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Surgical Removal of Foreign Material by Suction Curettage After Injection Rhinoplasty: Patient-Reported Outcomes

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  • Non-Surgical Aesthetic
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Abstract

Background

Though generally safe, injection rhinoplasty with synthetic non-hyaluronic fillers may lead to various deformities, which impose a psychological burden on the patients. As the injected material is technically hard to be fully cleared in the nose, the surgery is primarily chosen to address the patients’ psychological distress caused by injection. Unfortunately, there is a paucity of data regarding patient-reported outcomes of this procedure.

Methods

From August of 2017 to June of 2021, the authors retrospectively reviewed all cases who underwent the foreign material removals by suction curettage after injection rhinoplasties. The relevant demographic, treatment characteristics and complication details were collected. The modified Rhinoplasty Outcome Evaluation (ROE) questionnaires were prospectively completed before and 6 months after the surgery.

Results

Of the 46 patients, four cases developed minor surface irregularities on the nasal dorsum postoperatively; two cases who had recurrent nasal dorsum redness and swelling before the surgery still exhibited the redness with a less degree after the surgery; no patients needed secondary revision. There was a significant improvement in any of patient-reported outcomes at 6-month follow-up, relative to the preoperative baseline scores.

Conclusion

The injected foreign material in the nose could be effectively removed by suction curettage with minimal complications. The patients’ satisfaction and quality of life, which was severely impaired preoperatively, could be significantly improved after the surgery.

Level of Evidence IV

Therapeutic study. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors  www.springer.com/00266.

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References

  1. Kurkjian TJ, Ahmad J, Rohrich RJ (2014) Soft-tissue fillers in rhinoplasty. Plast Reconstr Surg 133:121e–126e

    Article  CAS  Google Scholar 

  2. Radulesco T, De Bonnecaze G, Penicaud M, Dessi P, Michel J (2021) Patient satisfaction after non-surgical rhinoplasty using hyaluronic acid: a literature review. Aesthet Plast Surg 45:2896–2901

    Article  Google Scholar 

  3. Williams LC, Kidwai SM, Mehta K, Kamel G, Tepper OM, Rosenberg JD (2020) Nonsurgical rhinoplasty: a systematic review of technique, outcomes, and complications. Plast Reconstr Surg 146:41–51

    Article  CAS  Google Scholar 

  4. Lemperle G, Sadick NS, Knapp TR, Lemperle SM (2010) ArteFill permanent injectable for soft tissue augmentation: II Indications and applications. Aesthet Plast Surg 34:273–286

    Article  Google Scholar 

  5. Rokhsar C, Ciocon DH (2008) Nonsurgical rhinoplasty: an evaluation of injectable calcium hydroxylapatite filler for nasal contouring. Dermatol Surg 34:944–946

    CAS  Google Scholar 

  6. Ono S, Ogawa R, Hyakusoku H (2010) Complications after polyacrylamide hydrogel injection for soft-tissue augmentation. Plast Reconstr Surg 126:1349–1357

    Article  CAS  Google Scholar 

  7. Trinh LN, Gupta A (2021) Non-hyaluronic acid fillers for midface augmentation: a systematic review. Facial Plast Surg 37:536–542

    Article  CAS  Google Scholar 

  8. Kosowski TR, McCarthy C, Reavey PL, Scott AM, Wilkins EG, Cano SJ, Klassen AF, Carr N, Cordeiro PG, Pusic AL (2009) A systematic review of patient-reported outcome measures after facial cosmetic surgery and/or nonsurgical facial rejuvenation. Plast Reconstr Surg 123(6):1819–1827

    Article  CAS  Google Scholar 

  9. Carella S, Ruggeri G, La Russa R, Volonnino G, Frati P, Onesti MG (2021) Clinical management of complications following filler injection. Aesthet Plast Surg. https://doi.org/10.1007/s00266-021-02650-4

    Article  Google Scholar 

  10. Daines SM, Williams EF (2013) Complications associated with injectable soft-tissue fillers: a 5-year retrospective review. JAMA Facial Plast Surg. 15:226–231

    Article  Google Scholar 

  11. Alsarraf R (2000) Outcomes research in facial plastic surgery: a review and new directions. Aesthet Plast Surg 24:192–197

    Article  CAS  Google Scholar 

  12. Xiao H, Zhao Y, Liu L, Xiao M, Qiu W, Liu Y (2019) Functional/aesthetic measures of patient satisfaction after rhinoplasty: a review. Aesthet Surg J 39:1057–1062

    Article  Google Scholar 

  13. Mills DC, Camp S, Mosser S, Sayeg A, Hurwitz D, Ronel D (2013) Malar augmentation with a polymethylmethacrylate-enhanced filler: assessment of a 12-month open-label pilot study. Aesthet Surg J 33:421–430

    Article  Google Scholar 

  14. Schuster B (2015) Injection rhinoplasty with hyaluronic acid and calcium hydroxyapatite: a retrospective survey investigating outcome and complication rates. Facial Plast Surg 31:301–307

    Article  CAS  Google Scholar 

  15. He J, Wang T, Dong J (2020) Classification and management of polyacrylamide gel migration after injection augmentation mammaplasty: a preliminary report. Aesthet Plast Surg 44(5):1516–1521

    Article  Google Scholar 

  16. Cassuto D, Pignatti M, Pacchioni L, Boscaini G, Spaggiari A, De Santis G (2016) Management of complications caused by permanent fillers in the face: a treatment algorithm. Plast Reconstr Surg 138(2):215e–227e

    Article  CAS  Google Scholar 

  17. Christensen L, Breiting V, Janssen M, Vuust J, Hogdall E (2005) Adverse reactions to injectable soft tissue permanent fillers. Aesthet Plast Surg 29:34–48

    Article  Google Scholar 

  18. Lee KC, Ha SU, Park JM, Kim SK, Park SH, Kim JH (2006) Foreign body removal and immediate nasal reconstruction with superficial temporal fascia. Aesthet Plast Surg 30:351–355

    Article  Google Scholar 

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The authors declare that they have no conflict of interest.

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Correspondence to Tingting Dai or Jiao Wei.

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All procedures performed in this study were in accordance with the ethical standards of our Institutional Ethical Committee.

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He, J., Bian, W., Yang, J. et al. Surgical Removal of Foreign Material by Suction Curettage After Injection Rhinoplasty: Patient-Reported Outcomes. Aesth Plast Surg 46, 2964–2971 (2022). https://doi.org/10.1007/s00266-022-03103-2

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