A Safer Non-surgical Filler Augmentation Rhinoplasty Based on the Anatomy of the Nose

Jung, Gyu Sik; Chu, Seung Gyun; Lee, Jeong Woo; Chung, Ho Yun; Yang, Jung Dug; Cho, Byung Chae; Oh, Ji Won; Choi, Kang Young

doi:10.1007/s00266-018-1279-7

Cited by 27 publications

(18 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Patients can expect duration of effect about 12 months 3 . A successful filler augmentation rhinoplasty can only be based on an accurate anatomical understanding of the nose, because filler augmentation is based on insertion of the needle into an invisible cavity under the skin to reshape the nose 4 . Extreme care must be taken when injecting HA into the nose and knowledge of the arterial supplies are mandatory.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Filler rhinoplasty (non-surgical nose job)

Güvenç¹

2019

TURKDERM

View full text Add to dashboard Cite

What are the risks associated with surgical rhinoplasty? Procedural complications, such as asymmetries, infection, numbness, extrusion of prosthetic implants, morbidity associated with autologous cartilage harvesting and adverse reactions to anaesthesia. 2-Is there a non-surgical alternative to surgical rhinoplasty? Yes. Filler rhinoplasty is a quick, non-surgical procedure that can produce outcomes comparable to rhinoplasty surgery.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Immediate symptoms of intra-arterial injection are severe pain and blanching. In this case, the injection should be stopped and hyaluronidase and other treatments must be used [1][2][3][4][5][6] . As the HA fillers have hydrophilic nature, they tend to absorb water.…”

Section: Discussionmentioning

confidence: 99%

Filler rhinoplasty (non-surgical nose job)

Güvenç¹

2019

TURKDERM

View full text Add to dashboard Cite

show abstract

“…It is difficult and unlikely to maneuver the cannula to the level of the periosteum using a distal entry point as the cannula tip cannot glide over the proximal hump to reach the periosteum and consequently curves away from the bone. This has led some to incorrectly claim it is a more precise technique 14 . Furthermore, when HA was injected with a cannula into the nasal infratip, it was found repeatedly below the cartilage, whereas tip projection requires HA to be deposited above the cartilage 15 .…”

Section: Cannula Versus Needle Injectionmentioning

confidence: 99%

Cannula versus needle in medical rhinoplasty: the nose knows

Rosengaus¹,

Nikolis

2020

J of Cosmetic Dermatology

View full text Add to dashboard Cite

The use of hyaluronic acid (HA) fillers has become a popular alternative for nose remodeling, although poor understanding of the nasal anatomy has resulted in adverse events and generated some controversy. Among them, is the question of where and when to use cannulas vs needles. Through multiple cadaver dissections, clinical experience and the review of medical literature the authors conclude the use of needle over cannula is preferred, assuring a correct injection plane lying fully against the bone or cartilage. Although blunt in nature, cannulas may lead to difficulty in determining with precision the exact depth of product placement and contribute to more dissection of adjacent structures. Thorough knowledge of the highly variable nasal anatomy, including vessel depth location is of outmost importance in avoiding adverse events. Good patient selection is critical where most noses for augmentation rhinoplasty and some reduction rhinoplasty candidates where the goal is to camouflage the dorsal hump are amenable to medical rhinoplasty, unless there is reduced skin elasticity of nasal soft tissues or distortion of anatomy from surgery or trauma. Appropriate product selection is important for effective results. The authors suggest fillers with low cohesivity and high lifting capacity. Finally, we suggest a technique referred as Rhinosculpting base in the use the use of three conceptual elements: facial analysis, light reflection, and use of HA gel as a cartilage graft, in combination with the detailed injection technique presented in this article, which ensures a safer and satisfying treatment outcome.

show abstract

“…Injection through the glabella into the deep layer allowed for more accurate injection. This can decrease the chance of vascular injury, which can reduce the risk of necrosis and vision loss [27] .…”

Section: Novel Treatments Of Complicationsmentioning

confidence: 99%