Division of Plastic and Reconstructive Surgery, Department of Surgery, Joe R. and Teresa Lozano Long School of Medicine UT Health San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA.
Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology - Head & Neck Surgery, Joe R. and Teresa Lozano Long School of Medicine UT Health San Antonio, 7703 Floyd Curl Dr. Mail Code 7777, San Antonio, TX 78229, USA; Texas Plastic Surgery, 21 Spurs Lane, Suite 120, San Antonio, TX 78240, USA.
Facial Plast Surg Clin North Am. 2022 Aug;30(3):357-364. doi: 10.1016/j.fsc.2022.03.009.
Soft tissue filler injections have become the second most common noninvasive cosmetic procedure performed in the United States, accounting for roughly 26% of all noninvasive procedures. As experience with filler injections has increased, so too have the applications and uses throughout the face. The popularity of "liquid," or nonsurgical, rhinoplasty has grown considerably with both patients and surgeons over the last decade. First documented in 2006, numerous descriptions of technique and application have grown in tandem with the increasing popularity of nonsurgical rhinoplasty procedures. Although nasal injections remain an "off-label" use in the United States, hyaluronic acid fillers have gained multiple applications for the nose. These include, but are not limited to, leveling a dorsal hump through the addition of volume above and below the dorsal convexity, filling of visible nasal concavities, correcting upper and middle third asymmetries, as well as improving the under-rotated or under the projected tip. Though attractive to both patient and surgeon for various reasons, nasal filler injections are not without risk, and knowledge of nasal surgical anatomy and management of complications are critical for safe, viable outcomes.
软组织填充剂注射已成为美国实施的第二大常见非侵入性美容程序，约占所有非侵入性程序的 26%。随着填充剂注射经验的增加，其在面部的应用和用途也越来越广泛。在过去十年中，“液体”或非手术性隆鼻术的流行程度在患者和外科医生中都有了相当大的提高。该技术于 2006 年首次有记录，随着非手术性隆鼻术的日益普及，其技术和应用描述也越来越多。尽管在美国，鼻部注射仍然是一种“超适应证”用途，但透明质酸填充剂已在鼻部获得了多种应用。这些应用包括但不限于通过在背侧凸起的上下方添加体积来平整背驼峰，填充可见的鼻凹陷，矫正上三分之一和中三分之一的不对称，以及改善下旋或下悬的鼻尖。尽管由于各种原因对患者和外科医生都具有吸引力，但鼻内填充物注射并非没有风险，了解鼻外科解剖结构和处理并发症对于安全、可行的结果至关重要。
