Objectives: 4 reasons to reject every patient who asks us to inject their nose

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Objectives: Case presentation and discussion of impending necrosis rescue in Non Surgical Rhinoplasty using leeches. Other maneuvers used will be discussed as well. Ischemia preparedness, early recognition and effective management will be covered.

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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.

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Objectives: In the last decade, rhinoplasty has become the 5th most common surgical procedure worldwide. This highlights the importance of the nose in facial aesthetics and the impact it has on patients when it causes them discomfort. The development of fillers and the use of botulinum toxin have introduced new approaches: medical rhinoplasty. This technique can significantly improve the appearance of the nose when surgical intervention is ruled out or declined by the patient. It can also serve as a complementary option.

This presentation aims to outline the steps involved in providing care under optimal

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Objectives: The nose's uniqueness as a facial feature and its noncompliance with aesthetic norms should be considered.

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Objectives: The nonsurgical rhinoplasty, or the liquid rhinoplasty, using fillers HA or calcium hydroxyapatite or the minimally invasive natural filler injections (Lipofilling by Microfat, Dermgraft) has become an increasingly popular alternative to classical surgical procedures

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请注明日期: approved
和审阅情况: 2018

这项工作没有任何直接或间接的资金支持。由作者自己承担责任。

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Objectives: By following these guidelines, we can deliver more accurate, safe, and visually appealing outcomes when using fillers in rhinoplasty.

Introduction: Dermal fillers for rhinoplasty (non-surgical rhinoplasty) are a minimally invasive technique that requires precision, detailed anatomical knowledge, and advanced technical skills.

Results: The use of dermal fillers for non-surgical rhinoplasty is a minimally invasive procedure that demands precision, in-depth knowledge of facial anatomy, and sophisticated technical expertise.

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