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Facial anatomy
Published in Michael Parker, Charlie James, Fundamentals for Cosmetic Practice, 2022
The nasal bones are paired bones which form the bony portion of the nasal bridge (Figure 3.5), found in the midline in the upper part of the face. The superior portion of the nasal bone is covered by the procerus and nasalis muscles. The nasal bones articulate with the frontal bone superiorly, the maxillae laterally and the ethmoid bones posteriorly. They are punctured at multiple sites by tiny foramina which allow for veins to exit the skull. Great care must therefore be taken when administering filler for non-surgical rhinoplasty due to the significant risk of venous ischaemia at this point.
Nose
Published in Ali Pirayesh, Dario Bertossi, Izolda Heydenrych, Aesthetic Facial Anatomy Essentials for Injections, 2020
Dario Bertossi, Fazıl Apaydın, Paul van der Eerden, Enrico Robotti, Riccardo Nocini, Paul S. Nassif
Whilst the nose has primarily a breathing function, it also represents an aesthetically defining facial feature. The term non-surgical rhinoplasty is preferentially used for non-surgical aesthetic improvement with injectable fillers and toxins, whereas the term rhinoplasty is reserved for surgical nasal reshaping. Due to their reversibility, high G′ HA fillers are considered the safest material for non-surgical rhinoplasty. It is advisable that non-surgical rhinoplasty is performed only by highly experienced injectors with an intimate knowledge of injection anatomy and appropriate technique. Patient and product selection, accurate clinical assessment and correct injection techniques are of critical importance as the rich vascular network of the nose renders it a high risk area for severe complications.
Specific complications associated with non-surgical rhinoplasty
Published in Journal of Cosmetic and Laser Therapy, 2020
Tuyet A. Nguyen, Shivani Reddy, Nima Gharavi
Surgical rhinoplasty is the fourth most common cosmetic procedure performed by plastic surgeons in the United States. Despite its popularity, the percentage of these procedures performed has decreased by 3% in the last year. In contrast, the use of non-surgical rhinoplalsty, using soft tissue fillers, has increased by ~1% over the same time period (1). Non-surgical rhinoplasty, which involves augmentation of the nasal contour using soft tissue fillers, has become increasingly popular over the last several years. This minimally invasive technique allows patients to have excellent esthetic results without the high cost, anesthesia, and post-operative recovery time associated with traditional surgical rhinoplasty (2). However, the risk of complications with non-surgical rhinoplasty still exists, particularly in patients that have undergone surgical treatment or trauma in the past. Major complications, although rare, include vascular compromise, necrosis, and blindness. Knowledge of nasal anatomy and injection technique is essential to avoid these serious side effects.
Non-surgical rhinoplasty using filler, Botox, and thread remodeling: Retro analysis of 332 cases
Published in Journal of Cosmetic and Laser Therapy, 2018
The name of non-surgical rhinoplasty is sometimes doubtful (10) for plastic surgeons and some are preferring to define it as non-surgical nasal remodeling (11), although many publications are under the title of non-surgical rhinoplasty (12). Of course, use of fillers, Botox, or thread cannot achieve précised correction in big nasal deformities (10), as it is not an alternative for surgery. In this study, if there is any significant nasal deformity, in rotation, projection, saddling, tip width, septum, or bone, it has been corrected by surgery and this totally agrees with Pontius et al. (13).