Five‐point liquid rhinoplasty: Results from a retrospective analysis of a novel standardized technique and considerations on safety

Background Nonsurgical aesthetic improvement of the nose with hyaluronic acid (HA) fillers is becoming increasingly popular but comes with important safety considerations. Aims To assess the safety and effectiveness of the standardized “five‐point liquid rhinoplasty” approach. Methods This was a ret...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of cosmetic dermatology 2022-11, Vol.21 (11), p.5614-5620
Hauptverfasser: Josipovic, Leonard Nenad, Sattler, Sonja, Schenck, Thilo L., Sattler, Gerhard
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
Beschreibung
Zusammenfassung:Background Nonsurgical aesthetic improvement of the nose with hyaluronic acid (HA) fillers is becoming increasingly popular but comes with important safety considerations. Aims To assess the safety and effectiveness of the standardized “five‐point liquid rhinoplasty” approach. Methods This was a retrospective, single‐center analysis of consecutive adult patients undergoing nonsurgical aesthetic treatment of the nose. All had one of the three main indications (insufficient nasal projection, nasal hump, or deep glabella) and were injected using HA fillers with high elastic modulus. Treatments were given using some or all of the injection points of the “five‐point liquid rhinoplasty” technique: P1 (nasal tip, 0.2–0.3 ml supracartilaginous); P2 (nasal root, 0.1–0.2 ml supraperiostal); P3 (cartilaginous dorsum, 0.1–0.2 ml supracartilaginous/supraperiostal); P4 (subnasal, 0.1–0.2 ml supraperiostal); and P5 (nasal alar, 0.1–0.2 ml per side supraperiostal). The risk of complications was minimized by injecting deep and staying in the midline as far as possible. Results Twenty patients were enrolled (n = 15 female [75%]; mean age: 37.8 ± 11.7 years). The mean volume of filler used was 0.66 ± 0.35 ml per patient. Nineteen subjects (95%) said they were “very satisfied” with results, and the physician was also “very satisfied” with outcomes in 19 patients (95%). Two individuals experienced hematoma, which was managed conservatively; there were no other significant complications. Conclusions The “five‐point liquid rhinoplasty” is a simple and effective method designed to maximize safety. It offers a good alternative to surgery in selected patients.
ISSN:1473-2130
1473-2165
DOI:10.1111/jocd.15326