- IMCAS Asia - June 2024
- IMCAS World Congress - January 2025
- IMCAS Asia - June 2024
- IMCAS World Congress - January 2025

IMCAS Academy

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IMCAS Asia 2024
Program

FOCUS ON 100, 101

Contributed Talks - Injectables

Room: Room 3
Date: Sunday 23 June 2024 at 14:00 to 16:00
Format: CONTRIBUTED TALKS > session made up of abstract submissions that were carefully reviewed and selected by the Scientific Board

Chairs

Dr Marcin AMBROZIAK

Dermatologist

Poland

Prof Sasima EIMPUNTH

Dermatologist

Thailand

Lectures of the session

Hours	Speakers	Lecture title	Abstract	Number
14:00	Dr Thi Thanh Giang PHAN	Aging Lips Filler: "how to enhance, not erase"	View	134708
14:10	Dr Diogo SEMEDO	Innovative Injectable Collagen applications: A Novel Approach for Mini-Facelift, Body Rejuvenation, and Gluteal Augmentation	View	134709
14:20	Dr Ornella Del Pilar SICILIANO	Comprehensive female biostimulation from head to toe with polylactic acid	View	134710
14:30	Dr Manuela JORGE	Lip beautification with two rheological properties hialuronic acid	View	134711
14:40	Dr Roya ZARMEHR ZAMIN	Multilayer Dermal Filler treatment of the Temple-Ultrasound guided safest methods	View	134712
14:50	Dr Ahmad NAZARI	Multicultural Evaluation of Hyaluronic Acid Filler Injections for Nasal Deformity Correction	View	134713
15:00	Dr Rasya DIXIT	The ageing Indian face - Deriving algorithm from a multiclinic experience	View	137952
15:10	Dr Michelle SLATENSEK	Targeted Contouring: Integrating Biostimulators and Lipolytic Agents in the Treatment of Facial Fullness in the Asian population	View	137954
15:20	Dr Shi SUI	Comparing Calcium Hydroxylapatite to Hyaluronic Acid for Treatment of Nasolabial Folds	View	137955
15:30	Dr Gaomin HUANG	Rainbow (ROYGBbP) Symbol: A Methodological Injection Algorithm of Hyaluronic Acid Fillers Adapted to Characteristics of Asian Faces	View	137951
15:40	Dr Leonard JOSIPOVIC	Five-point liquid rhinoplasty: Results from a retrospective analysis of a novel standardized technique and considerations on safety	View	137953
15:50		Q&A		138673

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Recommended sessions

Fillers: HA (hyaluronic acid)

Fillers: non-HA (PLLA, CaHa etc)

Ultrasonography

Anatomy for injections

Nose (non-surgical)

Dr Thi Thanh Giang PHAN

Dermatologist

Vietnam

Other author(s) :

Aging Lips Filler: "how to enhance, not erase"

Objectives: To describe the special technique to achieve natural looking lips in advanced age patient.

Introduction: The lips are considered as a key element of facial attractiveness due to their central position and their elemental role in verbal and non-verbal communication. Young age and advanced age patients commonly demand lip augmentation, but their specific purposes could be variety. Overfilled lips could lead to unnatural looking especially in advanced age patients.

Materials / method: To approach Aging Lip filler, you should comprehend 3 issues: anatomy, rheology, and technique.

Results: First, aging lips have more elongated, less defined vermillion borders. The loss of volume and muscular tone produces rhytids of dry cutaneous lips. Even though the loss of volume is easy to treat by filler but overfilled this area could lead to “duck lips”. Second, lip fillers are different in their viscosity and elasticity, so choosing the suitable filler is significant. Lastly, every patient has their unique lip structure and ideal definition. The injector should have expertise and knowledge to comprehend the patient’s desire. Patient natural smiling depends on the quality, correct filler,

Conclusion: Aging lip fillers should enhance the natural beauty, not erase all the aging signs. Lip enhancement requires knowledge of anatomy, filler rheology and expertise techniques.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Dr Diogo SEMEDO

Portugal

Other author(s) : Pamela Scarlata

Innovative Injectable Collagen applications: A Novel Approach for Mini-Facelift, Body Rejuvenation, and Gluteal Augmentation

Objectives: 1. Show that injectable collagen can be used as biostimulator for several rejuvenation applications.
2. Show techniques of administration to achieve mini-facelift, neck rejuvenation, buttock augmentation, decolleté, hand and upper arm rejuvenation.
3. Show that these techniques allows application of injectable collagen without the use of topical anesthetic or only with small bolus of injected lidocaine for cannula entry with transient self-resolving side effects.

