81:(Radiesse), are used to alter and shape a person's nose without a surgery. The procedure fills in depressed areas on the nose, lifting the angle of the tip or smoothing the appearance of bumps on the bridge. Non surgical rhinoplasty is an augmentation procedure, so it cannot reduce the size of someone's nose. The cosmetic procedure carries the risk of causing serious skin damage or distant complications like blindness. If the filler product is injected into an artery, filler can travel in the arteries and blocks smaller size arteries like ophthalmic artery and cause blindness. If blood vessels of the skin is blocked, skin necrosis can develop. Hyaluronic acid based fillers can be reversed even if injected into a blood vessel with an enzyme called hyaluronidase, which can be also injected like fillers.
224:. Because the procedure is not invasive, bruising and swelling are minimal. The procedure is not meant to decrease nose size, although it can make the nose appear smaller by making it look straighter. It is frequently used to increase the height and definition of the nasal bridge, as well as augmenting other precisely defined areas of the nose. The procedure is not used to correct functional defects. Non-surgical rhinoplasty is used by patients of all ethnicities.
150:
192:
163:
201:
172:
219:
features of a person. Non-surgical correction is considered for patients with a treatment-suitable aesthetic defect, or a defect resulting from a surgical rhinoplasty (either primary or secondary). Although the procedure is usually performed for aesthetic purposes, it can also be used to correct some
399:
The procedure for injecting and placing the soft-tissue filler typically take 10 to 30 minutes to perform in the surgeon's consultation room, after an initial 15 minutes of numbing. After the procedure, the patient can typically resume normal life activities immediately. Results are immediate and
365:) – A permanent filler made from inert, microscopic surgical plastic beads. It is packaged with bovine collagen as a carrier, so a skin test is necessary prior to treatment. This filler is injected over several treatment sessions.
490:
Stupak HD, Moulthrop TH, Wheatley P, Tauman AV, Johnson CM Jr. Calcium hydroxylapatite gel (Radiesse) injection for the correction of postrhinoplasty contour deficiencies and asymmetries. Arch Facial Plast Surg. 2007
776:
353:) – A permanent filler used most frequently in Asia and Australia. Some studies have since found increased complications with Aquamid. It is not approved by the U.S. FDA.
333:, Perlane or Voluma) – low hypoallergenic temporary filler that lasts for 6 to 10 months. This filler can be dissolved with injections of an enzyme called hyaluronidase.
441:
Rokhsar, C. and D.H. Ciocon, Nonsurgical rhinoplasty: an evaluation of injectable calcium hydroxylapatite filler for nasal contouring. Dermatol Surg, 2008. 34(7): p. 944-6.
141:, as reported in 1977. To minimize the risk, in 2000 D.S. Orentreich advocated the "microdroplet technique", minute doses of silicone injected over multiple sessions.
317:(Radiesse) – A calcium based, non allergenic filler that is sturdier than hyaluronic acid and lasts for 10 to 14 months. However, it is not reversible.
769:
29:
762:
1126:
581:"P. Nonsurgical Injection Rhinoplasty with Calcium Hydroxylapatite in a Carrier Gel (Radiesse): A 4-Year, Retrospective Clinical Review"
126:" that characterizes the "saddle nose deformity." Yet, despite its corrective efficacy, liquid paraffin proved biologically harmful.
133:
gel were introduced to the rhinoplastic surgeons. However, like liquid paraffin, silicone gels proved biologically harmful, causing
153:
BEFORE AND AFTER: Low bridge and under-projected nasal tip (left photo) corrected with
Radiesse injection into the tip and dorsum.
1385:
904:
1320:
1295:
1290:
936:
92:. The procedure was abandoned when disastrous late complications started appearing. More modern fillers are now in use.
604:"Delayed immune mediated adverse effects to hyaluronic acid fillers: report of five cases and review of the literature"
284:). Granulomas are extremely rare, and are most seen with impure silicone and some of the early non-modern versions of
432:
Beer, K.R., Nasal reconstruction using 20 mg/ml cross-linked hyaluronic acid. J Drugs
Dermatol, 2006. 5(5): p. 465-6.
396:. Surgeons may also inject material in two planes, above and below the subperiosteal plane, for dorsal augmentation.
341: – Medical grade silicone is sometimes used in a microdroplet technique for permanent versions of the procedure.
1280:
1136:
1131:
998:
374:
The preferred anesthesia for non surgical rhinoplasty is topical cream (topical anesthesia). Some physicians use
1360:
1187:
1154:
1146:
36:
667:
Alexander Rivkin (May 2009). "New fillers under consideration: what is the future of injectable aesthetics?".
