The Ancient Greeks (Hippocrates) described treatments and techniques applied to the repair of nose injuries. He classified nasal injuries from simple soft tissue contusions to complex fractures.
Even today, the nose is the central and most important feature in the human face, and its shape, size and appearance determine the relative beauty of a person’s face. Considering that, rhinoplasty is the most common facial surgery performed for women and the second most common for men. They are increasingly demanding, low-cost and less invasive but certainly effective operations with minimal downtime and immediate results. Rhinoplasty (a relatively new treatment), has become fashionable in some countries.
A variety of filler materials are currently available, of which hyaluronic acid (HA), calcium hydroxyapatite (CaHA), and silicone have been most commonly used to treat nasal deformities. HA and CaHA are much safer than silicone (causing severe granulomatous reactions), but still can lead to complications (minor to severe) such as infection, allergic reactions, thinning of the skin envelope, and necrosis.
The mechanism leading to tissue necrosis after filler injection is not fully understood but intravascular and extravascular factors must be present. Doctors should always consider pain and blue discoloration of the skin as an early diagnostic step because these two factors could be the only early symptoms and signs.
Filler rhinoplasty is an alternative method for patients who for any reason (medical, financial) do not wish to undergo surgery. This presentation will provide information on technical issues and complications related to non-surgical rhinoplasty.