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Injectables

Non-surgical rhinoplasty with dermal fillers

02 November 2020
Clinical
02 November 2020
Volume 9 · Issue 9

Abstract

With the increase in popularity of non-surgical rhinoplasty, there is an increasing risk of complications arising from this treatment.

The nose has a very complex vascularity, with frequent anatomical variations, making it difficult to create a safety rule for practicing dermal fillers. In-depth knowledge of the anatomy, as well as expert and gentle hands, are prerequisites for minimising the risks. Previous surgical rhinoplasty is a risk factor for the treatment with dermal fillers at the nose. Patient selection is of the utmost importance, and practitioners must assess the benefit versus the inherent risk for each patient.

Product selection is vital for the prevention of complications, as a large number of cases of blindness derive from fat transfer techniques, and in case of a vascular occlusion affecting the retina, there is only 1 hour to recover blood circulation before the retina suffers permanent damage.

The nose is the centre point of the face, linking the most important components of facial expression: the eyes and the mouth. Emotions, feelings, intentions and even honesty are expressed by the eyes and the mouth.

So, it is no surprise that some authors have made a proposal to consider the face as an organ, with 18 functions categorised into four major roles: physiologic, aesthetic, expressive and identity (Siemionow, 2008).

The nose is the link between the aforementioned areas, it is at the central point of the face, so any imperfection in the nose will be easily noticed. This is the reason it is so important, and why any irregularity in the shape or size of the nose is a frequent concern (Coleman, 2006; Miller, 2019).

According to a survey conducted by the British Association of Aesthetic Plastic Surgeons (BAAPS), rhinoplasty is a common procedure, representing 10% of all cosmetic surgeries in the UK (BAAPS 2020). In Asia, rhinoplasty is the second most common surgical procedure, after blepharoplasty (Liew, 2016).

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Dermal filler
Rhinoplasty
Non-surgical
Blindness
Vascular compromise