Page 879 - Read Online

Chu et al. Plast Aesthet Res 2020;7:73 Plastic and
DOI: 10.20517/2347-9264.2020.169 Aesthetic Research

Review Open Access

Nonsurgical rhinoplasty using soft tissue fillers

Yuyang Chu , Jonathan Bacos , Sasha Becker 1
1
2
1 Northwestern University, Feinberg School of Medicine, Chicago, IL 60611, USA.
2 Department of Plastic Surgery, Medical College of Wisconsin, Milwaukee, WI 53226, USA.

Correspondence to: Mr. Yuyang Chu, Northwestern University, Feinberg School of Medicine, 420 East Superior Street, Chicago,
IL 60611, USA. E-mail: yuyang.chu@northestern.edu

How to cite this article: Chu Y, Bacos J, Becker S. Nonsurgical rhinoplasty using soft tissue fillers. Plast Aesthet Res 2020;7:73.
http://dx.doi.org/10.20517/2347-9264.2020.169

Received: 24 Aug 2020 First Decision: 12 Nov 2020 Revised: 16 Nov 2020 Accepted: 24 Nov 2020 Published: 10 Dec 2020
Academic Editor: Wen-Guo Cui Copy Editor: Cai-Hong Wang Production Editor: Jing Yu

Abstract
Nonsurgical rhinoplasty, also known as liquid rhinoplasty, is a filler-based approach to treating deformities of the
nose. Despite the potential for serious complications such as tissue necrosis and blindness, patients’ desires for
rapid results with minimal downtime and low costs have served as an impetus for rhinoplasty surgeons to become
skilled injectors. Additionally, many physicians that are less skilled in rhinoplasty may be emboldened to perform a
simpler procedure. While soft tissue filler is not always a viable alternative to rhinoplasty, it can be a useful adjunct
or stand-alone treatment for managing a drooping nasal tip, minor asymmetries, or a dorsal hump. This article
provides an overview of liquid rhinoplasty and how to best obtain the patient’s desired aesthetic result.

Keywords: Nonsurgical rhinoplasty, hyaluronic acid, calcium hydroxyl apatite, injectables

INTRODUCTION
The application of soft tissue filler is the second most common minimally invasive cosmetic procedure
reported in the 2018 plastic surgery statistics report . Overall, fillers provide an enticing alternative to
[1]
surgical procedures for patients seeking an aesthetic improvement. This is due to the minimal downtime,
low cost, and low risk profile associated with fillers. While soft tissue fillers initially made their debut in the
[2,3]
1970s, it was not until the mid 1980s that physicians began reporting contouring noses with injectables .
Recently, the popularity of injectable fillers has increased significantly. Filler use rose 274% between 2000
[4]
and 2015 . Initial reports consisted of using bovine collagen and silicone, but a transition to more reliable
and safe formulations of hyaluronic acid (HA) and calcium hydroxylapatite (CaHa) have allowed clinicians

© The Author(s) 2020. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use,
sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long
as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license,
and indicate if changes were made.

www.parjournal.net