Abstract

Objectives: Background: Nonsurgical aesthetic improvement of the nose with hyaluronic acid (HA) fillers is becoming increasingly popular but comes with important safety considerations Conclusions: The “five-point liquid rhinoplasty” is a simple and effective method de- signed to maximize safety. It offers a good alternative to surgery in selected patients. Introduction: The use of minimally invasive aesthetic procedures continues to in- crease across the world—including in Germany. This trend is driven primarily by the growing popularity of injectable hyaluronic acid (HA) fillers and botulinum neurotoxin type A formulations. However, the nose remains an area of the face that is often considered to be more amenable to surgery rather than nonsurgical approaches. Indeed, an estimate from the International Society of Aesthetic Plastic Surgery suggested that the number of surgical rhinoplasties performed across the world increased by 13% in 2019 relative to 2018. Materials / method: This was a retrospective, single-center analysis of consecutive eli- gible patients undergoing nonsurgical aesthetic treatment of the nose using HA fillers between April 2018 and October 2020. All were injected based on the standardized “five-point liquid rhino- plasty” technique. The study was conducted in accordance with the Declaration of Helsinki and subjects were required to provide writ- ten informed consent ahead of treatment. Included patients were healthy females and males aged ≥18 years. All were assessed as having one of the following three main indica- tions for HA filler injection Results: Twenty patients were included in the present analysis, of whom 15 (75%) were female and 5 (25%) were male (Table 1). The mean age was 37.8 ± 11.7 years (range: 23–62 years). All were Caucasian. The main indications for treatment of the nose were: insufficient nasal projection, n = 11 (55%); nasal hump, n = 8 (40%); or deep gla- bella, n = 1 (5%). Most patients were treated using Juvéderm Voluma (n = 13; 65%) or Juvéderm Volux (n = 6; 30%), although 1 individual (5%) received Belotero Volume. Conclusion: Increasing numbers of patients are presenting in clinic requesting nonsurgical aesthetic improvement of their nose. The advent of novel HA fillers with optimized rheological properties has made these procedures more feasible for more patients than ever before. Our data suggest that the “five-point liquid rhinoplasty” technique offers an effective and simple-to-use method designed to maximize safety, with high levels of resulting patient satisfaction. It therefore provides a good alternative to surgical rhinoplasty in carefully se- lected individuals.