Abstract
Background
Some of the minor post-rhinoplasty asymmetries and irregularities may be treated with soft-tissue filler injections. Without the need of general anaesthesia and operating theatre, immediate results can be obtained using low-cost fillers. Hyaluronic acid (HA) fillers gained popularity in the correction of small nasal defects or concavities.
Methods
A total of 12 patients presenting with contour asymmetry following rhinoplasty were treated with HA between January 2010 and May 2011. HA was injected superficial to perichondrium or periosteum. Both patients and surgeons evaluated the results using a definitive graduated satisfaction scale ranging from 1 to 10. Patients were followed up for up to 12 months.
Results
No significant side effects were reported. All patients were satisfied with the filling procedure, despite being aware of the temporary nature of the procedure.
Conclusions
HA fillings do not persist permanently. Our experience showed that HA filling has to be repeated every year. We conclude that HA injection is a minimally invasive method suitable for correction of minor defects after rhinoplasty.
Level of Evidence: Level V, therapeutic study.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Bray D, Hopkins C, Roberts DN (2010) Injection rhinoplasty: non-surgical nasal augmentation and correction of post-rhinoplasty contour asymmetries with hyaluronic acid: how we do it. Clin Otolaryngol 35(3):227–230
Beer KR (2006) Nasal reconstruction using 20 mg/ml cross-linked hyaluronic acid. J Drugs Dermatol 5(5):465–466
Humphrey CD, Arkins JP, Dayan SH (2009) Soft tissue fillers in the nose. Aesthet Surg J 29(6):477–484
Han SK, Shin SH, Kang HJ et al (2006) Augmentation rhinoplasty using injectable tissue-engineered soft tissue: a pilot study. Ann Plast Surg 56(3):251–255
Park TH, Seo SW, Kim JK et al (2011) Clinical experience with hyaluronic acid-filler complications. J Plast Reconstr Aesthet Surg 64(7):892–896
Andre P (2004) Hyaluronic acid and its use as a “rejuvenation” agent in cosmetic dermatology. Semin Cutan Med Surg 23(4):218–222
Schuller-Petrovic S (1997) Improving the aesthetic aspect of soft tissue defects on the face using autologous fat transplantation. Facial Plast Surg 13(2):119–124
Ersek RA, Chang P, Salisbury MA (1998) Lipo layering of autologous fat: an improved technique with promising results. Plast Reconstr Surg 101(3):820–826
William Klein A (2007) Filler materials. Grabb and Smith’s Plastic Surgery, Sixth Edition by Charles H. Thorne. Lippincott Williams & Wilkins, New York, pp 468–474
Webster RC, Hamdan US, Gaunt JM et al (1986) Rhinoplastic revisions with injectable silicone. Arch Otolaryngol Head Neck Surg 112(3):269–276
Rapaport MJ, Vinnik C, Zarem H (1996) Injectable silicone: cause of facial nodules, cellulitis, ulceration, and migration. Aesthetic Plast Surg 20(3):267–276
Murray CA, Zloty D, Warshawski L (2005) The evolution of soft tissue fillers in clinical practice. Dermatol Clin 23(2):343–363
Glaich AS, Cohen JL, Goldberg LH (2006) Injection necrosis of the glabella: protocol for prevention and treatment after use of dermal fillers. Dermatol Surg 32(2):276–281
Judd O, Gaskin J (2009) Securing the posterior nasal pack; a technique to prevent alar necrosis. Ann R Coll Surg Engl 91(8):713–771
Conflict of Interest
None
Patient consent
Patients provided written consent for the use of their images.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Kose, R., Erdivanli, O.C. & Coskun, Z.O. Use of hyaluronic acid in the correction of contour asymmetries following rhinoplasty. Eur J Plast Surg 36, 295–300 (2013). https://doi.org/10.1007/s00238-012-0788-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00238-012-0788-x