Youn Sung Hwan, Seo Kyle K
*Modelo Dermatology Clinic, Seoul, Korea; †Department of Dermatology, Seoul National University, College of Medicine, Seoul, Korea.
Dermatol Surg. 2016 Sep;42(9):1071-81. doi: 10.1097/DSS.0000000000000832.
There are no reports of objectively evaluating the efficacy of filler rhinoplasty by anthropometric techniques.
To objectively demonstrate the effectiveness of filler rhinoplasty by anthropometric analysis.
A total of 242 patients who revisited the clinic within 2 months of undergoing hyaluronic acid filler rhinoplasty were analyzed based on the injection site, injected volume, and the change in anthropometry.
Among the 242 patients, 112 (46.3%) were in the nasal dorsum augmentation group, 8 (3.3%) were in the tip rotation group, and 122 (50.4%) were in the whole nose augmentation group. Average injection volume was 1 ± 0.4 mL for nasal dorsum and 0.9 ± 0.3 mL for tip rotation, whereas 1.6 ± 0.5 mL was used for whole nose augmentation. On follow-up, the radix height, nasofrontal angle, and nasolabial angle (NLA) had increased by 78.3%, 5.7 ± 4.1°, and 9.4 ± 4.5°, respectively, whereas the modified nasofacial angle had decreased by 1.9 ± 2.9°. Three cases (1.2%) of vascular complications were encountered.
Filler rhinoplasty is a simple and effective treatment modality producing outcomes comparable with surgical augmentation rhinoplasty. Among various anthropometric measurements, the nasal radix height was the most useful for evaluating dorsum augmentation, whereas the NLA was the best for nasal tip rotation.
目前尚无通过人体测量技术客观评估填充式隆鼻术疗效的报道。
通过人体测量分析客观证明填充式隆鼻术的有效性。
对242例在接受透明质酸填充式隆鼻术2个月内复诊的患者，根据注射部位、注射量和人体测量变化进行分析。
242例患者中，鼻背增高组112例（46.3%），鼻尖上旋组8例（3.3%），全鼻增高组122例（50.4%）。鼻背平均注射量为1±0.4 mL，鼻尖上旋为0.9±0.3 mL，全鼻增高为1.6±0.5 mL。随访时，鼻根高度、鼻额角和鼻唇角（NLA）分别增加了78.3%、5.7±4.1°和9.4±4.5°，而改良鼻面角减少了1.9±2.9°。发生3例（1.2%）血管并发症。
填充式隆鼻术是一种简单有效的治疗方式，其效果与手术隆鼻相当。在各种人体测量指标中，鼻根高度对评估鼻背增高最有用，而鼻唇角对鼻尖上旋最有价值。
