摘要

Objectives: Upon completion, the participant will be able to: 1. Evaluate the patient seeking improved nasal contouring and select ideal candidates for nonsurgical rhinoplasty 2. Masterfully describe the key components of the R4P technique 3. Implement the safety tips integrated into the R4P technique Introduction: Nonsurgical rhinoplasty (NSR) utilizing hyaluronic acid (HA) filler injections is increasingly used to address nasal contouring issues. Still, the procedure lacks standardization and has been associated with vascular adverse events. Materials / method: This presentation details the rules of NSR and a novel NSR technique called Rhino-4-Points (Rino-4-Puntos; R4P), published recently in Aesthetic Plastic Surgery by Silikovich and Kroumpouzos. We conducted a study to evaluate the aesthetic outcome, longevity of results, safety, and patient satisfaction with the R4P technique. All 400 participants had one of the following indications: rectification of the dorsum (21%), triangulation of the tip (32%), projection (25%), and strengthening of the columella (22%). Results: We used two HA fillers: one with intermediate G prime (G′) at Points 1-3 and another with high G′ at Point 4 (further divided into Points 4.1, 4.2, 4.3, and 4.4). The injection points were as follows: P1 (radix, 0.05-0.15 mL, supraperiosteal), P2 (supratip, 0.025 mL, suprachondrial), P3 (tip, 0.15 mL, deep fat), P4 (columella, 0.30 mL, supraperiosteal [4.1] or deep fat [4.2, 4.3, & 4.4]). Most participants (93%) considered the overall outcome at least satisfactory (“good,” "very good," or "excellent"). The aesthetic effect lasted for a median of 11 months. There were no vascular complications. Conclusion: The R4P technique refines NSR by combining enhanced aesthetic outcome, longevity, and safety. The safety tips discussed minimize complications.