From the Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai; and the Department of Surgery, Division of Plastic and Reconstructive Surgery, Albert Einstein College of Medicine, Montefiore Medical Center.
Plast Reconstr Surg. 2020 Jul;146(1):41-51. doi: 10.1097/PRS.0000000000006892.
Nonsurgical rhinoplasty using filler injections has become a common procedure in cosmetic practices. This is offered to patients that prefer a temporary outcome or would like to avoid general anesthesia. In addition, it can be used in postrhinoplasty patients to correct nasal deformities or irregularities. This systematic review highlights common filler types and injection techniques, and associated patient satisfaction and complications to further guide practitioners.
A systematic review was performed using keywords and Medical Subject Headings search terms. PubMed, EmBase, the Cochrane Library, and Scopus were searched using the appropriate search terms. Data collected from each study included patient satisfaction and complications, in addition to injection material, location, and technique.
Four thousand six hundred thirty-two studies were found based on search criteria. After full-text screening for inclusion and exclusion criteria, 23 studies were included. A total of 1600 patients underwent nonsurgical rhinoplasty, most commonly with hyaluronic acid (73.38 percent), followed by calcium hydroxyapatite (12.44 percent). Nearly 95 percent of patients were satisfied with results, and there were only 26 relatively minor complications reported. There were no reports of vascular complications such as skin necrosis or visual compromise.
Based on the authors' review of the literature, nonsurgical rhinoplasty is an effective temporary alternative to traditional augmentation rhinoplasty for corrections of nasal shape with a high degree of patient satisfaction. Complications may be underreported, and thus further investigation is needed to better understand the true incidence of major complications related to vascular compromise.
使用填充物注射的非手术隆鼻术已成为美容实践中的常见程序。这是为那些喜欢暂时结果或希望避免全身麻醉的患者提供的。此外，它还可用于隆鼻术后患者，以纠正鼻畸形或不规则。本系统评价重点介绍了常见的填充物类型和注射技术，以及相关的患者满意度和并发症，以进一步指导从业者。
使用关键词和医学主题词搜索词进行系统评价。使用适当的搜索词在 PubMed、EmBase、Cochrane 图书馆和 Scopus 中搜索。从每项研究中收集的数据包括患者满意度和并发症，以及注射材料、位置和技术。
根据搜索标准，共发现 4632 项研究。经过全文筛选以纳入和排除标准后，纳入了 23 项研究。共有 1600 名患者接受了非手术隆鼻术，最常见的是使用透明质酸（73.38%），其次是钙羟磷灰石（12.44%）。近 95%的患者对结果满意，仅报告了 26 例相对较小的并发症。没有报告血管并发症，如皮肤坏死或视力受损。
根据作者对文献的回顾，非手术隆鼻术是传统隆鼻术的有效临时替代方法，可有效矫正鼻形，患者满意度高。并发症可能报告不足，因此需要进一步研究以更好地了解与血管损伤相关的重大并发症的真实发生率。
