A Safe Nonsurgical Rhinoplasty Procedure

Thomas Radulesco, M.D., Ph.D., M.Sc.; Frédéric Braccini, M.D.; Philippe Kestemont, M.D.; Cécile Winter, M.D.; Laurent Castillo, M.D., Ph.D.; Justin Michel, M.D., Ph.D., M.Sc.

Disclosures

Plast Reconstr Surg. 2022;150(1):83e-86e. 

In This Article

Abstract and Introduction

Abstract

Nonsurgical rhinoplasty procedures are not without risks: although rare, intravascular injections of hyaluronic acid can lead to serious complications. Very few authors have reported using cannulas for filler injection in the nose. The purpose of this article is to describe how the authors perform nonsurgical rhinoplasty using a single entry point and cannulas, significantly reducing vascular and infection risks. The procedure described in this article can be applied to all indications of nonsurgical rhinoplasty. The key point of the authors' procedure is the definition of a single, medial entry point. Using a 5-cm, 25-gauge, dome-shaped cannula, all nasal regions can be reached, from the anterior nasal spine to the nasion. The authors' nonsurgical rhinoplasty procedure using cannulas reduces complications and provides results similar to those achieved with needles.

Introduction

Nonsurgical rhinoplasty has evolved greatly over the past decade. Various dermal fillers can now be used to perform nonsurgical rhinoplasties. To date, hyaluronic acid is the first-line product. Its high tolerability, ease of use, absorbability, and the availability of hyaluronidase ensure safety and comfort of use.[1] However, nonsurgical rhinoplasty is not without risks: although rare, intravascular injections have been reported in the literature and can lead to serious complications such as skin necrosis or blindness.[2,3] Bruising and local infections related to multiple skin punctures by needles are also frequently described. An increasing number of studies have been published focusing on nonsurgical rhinoplasty. Surprisingly, very few authors have reported using cannulas for filler injection in the nose.[4] The purpose of this article is to describe how we perform nonsurgical rhinoplasty using a single entry point and cannulas, significantly reducing vascular and infection risks.

processing....