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January 18, 2024
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Nonsurgical rhinoplasty technique may achieve similar results to surgical rhinoplasty

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Key takeaways:

  • Results from nonsurgical rhinoplasty using hyaluronic acid-based filler injections yielded high satisfaction ratings from patients.
  • 89% of patients reported experiencing low levels of pain during the procedure.

Nonsurgical rhinoplasty using hyaluronic acid-based filler injections may be a comparable alternative to surgical rhinoplasty, according to a study.

Surgical rhinoplasty has been the gold standard for nasal reshaping for the past century, with over 726,000 procedures performed internationally in 2018 alone,” Kalpna K. Durairaj, MD, of Huntington Hospital, and colleagues wrote. “However, this number has been declining due to the rise in popularity of minimally invasive, nonsurgical rhinoplasty alternatives, which offer comparable results at a lower cost and less downtime.”

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Nonsurgical rhinoplasty using hyaluronic acid-based filler injections may be a comparable alternative to surgical rhinoplasty. Image: Adobe Stock.

One of these alternatives is liquid or injection rhinoplasty which utilizes hyaluronic acid-based fillers. In a retrospective analysis, Durairaj and colleagues asked 56 patients (median age, 33.5 years; 54 women) who received this nonsurgical rhinoplasty technique to complete a questionnaire detailing their experience with the procedure.

When asked how much they liked the overall appearance of their nose on a scale of 0 (very dissatisfied) to 10 (very satisfied), patients reported a median preoperative score of 4 and a postoperative score of 9, exhibiting a paired median difference of 4 (99% CI, 3-5.5).

According to the study, the percentage of patients that were “somewhat satisfied” and “very satisfied” with the appearance of their nose, including nasal bridge (16.1% vs. 89.2%), nasal tip (8.9% vs. 91.1%) and profile appearance (8.9% vs. 91.1%), significantly increased following the injection rhinoplasty treatment.

On a scale of 1 to 10, with 10 being extreme pain, patients reported a median pain level of 2 with more than 89% of surveyed patients experiencing pain in the 1 to 4 range. None of the patients reported pain in the 8 to 10 range. Furthermore, adverse complications following the procedure were generally low, with bruising (87.5%), swelling (80.3%), tenderness (78.6%) and asymmetry (94.6%) being the most common events.

“Based on the questionnaire results, it is evident that nonsurgical rhinoplasty with filler can achieve similar satisfaction as surgical rhinoplasty,” the authors wrote. “The results of this study provide support that hyaluronic dermal filler can be used as an alternative to surgical nasal reconstruction.”