Nonsurgical Rhinoplasty

被引:29
|
作者
Johnson, Owen N., III [1 ,2 ]
Kontis, Theda C. [1 ,2 ,3 ]
机构
[1] Johns Hopkins Univ, Sch Med, Dept Otolaryngol Head & Neck Surg, Baltimore, MD 21205 USA
[2] Johns Hopkins Univ, Sch Med, Dept Otolaryngol Head & Neck Surg, Div Facial Plast & Reconstruct Surg, Baltimore, MD 21205 USA
[3] Facial Plast Surgictr Ltd, 1838 Greene Tree Rd,Suite 370, Baltimore, MD 21208 USA
关键词
nonsurgical rhinoplasty; injectable fillers; hyaluronic acid; calcium hydroxylapatite; augmentation; internal nasal valve; external nasal valve; SOFT-TISSUE FILLERS; INJECTABLE FACIAL FILLERS; INJECTION RHINOPLASTY; DERMAL FILLERS; COMPLICATIONS; PREVENTION; MANAGEMENT; NOSE;
D O I
10.1055/s-0036-1586209
中图分类号
R61 [外科手术学];
学科分类号
摘要
"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.
引用
收藏
页码:500 / 506
页数:7
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