The Art of Camouflage: When Can a Revision Rhinoplasty Be Nonsurgical?

Abstract

Rhinoplasty surgery is known to have revision rates up to 20%. Surgical revisions include the risk of anesthesia and scarring. The skilled injector may offer nonsurgical alternatives to patients when considering revision surgery. Injections can be done to improve symmetry or improve/camouflage deformities that are possibly too minor for surgery but bothersome to the patient. Injections can be performed using different filler materials, but these treatments also carry inherent risks.

Keywords

injection rhinoplasty - nonsurgical rhinoplasty - revision rhinoplasty - hyaluronic acid - calcium hydroxylapatite

• References

• 1 East C, Kwame I, Hannan SA. Revision rhinoplasty: what can we learn from error patterns? An analysis of revision surgery. Facial Plast Surg 2016; 32 (04) 409-415
• 2 Kontis TC. Nonsurgical rhinoplasty. JAMA Facial Plast Surg 2017; 19 (05) 430-431
• 3 Webster RC, Hamdan US, Gaunt JM, Fuleihan NS, Smith RC. Rhinoplastic revisions with injectable silicone. Arch Otolaryngol Head Neck Surg 1986; 112 (03) 269-276
• 4 Johnson III ON, Kontis TC. Nonsurgical rhinoplasty. Facial Plast Surg 2016; 32 (05) 500-506
• 5 Liapakis IE, Englander M, Vrentzos NP, Derdas SP, Paschalis EI. Secondary rhinoplasty fixations with hyaluronic acid. J Cosmet Dermatol 2013; 12 (03) 235-239
• 6 Kurkjian TJ, Ahmad J, Rohrich RJ. Soft-tissue fillers in rhinoplasty. Plast Reconstr Surg 2014; 133 (02) 121e-126e
• 7 Hedén P. Nasal reshaping with hyaluronic acid: an alternative or complement to surgery. Plast Reconstr Surg Glob Open 2016; 4 (11, e1120): e1120
• 8 Liew S, Scamp T, de Maio M. , et al. Efficacy and safety of a hyaluronic acid filler to correct aesthetically detracting or deficient features of the Asian nose: a prospective, open-label, long-term study. Aesthet Surg J 2016; 36 (07) 760-772
• 9 Stupak HD, Moulthrop TH, Wheatley P, Tauman AV, Johnson Jr CM. Calcium hydroxylapatite gel (Radiesse) injection for the correction of postrhinoplasty contour deficiencies and asymmetries. Arch Facial Plast Surg 2007; 9 (02) 130-136
• 10 Rokhsar C, Ciocon DH. Nonsurgical rhinoplasty: an evaluation of injectable calcium hydroxylapatite filler for nasal contouring. Dermatol Surg 2008; 34 (07) 944-946
• 11 Jasin ME. Nonsurgical rhinoplasty using dermal fillers. Facial Plast Surg Clin North Am 2013; 21 (02) 241-252
• 12 Cohen E, Yatziv Y, Leibovitch I. , et al. A case report of ophthalmic artery emboli secondary to calcium hydroxylapatite filler injection for nose augmentation- long-term outcome. BMC Ophthalmol 2016; 16 (98) 98
• 13 Schuster B. Injection rhinoplasty with hyaluronic acid and calcium hydroxyapatite: a retrospective survey investigating outcome and complication rates. Facial Plast Surg 2015; 31 (03) 301-307
• 14 Baptista C, Nguyen PS, Desouches C, Magalon G, Bardot J, Casanova D. Correction of sequelae of rhinoplasty by lipofilling. J Plast Reconstr Aesthet Surg 2013; 66 (06) 805-811
• 15 Klinger F, Pajardi G, Vinci V. , et al. Minimal invasive rhinoplasty: fat injection for nasal dorsum contouring. Ann Plast Surg 2018; 80 (01) 90
• 16 Bray D, Hopkins C, Roberts DN. Injection rhinoplasty: non-surgical nasal augmentation and correction of post-rhinoplasty contour asymmetries with hyaluronic acid: how we do it. Clin Otolaryngol 2010; 35 (03) 227-230
• 17 Kontis TC, Lacombe VG. Filler injection of nasal valve stenting. In: Cosmetic Injection Techniques. New York, NY: Thieme; 2013: 146-148
• 18 Nyte CP. Spreader graft injection with calcium hydroxylapatite: a nonsurgical technique for internal nasal valve collapse. Laryngoscope 2006; 116 (07) 1291-1292
• 19 Nyte CP. Hyaluronic acid spreader-graft injection for internal nasal valve collapse. Ear Nose Throat J 2007; 86 (05) 272-273
• 20 San Nicoló M, Stelter K, Sadick H, Bas M, Berghaus A. Absorbable implant to treat nasal valve collapse. Facial Plast Surg 2017; 33 (02) 233-240
• 21 Lee JI, Kang SJ, Sun H. Skin necrosis with oculomotor nerve palsy due to a hyaluronic acid filler injection. Arch Plast Surg 2017; 44 (04) 340-343
• 22 Beleznay K, Carruthers JDA, Humphrey S, Jones D. Avoiding and treating blindness from fillers: a review of the world literature. Dermatol Surg 2015; 41 (10) 1097-1117
• 23 Tansatit T, Moon HJ, Rungsawang C. , et al. Safe planes for injection rhinoplasty: a histological analysis of midline longitudinal sections of the Asian nose. Aesthetic Plast Surg 2016; 40 (02) 236-244
• 24 Moon HJ. Use of fillers in rhinoplasty. Clin Plast Surg 2016; 43 (01) 307-317