding postoperative success raise the question of whether it is preferable to the traditional approach. The discrepancies reported may point to inconsistencies in education of technique implementation and patient selection, rather than indicate a true technical inefficacy. This cross-sectional survey aimed to appraise current curricular attitudes toward DPR exposure and training practices across AAFPRS-accredited fellowships by identifying patterns, variability, and opportunities for standardization of training and assessment methods. An anonymous 18-item questionnaire was distributed to all AAFPRS-accredited Facial Plastic and Reconstructive Surgery fellowship directors in October 2025. Items assessed program demographics, rhinoplasty volume, DPR techniques taught, instrument selection, ligament and dorsum management, fellow involvement, educational modalities, competency assessment, and perceived barriers. Descriptive statistics were used for analysis. Twenty one programs responded (37.5%). Most incorporated DPR selectively. Hybrid use of hand instruments and piezoelectric or ultrasonic tools was common. Septal extension grafts were the primary tip-support method. Didactic lectures and video demonstrations formed the core teaching strategies, while 75% of programs lacked a formal DPR-specific didactic curriculum. Limited case availability, surgeon comfort, and technical complexity were major barriers. Half of programs without a DPR curriculum expressed intent for future incorporation. DPR education is widespread but inconsistent. Standardized curricula and structured assessments may enhance reproducibility, safety, and trainee preparedness as adoption expands.