The Art of Camouflage: When Can a Revision Rhinoplasty Be Nonsurgical?

Kontis, Theda C.

doi:10.1055/s-0038-1653989

Cited by 10 publications

(7 citation statements)

References 23 publications

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“…Injections can be used to improve asymmetries, add volume to the nose, change rotation, adjust projection, and camouflage defects. 6 This procedure eliminates the need for anesthesia and provides patients a more gradual and discrete change with a shorter recovery. Nonsurgical rhinoplasty has the benefit of reversibility, with filler resorption by the body in 9 to 12 months, as well as the use of hyaluronidase which dissolves the filler and reduces volume of the injection.…”

Section: Introductionmentioning

confidence: 99%

Nonsurgical Rhinoplasty: A RealSelf Social Media Analysis

et al. 2020

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Patients use social media to report on medical care and rate their satisfaction with cosmetic procedures and providers. Currently, there are few studies that examine the satisfaction of nonsurgical rhinoplasty. This study aims to identify variables of patients’ choice and satisfaction of the nonsurgical rhinoplasty procedure through social media reviews. Data were extracted from 420 nonsurgical rhinoplasty reviews from RealSelf.com from March 2017 to April 2020. Recorded variables include patient demographics, price, nasal deficiency, patient-described improvement after injection, and physician characteristics influencing patients’ decision making. Of the data extracted from the reviews, 85% of reviewers were women, with a mean age of 27.4 years (SD, ±8.7 years). Eighty-four percent of reviewers had the procedure performed in the United States (84%). The mean cost was $1074 (SD, ±$733.20; median, $850). The most common patients’ deficiencies for this procedure include a “nasal hump” for 31.2% of reviewers and a “bump or dent” in the nose for 35.1% of reviewers. The procedure outcomes commonly noted were a positive change in “shape” of their nose (66.0%), improved confidence (44.4%), and improvement in profile (34.0%). The predominant reasons reviewers chose their injector were (1) favorable injector demeanor (63%) and (2) ability of the injector to provide emotional reassurance (49%). In all, 95.6% considered nonsurgical rhinoplasty “worth it.” Ninety-five percent of online reviewers stated that nonsurgical rhinoplasty was “worth it,” with an average cost of $1074, minimal post-procedure recovery time, and minimal pain. The most common nasal deficiency includes a bump, a hump, and a crooked shape. The most commonly stated improvement was in the shape of the nose. This demonstrates the utility of nonsurgical rhinoplasty for correction of a wide variety of nasal deficiencies. In the analysis of provider characteristics, the most important aspect was the provider’s demeanor. Patients used words like “warm,” “welcoming,” and “understanding of their desires.” They described feeling “comfortable” with the provider. The most important factor for selecting a provider was the emotional connection between the provider and the patient. Satisfaction of nonsurgical rhinoplasty is high, which corroborates reported satisfaction rates in the literature. Nonsurgical rhinoplasty exhibits significant versatility in the defects it can improve. Many patients chose their provider for their personality and emotional connection formed.

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Section: Introductionmentioning

confidence: 99%

Nonsurgical Rhinoplasty: A RealSelf Social Media Analysis

et al. 2020

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“…With the use of nasal pyramid US that we performed in four patients, we observed and analyzed the long-term effects of nonsurgical rhinoplasty (►Fig. 5). With the focus on the residual amount of the filler in soft-tissues of the nose, we could observe a volume contraction of approximately 30% after 6 months and approximately 50% 12 months after treatment.…”

Section: Resultsmentioning

confidence: 99%

“…4 The most employed soft-tissue fillers are composed of crosslinked hyaluronic acid (HA) molecules, 1 with high G′ and high cohesively properties. The popularity of HA injection as a well-accepted alternative to surgical rhinoplasty is due to its immediate aesthetic results, no need for general anesthesia, minimal downtime associated with recovery, cost-effective, good safety profile, 5 and with the advantage of being reversible with hyaluronidase. 6 Generally, nonsurgical rhinoplasty is considered a nonpermanent procedure.…”

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confidence: 99%

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

et al. 2022

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Rhinoplasty is one of the most requested aesthetic procedures performed by plastic surgeons world-wide and nonsurgical rhinoplasty is becoming the gold standard in aesthetic nasal treatment. Follow-up clinical examinations were performed on all 107 patients, being a safe and predictable technique with a high degree of satisfaction for the patients. Nonsurgical rhinoplasty using hyaluronic acid is an effective, fast, and safe nasal reshaping procedure with a high degree of patient satisfaction. Generally, due to the gradual reabsorption of the filler, the results last up to 8 to 12 months after treatment, making it a valid minimally invasive alternative to surgical rhinoplasty. Consequently, to maintain the effects it is necessary to repeat the treatment once a year.

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“…Thus, surgical revisions are not so rare as evidenced by several studies reporting surgical revision rates ranging from 5 to 15% whether by open or closed techniques [7]. The cost and complexity of secondary surgical rhinoplasty, as well as the possible non-operative management (low to moderate defects and/or difficult to access for surgery) or the patient's refusal, give full meaning to injectables for revision rhinoplasties [16,55,61]. Injectables have already proven their effectiveness (high satisfaction rate), safety, simplicity of use and low cost [3][4][5][6][9][10][11][12][13][14].…”

Section: Discussionmentioning

confidence: 99%

“…Finally, given that respiratory functional disorders after primary rhinoplasty are a major cause of surgical revision [7], the using of injectables to correct inspiratory collapse of the nasal valve, especially by using endonasal injection at its apex ("spreader graft") [2,61,[63][64][65] is promising.…”

Section: Discussionmentioning

confidence: 99%