Turk Cemre Busra, Dagtas Bugra Burc, Izci Neslihan Fisek, Gokdemir Gonca
Dr. Turk is with the Wellman Center for Photomedicine at Massachusetts General Hospital in Boston, Massachusetts, and Department of Dermatology at Harvard Medical School in Boston, Massachusetts.
Dr. Dagtas is with the University of Health Sciences at the Istanbul Training and Research Hospital and Dermatology Clinic in Istanbul, Turkey.
J Clin Aesthet Dermatol. 2024 May;17(5):43-47.
Nose reshaping with hyaluronic acid (HA) fillers, also known as medical rhinoplasty, is an increasingly popular, minimally invasive aesthetic procedure. As the demand for nasal reshaping continues to rise, it is essential to develop safe and efficient injection techniques and assess satisfaction to ensure optimal outcomes and patient-centered care.
This study aims to evaluate patient and physician satisfaction with hyaluronic acid filler applications using microinjection technique for nasal reshaping.
The study included healthy adult patients who underwent medical rhinoplasty with the same HA filler using the microinjection technique. Patient satisfaction levels were evaluated at one and six months after the last injection using the Global Patient Satisfaction Scale (GPSS). Additionally, an independent dermatologist conducted a clinical evaluation for each patient by comparing before and after clinical pictures, using the Aesthetic Improvement Scale (AIS). Any side effects were recorded during each session and follow-up period for six months.
A total of 40 patients (37 women and 3 men) participated in the study. The most frequently targeted anatomical areas for filler injections were the nasal tip (100%), columella (100%), nasal prominence (100%), nasal dorsum (85%), and nasal root (82.5%). Injections distal to the nasolabial fold (NFL) were performed in 2.5 percent of patients. Patients expressed high satisfaction with the results at both one and six months after the procedure (mean GPSS, respectively; 4.65 and 4.47). Similarly, clinicians reported satisfaction with outcomes at the same time points (mean AIS, respectively; 1.7 and 1.4). Apart from mild pain during the procedure and transient erythema afterward, no side effects were recorded.
Medical rhinoplasty with HA fillers using the microinjection technique is an effective and reliable procedure. This technique provides safe and aesthetically pleasing results from both patient and dermatologist perspectives, making it a favorable option for nasal reshaping with HA dermal fillers.
使用透明质酸（HA）填充剂进行鼻整形，也称为医学隆鼻术，是一种越来越受欢迎的微创美容手术。随着鼻整形需求持续上升，开发安全有效的注射技术并评估满意度以确保最佳效果和以患者为中心的护理至关重要。
本研究旨在评估患者和医生对使用微注射技术进行鼻整形的透明质酸填充剂应用的满意度。
该研究纳入了使用微注射技术用同一种HA填充剂进行医学隆鼻术的健康成年患者。在最后一次注射后1个月和6个月时，使用全球患者满意度量表（GPSS）评估患者满意度水平。此外，一名独立的皮肤科医生通过比较临床前后照片，使用美学改善量表（AIS）对每位患者进行临床评估。在每次治疗期间和为期6个月的随访期内记录任何副作用。
共有40名患者（37名女性和3名男性）参与了该研究。填充剂注射最常针对的解剖区域是鼻尖（100%）、鼻小柱（100%）、鼻突（100%）、鼻背（85%）和鼻根（82.5%）。2.5%的患者在鼻唇沟（NFL）远端进行了注射。患者在术后1个月和6个月时对结果均表示高度满意（平均GPSS分别为4.65和4.47）。同样，临床医生在相同时间点报告了对结果的满意度（平均AIS分别为1.7和1.4）。除了手术期间的轻微疼痛和术后短暂红斑外，未记录到任何副作用。
使用微注射技术用HA填充剂进行医学隆鼻术是一种有效且可靠的手术。从患者和皮肤科医生的角度来看，该技术提供了安全且美观的效果，使其成为使用HA真皮填充剂进行鼻整形的有利选择。
