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Patient Satisfaction After Non-surgical Rhinoplasty Using Hyaluronic Acid: A Literature Review

  • Review
  • Rhinoplasty
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Abstract

Background

Few studies have focused on assessing patient satisfaction after non-surgical rhinoplasty using hyaluronic acid (HA). The main objective of this study was to perform a systematic review assessing patient satisfaction after non-surgical rhinoplasty using HA.

Methods

We conducted a systematic review using the PRISMA model. All articles assessing patient satisfaction using self-questionnaires or scales (visual analogic scales, Likert scale) after non-surgical rhinoplasty were included. We also analyzed injection protocols and complications. The criteria for considering studies for the review were based on the population, intervention, comparison, outcome, timing and setting (PICOTS) framework.

Results

A total of 674 patients were included in eight studies. Mean age was 29.5 years old (min = 19, max = 67, sex ratio = 0.20). Rates of “satisfied” or “very satisfied” patients were 100% immediately after injection (n = 404/404 patients), 98.2% in the weeks following injection (n = 628/639 patients), 84.7% 3 months after injection (n = 333/393 patients) and 96.4% one year after injection (n = 60/62 patients). Duration of HA effectiveness ranged between 8 and 14 months. One local infection (0.001%) but no skin necrosis and no blindness were reported. Most of authors used less than 1 mL of HA per procedure.

Conclusions

Provided precautions for use and indications are observed, and presuming good anatomical knowledge, non-surgical rhinoplasty is an interesting procedure associated with high satisfaction rates.

Level of Evidence III

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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Authors and Affiliations

  1. Department of Oto-Rhino-Laryngology and Head and Neck Surgery, APHM, La Conception University Hospital, 147 Bd Baille, 13385, Marseille Cedex, France

    Thomas Radulesco, Martin Penicaud, Patrick Dessi & Justin Michel

  2. IUSTI, Aix-Marseille University, 13385, Marseille Cedex, France

    Thomas Radulesco & Justin Michel

  3. Department of Oto-Rhino-Laryngology and Head and Neck Surgery, CHU Toulouse, Toulouse, France

    Guillaume De Bonnecaze

Authors
  1. Thomas Radulesco
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  2. Guillaume De Bonnecaze
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  3. Martin Penicaud
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  4. Patrick Dessi
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  5. Justin Michel
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Correspondence to Thomas Radulesco.

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This review was carried out in accordance with the Declaration of Helsinki (1983).

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Radulesco, T., De Bonnecaze, G., Penicaud, M. et al. Patient Satisfaction After Non-surgical Rhinoplasty Using Hyaluronic Acid: A Literature Review. Aesth Plast Surg 45, 2896–2901 (2021). https://doi.org/10.1007/s00266-021-02182-x

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  • DOI: https://doi.org/10.1007/s00266-021-02182-x

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