Nonsurgical rhinoplasty using soft tissue fillers

Chu, Yuyang; Bacos, Jonathan T; Becker, Sasha

doi:10.20517/2347-9264.2020.169

Cited by 2 publications

(2 citation statements)

References 21 publications

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“…Injections over the bone and cartilage at the columella, into the interdomal fat pad of the tip, and into the deep fat layer of the dorsum and bridge created a safe protocol for NSR-HA, since the nasal arteries coursed in the musculoaponeurotic system and subcutaneous tissue. 21 Unlike Humphrey et al, 22 HA was not injected at the root, ala, and mostly at sidewalls, once the gel could pressure the subdermal nasal vasculature, with risk of tissue necrosis. Efficacy and long-lasting of the NSR-HA were clinically and quantitatively well-evidenced.…”

Section: Discussionmentioning

confidence: 99%

Nonsurgical rhinoplasty with hyaluronic acid to enhance precise areas of the nose and improve its overall shape and contour

Abramo¹,

M²

2022

JDC

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Background: Nonsurgical Rhinoplasty (NSR) using soft-cohesive crosslinked hyaluronic acid (HA) was performed to reshape the nose appearance. Knowledge of the nasal anatomy mostly the blood supply, adequate placement of the HA, and potential complications became NSRHA safe and effective. Method: Twenty females underwent NSR to enhance their nose appearance. Injection points were distributed along the nose midline from columella to the bridge. HA was injected supraperichondrial and supraperiosteally on columella, into the interdomal fat pad on tip, and into the deep fatty layer on dorsum and bridge. Bolus injection was made in the tip and columella. A single row retrograde flow injection was made in the dorsum-bridge line. ROE questionnaire assessed quantitatively the patient's self-consciousness of the nose appearance and the scores correlated with the images of the nose before- and after-NSR. Results: NSR-HA was performed in a single session. Volume average per patient/treatment was 0.73 ml and per point/treatment was 0.17 ml. Comparing images of the nose before- and after-NSR showed a significant improvement of the nose appearance. Patient satisfaction was quantitatively demonstrated by the ROE questionnaire scores of 31.04% before-NSR against 73.33% and 70.00% at months one and twelve, respectively, after-NSR. The difference of 3.33%, greater at month one than month twelve, indicated no significant changes in the nose appearance for twelve months. Conclusions: Positive evaluation of NSR-HA was evidenced comparing the nose images before, and at months one and twelve after HA injection validated by the patient self-consciousness of the nose appearance measured by the ROE questionnaire.

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Section: Discussionmentioning

confidence: 99%

Nonsurgical rhinoplasty with hyaluronic acid to enhance precise areas of the nose and improve its overall shape and contour

Abramo¹,

M²

2022

JDC

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“…1,[8][9][10][11][12] Extensive guidance on anatomy, underlying vasculature and optimal treatment (technique, product choice, safety considerations) is also available. 7,[13][14][15][16][17][18][19][20][21][22] However, patients seeking treatment with cosmetic injectables tend to identify a single feature that needs correcting. This can cause "perception drift" 23 resulting in implementation of hyper-focused treatment plans that may inadvertently lead to unnatural results.…”

Section: Introductionmentioning

confidence: 99%

Balancing Act: Considerations for profiloplasty assessment in patients presenting for treatment with dermal fillers

Rosengaus,

Morlet-Brown,

Woo

et al. 2023

JDC

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Background: Dermal fillers are increasingly being used in profile aesthetic correction, but what happens if treatment is commenced without considering the impact on the inter-relationship between the nose, chin and lips in the lateral view? Objectives: Explore the relationship between these three profile features and provide a framework to help standardise the order in which they are assessed when preparing dermal filler treatment plans for profile correction. Methods: Literature review informed the development survey on profile aesthetics and assessment. Survey results were analysed descriptively and presented to a focus group comprising cosmetic physicians and plastic surgeons. This group reviewed validated assessment scales and incorporated these into a 3-step assessment framework, which was pilot-tested on a convenience sample of patients presenting prospectively for minimally invasive aesthetic treatment. Results: There was a 95% survey response rate (38/40 surveys completed). Facial feature proportion was rated the most important factor when determining profile attractiveness (average score 9.11) and the nose was ranked the primary feature contributing to the determination of profile attractiveness. The assessment framework begins with the nose, followed by the chin and then the lips and includes validated assessment scales and standard angles and lines. Results from pilot testing showed that by first balancing the nose, other key profile features could then be harmonised. Conclusions: In patients presenting for cosmetic injections to correct profile aesthetics the assessment framework provides a simple solution to enhance clinician-patient discussion and inform holistic treatment planning. Wider testing and validation are warranted.

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Nonsurgical rhinoplasty using soft tissue fillers

Cited by 2 publications

References 21 publications

Nonsurgical rhinoplasty with hyaluronic acid to enhance precise areas of the nose and improve its overall shape and contour

Nonsurgical rhinoplasty with hyaluronic acid to enhance precise areas of the nose and improve its overall shape and contour

Balancing Act: Considerations for profiloplasty assessment in patients presenting for treatment with dermal fillers

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