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Facial Plast Surg 2016; 32(05): 500-506
DOI: 10.1055/s-0036-1586209
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Nonsurgical Rhinoplasty

Owen N. Johnson III
1   Department of Otolaryngology - Head and Neck Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland
2   Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology - Head and Neck Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland
,
Theda C. Kontis
1   Department of Otolaryngology - Head and Neck Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland
2   Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology - Head and Neck Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland
3   Facial Plastic Surgicenter, Ltd., Baltimore, Maryland
› Author Affiliations
Further Information

Publication History

Publication Date:
28 September 2016 (online)

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Abstract

“Nonsurgical rhinoplasty” refers to the use of injectable temporary fillers used to augment select areas of the nose to achieve improved appearance or function in select patients. Nonpermanent fillers can be used safely and must be properly chosen based on their properties and the desired effect. In addition to proper patient and product selection, a thorough understanding of nasal anatomy, analysis of the deformity, and recommended injection techniques are absolutely necessary to obtain good outcomes and avoid complications. The proper plane for injection is the deep fatty layer, just superficial to the perichondrium and periosteum. Erring on the side of undercorrection, small incremental boluses, and constant reassessment are the best way to avoid overfilling or producing irregularities and asymmetries. The most devastating and feared complications are vascular compromise, tissue necrosis, and even blindness, making the nose a challenging area to treat with fillers. The surgeon wishing to use fillers in the nose should be familiar with proper technique, recognition of developing problems, and have a practical plan in place for immediate reversal and treatment.

Keywords

nonsurgical rhinoplasty - injectable fillers - hyaluronic acid - calcium hydroxylapatite - augmentation - internal nasal valve - external nasal valve
 

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