Introduction: Collagen injections have shown to increase skin quality, stimulate proliferation and differentiation of adipocytes while increasing hydration of the skin with possible anti-inflammatory effects by a mechanotransduction physiologic mechanism. Despite the good results achieved with the on-label technique, several other techniques of application were developed to allow deposition in areas with greater risk of side effects or vascular danger such as the temples, nasolabial area and neck. Adding to these, techniques for buttock augmentation, upper arms, hands, decollete are described as well.

Materials / method: A pilot study of 25 patients with corresponding treatment approaches will be presented, concerning off-label application of injectable collagen for mini-facelift, neck rejuvenation, hand, upper arm and decolleté rejuvenation, as well as buttock augmentation. For facial indications, three treatment sessions were separated by 15 days, whereas for bodily applications only one treatment session was done. The injectable collagen was applied with different dilutions depending on the treatment area. Patients filled GAIS questionnaires 30 days after the final treatment.

Results: All patients showed improvement or much improvement (GAIS 2 or 3) of skin quality and hydration, with non-existent to very slight volume increase, except for buttock augmentation where the volumetric increase was noticeable.
All patients presented post-procedure redness for the day of the procedure and 8 presented small bruises. Patients reported a low or very low pain level during the procedure.

Conclusion: The proposed technique appears to be an efficacious way to perform skin rejuvenation with injectable collagen, with amplified indications. The use of cannulas allows application with greater security in areas such as the temple or the nasolabial area that are not possible with the standard needle on label technique. The use of injectable collagen for gluteal augmentation may be a newer indication for this product category.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Dr Ornella Del Pilar SICILIANO

Argentina

Other author(s) :

Comprehensive female biostimulation from head to toe with polylactic acid

Objectives: SPREAD the importance of treating all our patients comprehensively, understanding that aesthetic IMPROVEMENT is absolutely related and enhanced with diet, nutritional supplementation IN CONJUNCTION with the medical procedure, since it enhances the results in patients.
CONVEY the importance of women's sexual health at all ages as a quality of life and health.
Comprehensive = Nutrition + Medical treatment (PLLA) + Sexuality = Quality of life and Health

Introduction: The etymology of the word integral means "comprising all the aspects necessary to be complete." And women often take care of our general aesthetics and having achieved it we are not always complete, why? because sexuality can be affected for many reasons, aging being a very important one. Sexuality is health and quality of life at all ages and it is our responsibility as doctors to question and think about our patients as a whole. It's time to think about them from head to toe.

Materials / method: The administration of 5 vials of PLLA was carried out in a single session. 1 at the facial level with a triple anchor marking technique with a 22G cannula, then at the cervical level with lateral claw marking with retroinjection and fan technique with a 22g cannula and 27G needle, then the anteromedial region of both arms was approached with a mixed cannula technique. 22g and 27g needle, 1 vial for supraumbilical abdominal region with 22g cannula and the last vial in Labia majora of Vulva with 22g cannula retroinjection technique and Vagina with 4-inch 27g needle in tension

Results: In the quality of the skin of the face, neck, arms and abdomen: very notable decrease in flaccidity, at rest and dynamic, absolute disappearance of fine wrinkles, increase in Changes, Hydration, luminosity, homogenization of the skin achieving absolute rejuvenation from a glogaw of 4 to 2.
At the genital level: increase in thickness and redensification of the labia majora along with rejuvenation of the vaginal mucosa, improving female self-esteem and sexual quality and QUALITY OF LIFE.

Conclusion: Applying a decrease in carbohydrates and ultra-processed foods responsible for the enzymatic glycation of collagen and elastin fibers responsible for the pro-inflammatory state of the skin and premature aging, we were able to stop this factor from nutrition, we supplemented with vit C, copper, zinc and strategic hops to enhance collagen synthesis 8 times faster at the expense of PLLA. We comprehensively improve feminine aesthetics and improve sexuality. Today aesthetic medicine goes hand in hand with nutrition and supplementation. We can be separated THIS IS QUALITY OF LIFE

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Dr Manuela JORGE

Dermatologist

Brazil

Other author(s) :

Lip beautification with two rheological properties hialuronic acid

Objectives: This work presents and explores an advanced lip filling technique with two types distinct from hyaluronic acid, discussing benefits, limitations and clinical considerations. Aspects related to safety, patient satisfaction and consistent aesthetic results are addressed, highlighting the effectiveness of this procedure.

