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Objectives: Comparing Surgical and Non-surgical Rhinoplasty and evaluating the goal of the two techniques and the possible limits and even fusion techniques

Introduction: Non-surgical rhinoplasty has remarkably increased in popularity in the last few years, thanks to its ability to correct mild imperfections of the nose and improve nasal profile without the necessity of hospitalization, with just a little discomfort for the patients and an immediate result. On the other hand, traditional rhinoplasty allows a complete reshaping of the nasal structure with long-term results.

Materials / method: we evaluate the pro and cons of the two procedures in different kinds of situations. which one is the best solution depending on the rationale of preoperatory anatomy in all the possible situations

Results: different anatomical problems have a different outcomes of possibility and limits

Conclusion: We believe surgical rhinoplasty remains the gold standard for treating almost any clinical presentation, with only a few exceptions.

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Objectives: To understand the concepts and precepts that guide a safer and more anatomical technique for medical nose remodeling.

Introduction: The huge popularity of non-surgical nose remodelation has also brought an increase in the number of complications and displeasing aesthetic results. There is an acute need to review the assessment, anatomy, and techniques to provide safer and better outcomes.

Results: The use of basic anatomical understandings of the nasal structure, vascular irrigation, and nasal tissue support in conjunction with proven and tried remodeling concepts from rhinoplasty provides safer and more aesthetically pleasing results.

Conclusion: Use of surgical concepts for non-surgical nose remodeling is helpful in making the procedure have less possibility of complications while correctly addressing the different components of a beautiful nose.

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Objectives: The objective of this presentation is to present the risk of nose injection and how to avoid complications.

Introduction: The indications for medical rhinoplasty have improved last years because fillers offer a non-surgical alternative for nose augmentation. Several fillers can be used but Hyaluronic Acid is the most often use. They can be used to improve the nose bridge height, nose tip projection, hid a hump or project a columella. But severe complications can occur in non-expert hands.

Materials / method: The risks and the different possible complications during medical rhinoplasty are presented.
A reminder of the nasal vascular anatomy, that is a net of vessels, as well as of the risk zones, allows us to understand the mechanism of these complications and how to avoid them. Skin necrosis and blindness are the worth complications described.

Results: To avoid arterial or venous complication, anatomy must be well known.
Never inject too much product to avoid excessive tension of the tissues, especially the tip of the nose, which could cause hypoxia or necrosis.
Never inject under too much pressure, or parallel to vessels.
Avoid risk areas: columellar arteries, lateral artery and nasal vein.
The injection on the dorsum of the nose must be done in depth in contact with the periosteum, being at a distance from the nasal dorsal artery.
It’s important to always have hyaluronidase at office and to know to use it in case of vascular complication

Conclusion: Respect for precise rules and knowledge of the vascular anatomy of the nose are fundamental to avoid the occurrence of vascular complications

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