Objectives: Nasal imperfections are frequent in the population in general, with a considerable psychological impact, especially among the teen population. Practitioners have to choose between medical and surgical technique.
Introduction: Surgery has for a long time been the only technique to correct nasal imperfections and stays until now the gold standard. However, the medical rhinoplasty is still developing through time.
The aim of this talk is to present technical aspects of medical rhinoplasty and to compare it with the surgical option.
Materials / method: Advantages, disadvantages and limitations of the two techniques which are discussed for the most common situations (dorsal hump, saddle nose, non-straight dorsum or droppy tip) with special interest on elements that we have to take into account when the medical technique is chosen.
Results: The medical rhinoplasty has numerous advantages: ambulatory care, a quick process and few suites in most cases. It represents, however, risks and constraints which should be appropriatly respected and which is related to :
-A tense skin on a thin subcutaneous fat compartment, so it is difficult to hide any inapproriate filler.
- Increased necrosis risks in case of vascular lesions.
Based on this particularities, we will discuss the criteria of choice of hyaluronic acids, depth of the injection and the arguments for using either canula or needle
Some limitations of this technique are observed
Conclusion: Medical rhinoplasty is a very interesting technique providing immediate and very appreciated esthetic results in most cases. However, surgery is to recommend in some situations, e.g. important dorsal hump or in case of deformations with subsequent nasal dysfunctions.
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