目标: underline the dangers of using needles in medical rhinoplasty 介绍: medical rhinoplasty is a very cool technique used more and more for nasal reshape. Use of needles can be dangerous 材料 / 方法: The authors present a case report on an ischemical complication around the tip of the nose after a filler injection with a needle. All different passages until final recovery are outlined. The anatomical details will be underlined. 结果: The recovery after ischemical complications for a Hyaluronic acid filler injection is quit always the "restitutio ad integrum", but the time needed can vary from 3 month until 5-6. 总结: The use of needles in danger areas like the nose can lead to dramatic consequences and would be avoided. Cannulas 25 or 22G can provide the same results all over the nose with only one entry point, are quit painless and reduce to a very low rate the possibility of an ischemical complication.