Santamaría-Gadea Alfonso, Sevil-Serrano Carlota, Buendía Pérez Javier, Mariño-Sánchez Franklin
Rhinology and Skull Base Unit, Department of Otorhinolaryngology, Hospital Ramon y Cajal, Madrid, Spain.
Associate Professor Universidad Complutense de Madrid, Madrid, Spain.
Facial Plast Surg Aesthet Med. 2025 Jan-Feb;27(1):68-74. doi: 10.1089/fpsam.2024.0116. Epub 2024 Sep 4.
Surgical rhinoplasty is a complex procedure with a high revision rate. Nonsurgical rhinoplasty (NSR) could avoid secondary rhinoplasty allowing the correction of postsurgical defects. A systematic review has been performed among adult patients who had previously undergone surgical rhinoplasty and now presenting for NSR with filler, demonstrated most common indications, fillers, and complications in this technique. A systematic review was performed according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) system guidelines. Primary outcomes included indications for NSR in patients with prior rhinoplasty and complication rate. Secondary outcomes included filler material and degree of patient satisfaction. Twenty articles met the inclusion criteria, obtaining 2,048 patients analyzed in the review. Hyaluronic acid was the most used filler, found in 67% of patients. Indications were highly variable, considering deformities of the middle third of the nose the most remarkable. A high degree of satisfaction was found in the analyzed studies and the rate of major complications was low. NSR in patients with prior rhinoplasty is a useful option for correcting a range from subtle aesthetic defects to severe nasal deformities. However, this technique is not exempt from complications, since an increased risk of skin necrosis has been observed.[Box: see text].
手术隆鼻是一种复杂的手术，修复率很高。非手术隆鼻（NSR）可以避免二次隆鼻，从而矫正术后缺陷。对先前接受过手术隆鼻且现在前来接受使用填充剂的非手术隆鼻的成年患者进行了一项系统评价，展示了该技术中最常见的适应症、填充剂和并发症。根据PRISMA（系统评价和荟萃分析的首选报告项目）系统指南进行了一项系统评价。主要结局包括隆鼻术后患者进行非手术隆鼻的适应症和并发症发生率。次要结局包括填充材料和患者满意度。20篇文章符合纳入标准，共纳入2048例接受分析的患者。透明质酸是最常用的填充剂，67%的患者使用该填充剂。适应症差异很大，其中鼻中部三分之一的畸形最为显著。在分析的研究中发现患者满意度较高，主要并发症发生率较低。对于有过隆鼻手术史的患者，非手术隆鼻是一种有用的选择，可用于矫正从轻微美学缺陷到严重鼻畸形等一系列问题。然而，该技术并非没有并发症，因为已观察到皮肤坏死风险增加。[方框：见正文]
