Non-surgical Rhinoplasty and Use of Hyaluronic Acid Based Dermal Filler-User Experience in Few Subjects
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ORIGINAL ARTICLE
Non-surgical Rhinoplasty and Use of Hyaluronic Acid Based Dermal Filler-User Experience in Few Subjects Brajendra Baser1,2,3 • Pallavi Singh3,4 Priya Chaubey6,8,9
•
Pragati Shubha3,5,6,7 • Pronab Kumar Roy6
•
Received: 14 August 2020 / Accepted: 24 August 2020 Association of Otolaryngologists of India 2020
Abstract This study was intended to assess the utility of hyaluronic acid dermal fillers in patients who do not wish surgery in addition to the patients with minor post-surgery asymmetries. This was a prospective study which included post-surgery patients for minor nasal asymmetries, patients unwilling for surgery and those waiting for revision surgery. It is of great use in candidates who do not wish surgery but had the desire for different nasal appearance especially for important life events like marriage etc. This study included 20 patients with follow up period of 18 months. The results were compared on Nasal Imperfection Scale and Rhinoplasty Outcome Evaluation along with pre and post injection photographs. Nasal Imperfection Scale difference of 5 and Rhinoplasty Outcome Evaluation Scale differential of 50 is considered to be
significant, which was observed in all individual cases. The growing need of medical rhinoplasty by the patient as well as surgeons has led to the introduction of fillers. Hyaluronic acid fillers are safe, easy and effective dermal fillers for patients undergoing all the expected indications of medical rhinoplasty. There is also growing number of candidates who wish for a ‘nose job’ for desired changes without coming under surgeon’s scalpel. Our clinical experience with 20 patients has been described with satisfactory results.
& Brajendra Baser [email protected]
6
Sri Aurobindo Institute of Medical Sciences (SAIMS), Indore, India
7
Pragati Shubha [email protected]
RECON Centre for Facial Cosmetic Surgery, 256, Sai Kripa Colony, Mahalaxmi Nagar Main Road, Indore, Madhya Pradesh 452010, India
8
Pronab Kumar Roy [email protected]
All India Institute of Medical Sciences (AIIMS), Bhopal, India
9
Civil Hospital, 948, Sector 11, Panchkula, Haryana 134109, India
Pallavi Singh [email protected]
Priya Chaubey [email protected] 1
Department of ENT, SAIMS, Indore, India
2
Jaslok Hospital, Mumbai, India
3
Akash Hospital, Bicholi Mardana Main Road, Indore, Madhya Pradesh 452016, India
4
TNMC & BYL Nair Hospital, Mumbai, India
5
DNB Otorhinolaryngology, Jaipur Golden Hospital, New Delhi, India
Keywords Medical rhinoplasty Non-surgical rhinoplasty Dermal fillers Hyaluronic acid fillers
123
Indian J Otolaryngol Head Neck Surg
Introduction The popularity of non-surgical rhinoplasty, whether performed for primary nasal augmentation or post-operative revision is due to advancements in the field of various soft tissue fillers. Medical rhinoplasty is subtle but still requires proper planning of nose in relation to its environment—that is, its relationship with the face, lips, chin and neck [1, 2]. The original ‘‘non-surgical rhi
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