摘要

Objectives: The aim of this paper is to address the question of the Rhinofiller as an effective alternative to rhinoplasty with a personal tecnique (LESS tecnique: Long term Efficacy, Safety, Stability tecnique) Introduction: The LESS tecnique combines less trauma and oedema with long term efficacy, safety and stability. Long term efficacy because of the utilization of a very high G prime specific hyaluronic acid. Safety because of the exclusive use of a 25 Gauge cannula in 95% of cases (needle is just utilized for little intradermal adjustements or to push down the nostrils in the pinched nose defect) with only two access points. Stability, because tip is always stabilized with columellar hyaluronic grafs, between and behind the medial crura, so botulinic toxin for depressor septum is never needed Materials / method: we rewiewed 200 cases with a clinical follow up from 1 to 4 years. We found out new antropological measures, which can be used as indications of the tecnique choice (medical or surgical). Results: The rhinofiller is comparable to surgical rhinoplasty in patients whose nasal radix height is less than 1,3 cm. Otherwise this tecnique seems to be less effective than surgery. The four year study with very high G prime hyaluronic acid allowed us to find stable and long lasting results. we found that also after some years corrections are not always necessary. A possible explanation is the biochemical composition of the tissue cartilages neighbourhoods. Furthermore, the scar tissue may favour the stability of the nonsurgical rhinoplasty result, if it is performed after a rhinoplasty. Conclusion: This study allows us to find out some indications that make the non surgical rhinoplasty an effective alternative to surgical rhinoplasty