Nonsurgical genioplasty

Bertossi, Dario; Giampaoli, Giorgio; Dell'Acqua, Irene; Verner, Ines; Pirayesh, Ali; Nocini, Riccardo; Nocini, Pier Francesco

doi:10.1111/dth.12874

Cited by 2 publications

(3 citation statements)

References 7 publications

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“…75 There are now a variety of facial fillers on the market, most of them temporary because of absorption. A popular representative is HA, which has the advantage of being reversible with hyaluronidase 76 should adverse effects occur. A further convenience is the noticeably lower cost of injections compared with more extensive surgical procedures.…”

Section: Discussionmentioning

confidence: 99%

“…The authors suggest considering the use of fillers when sagittal deficiency correction is limited to <4 mm, especially in the aging face and patients wanting to avoid high procedure costs. Bertossi et al 76 highlight the importance of accurate patient selection to optimize results and ensure predictable and stable outcomes. A standardized grid-based approach was recently described, showing high rates of patient satisfaction associated with effectiveness and safety.…”

Section: Discussionmentioning

confidence: 99%

Section: Fillersmentioning

confidence: 99%

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Chin Augmentation Techniques: A Systematic Review

Oranges

Grufman

Summa

et al. 2022

Plastic &Amp; Reconstructive Surgery

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Chin augmentation has persistently been a popular procedure over the past decades. According to the American Society of Plastic Surgeons, approximately 16,500 procedures were performed in 2019. 1 The first description of chin augmentation was reported in 1934 by Aufricht, 2 who used the osteocartilaginous hump obtained from a combined rhinoplasty. In 1942, Hofer 3 introduced horizontal osteotomy performed through an external incision. Later, Trauner and Obwegeser 4 described an intraoral approach. The use of alloplastic material (silicone) as implantable material for chin augmentation was first reported in the early 1950s by Brown et al. 5 Osteotomies and implant augmentations became the most used techniques. In recent years, noninvasive procedures including injectable fillers have gained popularity and become largely used. Interest in Background: Chin augmentation has maintained a high level of popularity among patients and facial plastic surgeons. Several procedures exist to enhance the appearance of a small chin. The aim of this study was to perform a systematic literature review to determine outcomes and complications associated with the different techniques described. Methods: MEDLINE, PubMed, PubMed Central (PMC), and Cochrane Central Registry of Controlled Trials (CENTRAL) databases were screened using a search algorithm. The techniques were classified, and related outcomes and complications tabulated and analyzed. Results: A total of 54 studies on primary chin augmentation published from 1977 to 2020 met inclusion criteria, representing 4897 treated patients. Six main surgical techniques were identified: chin augmentation with implants (silicone, Gore-Tex, Mersilene, Prolene, Medpor, Proplast, hard tissue replacement, porous block hydroxyapatite, or acrylic; n = 3344), osteotomy (n = 885), autologous grafts (fat, bone, derma, or cartilage; n = 398), fillers (hyaluronic acid, hydroxyapatite, or biphasic polymer; n = 233), local tissue rearrangements (n = 32), and a combination of implant placement and osteotomy (n = 5). All techniques provided consistently satisfactory cosmetic outcomes. The overall complication rate of the most represented groups was 15.7% for implants and 19.7% for osteotomy, including 2.4% and 16.4% cases of transient mental nerve-related injuries, respectively. Conclusions: All described chin augmentation techniques achieved good outcomes with high patient satisfaction. Thorough knowledge of each technique is essential to minimize each procedure's specific complications. Caution is generally needed to avoid nerve injuries and potential overcorrection or undercorrection.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Chin Augmentation Techniques: A Systematic Review

Oranges

Grufman

Summa

et al. 2022

Plastic &Amp; Reconstructive Surgery

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Complications Secondary to Nonsurgical Rhinoplasty: A Systematic Review and Meta‐analysis

DeVictor

Ong

Sherris

2021

Otolaryngol.--head neck surg.

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Objective The popularity of nonsurgical rhinoplasty with injectable fillers continues to rise, and it is important to understand the scope of potential adverse outcomes. The purpose of our study is to determine the prevalence and types of adverse outcomes secondary to nonsurgical rhinoplasty. Data Sources PubMed, Cochrane, Embase. Review Methods The data sources were explored using the following combination of terms: ((“inject*” OR “nonsurgical” OR “augmentation” OR “filler”) AND “rhinoplast*”) AND (“complication” OR “adverse” OR “embol*”). Studies on human nonsurgical rhinoplasty using injectable fillers were included. A quantitative meta-analysis was performed on articles with low risk of bias. Results The search yielded 37 publications for review, with 23 included cohort studies and 14 case reports with 8604 patients undergoing nonsurgical rhinoplasty with reported complications. The overall rate of adverse outcome across all cohort studies was 2.52%. The most commonly reported complications were bruising (1.58%) and hematoma (0.13%). While uncommon, there are several reports of major complications including 30 episodes of vessel occlusion (0.35%), 7 reports of skin necrosis (0.08%), 8 reports of vision loss (0.09%), and 6 reports of infection (0.07%). Conclusion Overall, nonsurgical rhinoplasty with injectable fillers is safe with low rates of complications. However, serious complications, such as vision loss, skin necrosis, and vessel occlusion, can occur. Further studies are needed to optimize delivery of injectable fillers in the nose to decrease the rate of adverse outcomes.

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Nonsurgical genioplasty

Cited by 2 publications

References 7 publications

Chin Augmentation Techniques: A Systematic Review

Chin Augmentation Techniques: A Systematic Review

Complications Secondary to Nonsurgical Rhinoplasty: A Systematic Review and Meta‐analysis

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