Introduction: Among the techniques used for this purpose, lip filling stands out, an approach minimally invasive and highly effective to provide fuller, more defined lips harmonious. Lip filler emerges as an innovative and versatile solution to these concerns aesthetics, with significant advances in recent decades in terms of materials and techniques.  Individualized approaches are essential to avoid artificial or disproportionate results.

Materials / method: Two types of hyaluronic acid with different rheological properties were used, the first being denser hyaluronic acid (which we named AH1) and the second less dense (which we named AH2).  The technique involves injecting the highest density hyaluronic acid (AH1) to create the contour, and the lowest density hyaluronic acid (AH2) to generate volume in lips that do not have a structured contour and very thin lips. For lips that need an increase in volume, and that already have a defined contour, we use the low-density product for the contour and the high-density product for the vermilion.

Results: When we use this technique with two fillers with different rheologies, we have several benefits, which combine aesthetics and function. We have greater safety through the use of the cannula, and the use of these different fillers can avoid palpable nodules resulting from the accumulation of hyaluronic acid. This way, we also avoid an inflated appearance, which would not be natural. And when we distribute properly filler material, we avoid asymmetries in the lips, leading to a more regular, more harmonious and elegant.

Conclusion: This technique has the advantages of better precision in the lip contour, leaving it more defined and preventing nodules from forming in the vermillion region of the mouth, minimizing the risks problems related to the procedure. Through this technique, we combine aesthetics and function optimized. This way, we have a safer, more beautiful and harmonious result when associated with the two rheologies of different hyaluronic acids.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Dr Roya ZARMEHR ZAMIN

United Arab Emirates

Other author(s) :

Multilayer Dermal Filler treatment of the Temple-Ultrasound guided safest methods

Objectives: Temple area is one of the most challenging area to treat with dermal fillers. it has been always a debate between professional aesthetic practitioners whether Dermal fillers are better injected on the Periosteum or into the Interfascial space or Subcutaneous plane. With the guide of high frequency/high resolution Ultrasound all practitioners will be able to master their anatomical knowledge, Injectable techniques and secure their safe approaches.
As all Medical specialities, the future of aesthetic medicine require the most advanced technologies to help aiming those goals.

Conclusion: The aim of this lecture to introduce the safest methods, tools and techniques for the treatment of Temple area with dermal fillers. And also how to achieve the patient's desire with the help of ultrasound facial assessment, facial mapping and securing the techniques.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Dr Ahmad NAZARI

Iran

Other author(s) : Aida Askarian MD, Pedram Bahrami MD

Multicultural Evaluation of Hyaluronic Acid Filler Injections for Nasal Deformity Correction

Objectives: The primary objective of this research is to investigate the effectiveness, safety, and patient satisfaction associated with the use of hyaluronic acid fillers for correcting various nasal deformities across different ethnic groups, including Caucasian, East Asian, Indian, Arab, and African. The study also aims to evaluate the anatomical and aesthetic considerations specific to each ethnicity, assess the learnability and practical application of the injection technique among novice physicians, and monitor the incidence of complications, specifically ecchymosis, following the procedure.

Introduction: Nasal deformities, such as deviation, bulbosity, humps, and saddle nose, can significantly impact facial aesthetics and self-esteem. Non-surgical correction using hyaluronic acid fillers offers a minimally invasive alternative to traditional rhinoplasty, accommodating the growing demand for less invasive aesthetic procedures. This study leverages a multimodal educational approach, incorporating cadaver demonstrations, clinical cases, 3D animations, and ultrasound-guided injection techniques, to provide a comprehensive analysis of filler injections for nasal correction across five ethnic groups

Materials / method: This study was conducted using pre-prepared demonstration videos on cadavers, clinical case studies, 3D animations, and real-time ultrasound-guided injection videos to train twelve novice physicians in the technique of hyaluronic acid filler injections for nasal deformities. The patient cohort consisted of 185 individuals from five different ethnic backgrounds: Caucasian, East Asian, Indian, Arab, and African. The procedure's outcomes were evaluated based on anatomical correction, patient satisfaction rates at 1, 6 and12 months post-injection, and the incidence of complications.

