Use of injectables in rhinoplasty retouching: Towards an evolution of surgical strategy? Literature review

Bouaoud, Jebrane; Belloc, Jean-Baptiste

doi:10.1016/j.jormas.2020.03.008

Cited by 12 publications

(19 citation statements)

References 56 publications

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“…There is no evidence to suggest any one product is safer than another and we are aware of surgeons using fat grafting and other fillers in the nose following surgery. 1 Given the results in this study, it seems not unreasonable to consider the use of Juvéderm 2 in the nose for minor defects or contour treatments. We chose to use Juvéderm Ultra 2 and Voluma; however, we acknowledge that there are several excellent HA fillers available for a surgeon to use.…”

Section: Discussionmentioning

confidence: 78%

“…Rhinoplasty is associated with revision rates that are higher than the senior author's rate and we believe this is because we advise patients to consider fillers for nose shape refinement postoperatively. 1 This advice is now given to patients at the initial consultation. Some patients are engaged with such a process of using fillers and others are keen to avoid any intervention including fillers.…”

Section: Discussionmentioning

confidence: 99%

“…It is thought that fillers last in the nose longer than elsewhere with some reports of fillers lasting in the nose for 3 years. 1 , 8 , 12 The reality is, though, that we do not know how long fillers will last in the nose, especially following surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Surgery is usually performed with a high degree of precision and finesse, yet the best result at the end of an operation may be ruined with scar tissue causing volume or contracture imperfections. 1 Scar tissue production is unpredictable and is preceded with inflammation and bruising, which is also usually asymmetric in nature. Scar tissue can, therefore, cause an increase in volume and can cause a contraction of tissues as well.…”

mentioning

confidence: 99%

“…Revision rates following primary rhinoplasty range widely but are reported to be around 9% on average. 1 Revisions may be for minor or major imperfections, changes that take place with time from stretching of tissues, tissue ptosis, for functional problems such as breathing difficulties, dorsal irregularities, and lack of tip definition. 3 …”

mentioning

confidence: 99%

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Postoperative Fillers Reduce Revision Rates in Rhinoplasty

Khan¹,

Sankar

Shoaib³

2023

Aesthetic Surgery Journal Open Forum

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Background Rhinoplasty is a complex procedure with revision rates of up to 17%. Even minor imperfections after surgery can be significant. Objectives This review aims to investigate the use of hyaluronic acid (HA) fillers post aesthetic rhinoplasty and assess the rhinoplasty practice of the senior author. Methods From the senior authors practice, case records were obtained for patients who underwent surgery followed by non-surgical rhinoplasty between 2015 and 2022. Data was retrospectively obtained and analyzed. The variables measured included number of patients treated with fillers post operatively, volume and type of filler used, locations of injection, frequency of injections and complications. Results Eight hundred patients underwent rhinoplasty between March 2015 and March 2022. 10.6% (n = 85) of these underwent non-surgical rhinoplasty using HA filler for postoperative imperfections. Juvederm 2 filler (Allergan, Irvine, CA) was mainly used with a mean volume of 0.2 mL. 11.8% (n = 10) of patients had fillers for a second time and 3.5% (n = 3) required a third filler. The majority of patients had fillers in the rhinon area (82.3% [n = 70]) and no complications were reported with good patient satisfaction. Conclusions Often there is hesitancy to use fillers after surgery due to the assumption that fillers will be required long term and complication rates can be high for post-rhinoplasty nose fillers. From our series, we conclude that after surgery, fillers last for a greater time period than those used purely for primary augmentation. Hence, the authors recommend rhinoplasty surgeons to consider HA filler use for patients troubled by post-surgery surface irregularities.

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Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%