From Queen Elizabeth Hospital.
Plast Reconstr Surg. 2020 Mar;145(3):661-667. doi: 10.1097/PRS.0000000000006554.
Nonsurgical rhinoplasty with injectable dermal fillers has become an increasingly popular alternative to surgical procedures, in view of its relative low cost, convenience and rapid recovery, and low risk profile. The safety and efficacy of nonsurgical rhinoplasty remains a relatively contentious and ambiguous matter, given that there are few large-scale series reporting results or complications. This study reports the experience of a single clinician performing nonsurgical rhinoplasty in the largest cohort to date.
Patient demographics, indications, treatment details, and outcomes of patients treated between March of 2016 and January of 2019 were reviewed. The nonsurgical rhinoplasty technique described previously by Harb was used using hyaluronic acid dermal filler.
Nonsurgical rhinoplasty was performed in 5000 patients. The commonest indication was dorsal hump (44 percent). Swelling and erythema were self-limiting side effects encountered in approximately half of patients. Infection was seen in two patients, and localized skin necrosis was observed in three patients.
Nonsurgical rhinoplasty is a safe procedure with positive aesthetic results when performed by an experienced clinician. Knowledge of nasal anatomy, comprehensive training, and use of appropriate materials are key in ensuring safety and results.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
鉴于注射真皮填充剂的非手术隆鼻具有相对较低的成本、方便、快速恢复和低风险等优点，它已成为手术的一种越来越受欢迎的替代方法。由于缺乏大规模系列报告结果或并发症的报道，非手术隆鼻的安全性和疗效仍然是一个相对有争议和模糊的问题。本研究报告了一位医生在迄今最大的队列中进行非手术隆鼻的经验。
回顾了 2016 年 3 月至 2019 年 1 月期间接受治疗的患者的人口统计学、适应证、治疗细节和结果。采用之前由 Harb 描述的非手术隆鼻技术，使用透明质酸真皮填充剂。
对 5000 名患者进行了非手术隆鼻。最常见的适应证是驼峰（44%）。肿胀和红斑是约一半患者出现的自限性副作用。两名患者发生感染，三名患者出现局部皮肤坏死。
非手术隆鼻是一种安全的手术，如果由经验丰富的医生进行，可以获得良好的美学效果。了解鼻腔解剖结构、全面的培训和使用适当的材料是确保安全和效果的关键。
临床问题/证据水平：治疗，IV。