Results: The study reported no cases of ecchymosis, highlighting the safety of the technique. Patient satisfaction was high, with rates of 92%, 88%, and 84% at 1, 6, and 12 months post-injection, respectively. Novice physicians rated the learnability of the technique at 96% and its practicality at 94%. These findings underscore the effectiveness of using a diverse range of educational materials and the feasibility of the injection technique across different ethnicities with varying anatomical and aesthetic considerations.

Conclusion: The hyaluronic acid filler injections for nasal deformities across multiple ethnic groups have shown high efficacy, safety, and patient satisfaction. The absence of significant complications, coupled with the high rates of learnability and practicality reported by novice physicians, validates the comprehensive educational approach used in this study. This research contributes valuable insights into non-surgical nasal correction, emphasizing the importance of understanding ethnic-specific anatomical and aesthetic preferences in aesthetic medicine.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Dr Rasya DIXIT

Dermatologist

India

Other author(s) : Dr Aarthi L, Dr Kavitha KB

The ageing Indian face - Deriving algorithm from a multiclinic experience

Objectives: 1. To understand the patterns of ageing in the Indian face
2. To understand the expectations of therapy in this population
3. To derive an algorithmic approach to antiageing therapies in
Indian population

Introduction: Indians form 1/6th of the world's population and there is a increasing need to define the specific ageing patterns as well as the social expectations in this population. Indians tend to have a smaller jawline and chin, making the ageing in the lower half of the face one of their most important concerns.

Materials / method: Current treatments around the world look at fillers and energy based devices as the first line of treatment. However, with the bulky lower face, the Indian patient needs an approach to help reduce the volume of the lower face. Treatments such as injection lipolysis, toxin to reduce the masseter and parotid as well as high intensity focused ultrasound and thread lifts take more of the stage before radiofrequency or fillers. In addition, the Indian patient is highly cost consious and result oriented.

Results: We discuss our combined experience in designing treatments for the Indian population over the last 20 physician-years. Our treatment approach is to reduce the bulk using HIFU to tighten and toxin to reduce masseter/parotid size. Injection lipolysis for the submandibular region and cheeks, if indicated, comes in as the next treatment. Then, we support and lift the tissues with thread lift before adding fillers to the chin and jawline. The treatments are planned at monthly intervals to allow adequate improvement and to allow budgeting of treatment

Conclusion: Non surgical anti ageing is gaining popularity, however, treatment options need to be tailored to individual population needs. Collective experience sharing will help guide and design treatment algorithms in budget restricted populations.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Dr Michelle SLATENSEK

Cosmetic Surgeon

Philippines

Other author(s) :

Targeted Contouring: Integrating Biostimulators and Lipolytic Agents in the Treatment of Facial Fullness in the Asian population

Objectives: Objectives:
1.To evaluate the effectiveness of using biostimulators alongside lipolytic agents to refine facial contours in Asian patients experiencing facial fullness.
2.To evaluate patient satisfaction and safety of the integrated treatment approach.
3.To document any changes in skin texture and overall facial aesthetics.

Introduction: Facial fullness, particularly prevalent among individuals of Asian descent, can impact aesthetic balance and confidence. Conventional treatments typically require invasive techniques and considerable recovery time, posing challenges. This study investigates a minimally invasive method tailored to the unique facial structures common in Asian populations, employing biostimulators and lipolytic agents for precise facial contouring. This multimodal approach aims to address the specific needs and aesthetic goals of patients of Asian heritage.

Materials / method: FDA approved biostimulators and lipolytic solutions were used on 10 patients with facial fullness at a private clinic. A single treatment session employed biostimulators for collagen and elasticity enhancement, plus lipolysis for fat reduction. Follow-up at two weeks and one month included photographic analysis. Patient satisfaction, based on perceived enhancement and discomfort, was surveyed with pre and post questionnaires.

Results: All patients demonstrated noticeable improvements in facial contours and skin texture. The combination therapy effectively reduced facial fullness, particularly in the lower cheeks and jawline. Patients reported high satisfaction levels with the results, citing improvements in facial shape and firmness. Minor side effects included temporary redness and mild swelling, resolving within a few days post-treatment.

