Nonsurgical Rhinoplasty: Nasal Grid Analysis and Nasal Injecting Protocol

Abstract

Background: Nonsurgical rhinoplasty using injectable fillers improved skin quality and texture, cost-effectiveness, and quick recovery. The aim of this study was to provide a valid and customized protocol for injecting the nose with the aid of a nasal grid. Methods: From January of 2015 to October of 2018, 150 consecutive patients entered the trial. The mean patient age was 36 years (range, 16 to 60 years). The patients were divided into two arms: primary nasal defects (no previous surgery, n = 109) and secondary nasal defects (previous surgery, n = 41). The primary defect group included 43 male patients and 66 female patients, and the secondary nasal defect group included 14 male patients and 27 female patients. Within each arm, patients were stratified into three age group tiers: younger than 30 years, 30 to 45 years, and older than 45 years. Results: The grid became the reference for quantity and sequence of injection records. The overall complication rate was 1.82 percent, and a visual analogue scale ranging from 1 to 10 was implemented (with 10 being the most accurate correction). Of the patients evaluated, 98.350 percent scored 8 to 10, 0.825 percent scored 6 to 8, and 0.825 percent scored below 6. Conclusions: Fillers can be either alternatives or complementary to plastic surgery. Nonsurgical rhinoplasty, with its avoidance of general anesthesia, splints, swelling, and bruising, represents a distinct advantage, allowing the patient to return to work as quickly as the same or the next day. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.

Nonsurgical Rhinoplasty: Long-Term Follow-Up of High G′ HA Nasal Injections

“…In this study we used a grid template in all 107 patients for mapping anatomical landmarks and nasal regions, as previously published. 18 19 This tool helped us to be aware of the danger territories and to be logical in our sequencing of treatment areas. It gave support to the injector to standardize the treatment and to the reproducibility of the procedure.…”

PMMA-collagen Gel in Nonsurgical Rhinoplasty Defects: A Methodological Overview and 15-year Experience

“…Descriptions of a wide array of NSR techniques that utilize various fillers are available in the literature, but none to the authors' knowledge are specific to PMMAcollagen gel. [23][24][25][26][27][28][29][30][31] Due to its unique properties and longevity, there is a need to define optimal technique and appropriate patient selection and share advanced injection skills for NSR. Here, we provide an overview of how the author selects and treats NSR patients using PMMA-collagen gel.…”

Puzzle Facelift: A Nonsurgical, Whole Treatment for Facial Modeling and Rejuvenation

“…Several attempts were made and tested to assess the optimal face points to be treated with filler and achieve the correct proportions in the face frontal/lateral dimensions. 15 16 17 18 19 Usually, surgeons consider three fundamental facial areas, namely upper face, midface, and lower face. Bertossi et al reported a grid-plan approach of those areas, tested on 300 patients treated with defined volumes of an HA formulation to achieve the better outcome of face anatomy, in terms of shape, profile and volume.…”

“…In this paper, we would like to propose a whole facial treatment algorithm that we will call “non-surgical puzzle facelift,” which considers a series of evidence reporting the methodology used to achieve an optimal aesthetic result with different G prime crosslinked HA, thereby using a non-surgical procedure for facial rejuvenation and modeling. 15 16 17 18 19 The objective of this paper is to discuss an overview of the approaches recently used to reach the “face beauty” concept in practice.…”