Conclusion: In addressing the distinctive characteristic of facial fullness common among individuals of Asian heritage, the synergistic application of biostimulators and lipolytic agents emerges as a viable non-surgical alternative. This innovative approach promises not just to redefine facial contours but also to enhance the texture and quality of the skin, thereby providing a twofold advantage. The favorable feedback from patients, coupled with a low incidence of complications, highlights the effectiveness of this contouring method for facial enhancement.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Dr Shi SUI

Cosmetic Surgeon

China

Other author(s) :

Comparing Calcium Hydroxylapatite to Hyaluronic Acid for Treatment of Nasolabial Folds

Objectives: This multicenter, blinded, randomized study compares patient satisfaction variables, efficacy, and durability of CaHA gel and HA for correction of nasolabial folds (NLFs) through 12 months after 3-month touch-up

Introduction: In this study, we examined Radiesse (calcium hydroxylapatite; CaHA), Juvederm for patient satisfaction, likelihood to return, immediate efficacy, and duration of correction.

Materials / method: A total of 105 randomized patients received either CaHA gel or HA for NLF treatment at initial visit and 3-month touch-up. Patients returned at 3, 6,9 and 12 months after the second injection for evaluation. Surveys measured patient satisfaction; effectiveness measures included the Global Aesthetic Improvement Scale (GAIS).

Results: More CaHA gel patients were satisfied or extremely satisfied than each HA tested. At 6 months, significantly more CaHA gel–treated NLFs were improved on the GAIS than any HA. The volumes of CaHA gel and three HA materials injected through 43months were 2.3, 3.0, 4.9, and 2.9 mL, respectively (p<005). No serious adverse events were observed.

Conclusion: In this controlled study, CaHA gel ranked highest in patient satisfaction and likelihood
to return. The material was more effective and longer lasting than each HA in maintaining NLF augmentation.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Dr Gaomin HUANG

Facial Plastic Surgeon

China

Other author(s) :

Rainbow (ROYGBbP) Symbol: A Methodological Injection Algorithm of Hyaluronic Acid Fillers Adapted to Characteristics of Asian Faces

Objectives: To discuss the efficacy and potential of Rainbow (ROYGBbP) Symbol, a methodological injection algorithm of hyaluronic acid (HA) filler, on Asian faces.

Introduction: The consumption of injectable hyaluronic acid (HA) fillers in Asian countries like China has been increasing tremendously in recent years. The optimization of HA filler application in Asian faces should be persistently explored. Rainbow (ROYGBbP) Symbol is a methodological injection algorithm of HA filler, which has been used in more than hundreds of Asian faces.

Materials / method: Rainbow Symbol is a set of anatomical subunits to inject HA fillers. It divided the facial injected areas into seven groups, marked by rainbow colors:
Red (temporal fossa)
Orange (the strip area from nasal base to zygoma to hairline above ear along zygomatic arch)
Yellow (area under zygomatic arch and buccal space)
Green (posterior line of mandibular angle)
Blue (chin, the area between the anterior buccal groove and the buccal-mental groove)
black (junction area of frontal bone and nasal bone)
Purple (forehead)
Depth, volume tool and technique of injection are also included in Rainbow Symbol.

Results: A multicenter study in China including 216 aesthetic patients showed 1 month, 6 months and 12 months after injection of HA filler according to Rainbow Symbol, 94.0%, 96.3% and 94.9% of the aesthetic patients rated their whole face appearance as "very much improved" or "much improved" on the GAIS, respectively.
Significant Alleviation of tiredness can be observed in a 22-year female after injection in R and O area, he two most fundamental areas. Further improvements can be easily identified after Rainbow Symbol was completely fulfilled.

Conclusion: Rainbow (ROYGBbP) Symbol, based on the anatomical feature and aesthetic culture of Asians, is a practical and efficient method to rejuvenate Asian aesthetics patients. It can be applied in a complete way or a simplified way according to the personalized requirement of the aesthetics patients.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Dr Leonard JOSIPOVIC

Plastic Surgeon

United Arab Emirates

Other author(s) : Dr Leonard Nenad Josipovic Dr Gerhard Sattler, Dr Sonja Sattler, Prof Dr Thilo Schenk

Five-point liquid rhinoplasty: Results from a retrospective analysis of a novel standardized technique and considerations on safety

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 increase 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.

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.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

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IMCAS Asia 2024 Program

FOCUS ON 100, 101

Contributed Talks - Injectables

Chairs

Lectures of the session

Recommended sessions

IMCAS Asia 2024
Program