308:
Duration of results depends on the type of filler used. Modern injectable soft-tissue filler agents include:
914:
803:
1350:
1315:
1285:
1220:
1121:
414:
357:
313:
78:
704:"Non-surgical Rhinoplasty and Use of Hyaluronic Acid Based Dermal Filler-User Experience in Few Subjects"
1390:
1330:
993:
754:
111:
84:
Originally developed at the turn of the 19th century, early attempts used soft-tissue fillers such as
1202:
1177:
988:
544:
Orentreich DS (October 2000). "Liquid injectable silicone: techniques for soft tissue augmentation".
389:
253:
215:
Because the nose is the anchor-feature of the face, an aesthetically proportionate nose balances the
1325:
1307:
1275:
1225:
850:
702:
Baser, Brajendra; Singh, Pallavi; Shubha, Pragati; Roy, Pronab Kumar; Chaubey, Priya (2020-09-03).
134:
1197:
1169:
1023:
923:
786:
623:
526:
345:
388:(e.g. 27-G, 25 mm) to inject the material under the nasal skin, most commonly in the deep
1355:
1345:
858:
741:
723:
684:
649:
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580:
561:
518:
473:
385:
259:
24:
731:
715:
676:
639:
615:
553:
510:
465:
409:
375:
123:
501:
Wilkie TF (August 1977). "Late development of granuloma after liquid silicone injections".
1108:
1080:
983:
321:
66:
272:
As with other aesthetic procedures, possible complications of the procedure can include
149:
1267:
1246:
1230:
1087:
1036:
931:
845:
736:
703:
644:
603:
119:
557:
1379:
1116:
1044:
1008:
973:
514:
221:
105:
456:
Alexander Rivkin; Kontis TC (May 2009). "The history of injectable facial fillers".
1212:
1054:
957:
887:
882:
337:
289:
238:
216:
85:
530:
191:
162:
42:
1192:
1072:
1059:
1049:
1017:
941:
892:
830:
825:
820:
378:
200:
171:
108:
101:
719:
265:
the elevation of a saddle nose deformity caused by a failed primary rhinoplasty
1182:
1064:
965:
866:
840:
835:
812:
393:
727:
635:
627:
384:
The physician injector uses a sterile syringe, prepackaged with filler and a
209:
BEFORE AND AFTER: Droopy nasal tip (left photo) lifted with filler injection.
180:
BEFORE AND AFTER: Bumpy nose (left photo) straightened with filler injection.
1340:
978:
897:
330:
281:
273:
138:
122:(1844–1924) began using liquid paraffin wax to elevate the "collapsed nasal
70:
65:
is a medical aesthetic procedure in which injectable fillers, most commonly
745:
688:
680:
653:
565:
477:
469:
381:(i.e. lidocaine injections), but that can obscure the area being injected.
104:
is reported to have originated at the turn of the nineteenth century, when
949:
619:
522:
362:
326:
297:
293:
277:
130:
89:
74:
52:
1159:
794:
350:
602:
Bitterman-Deutsch, Ora; Kogan, Leonid; Nasser, Faris (30 March 2015).
1335:
1032:
1012:
874:
285:
115:
280:, discomfort, anatomic asymmetry, or foreign body reaction (called
758:
708:
Indian
Journal of Otolaryngology and Head & Neck Surgery
231:
the augmentation of a flat nasal bridge (depressed dorsum)
400:
lasts up to 15–18 months depending on the filler type.
129:
During the 1960s, soft-tissue fillers of medical-grade
258:
the enhancement of a retracted maxilla lateral to the
262:(pear-shaped) aperture to displace the anterior plane
1306:
1266:
1259:
1239:
1211:
1168:
1145:
1107:
1100:
1007:
913:
802:
793:
35:
23:
18:
770:
8:
227:The filler-injection technique allows for:
1263:
1104:
799:
777:
763:
755:
735:
643:
451:
449:
447:
246:the perceptual diminution of a nasal hump
148:
425:
15:
234:the added projection of the nasal tip
7:
1127:High-resolution computed tomography
785:Tests and procedures involving the
249:filling a nasal sidewall depression
48:
579:Alexander Rivkin (December 2009).
14:
515:10.1097/00006534-197708000-00004
199:
190:
170:
161:
243:small reduction of nostril size
905:Laryngotracheal reconstruction
1:
1296:Positive pressure ventilation
558:10.1016/S0094-1298(20)32763-2
1291:Negative pressure ventilator
1407:
1281:Surgical airway management
1137:Ventilation/perfusion scan
937:Tracheoesophageal puncture
720:10.1007/s12070-020-02100-8
296:or Arteplast, though not
49:
1361:Pulmonary rehabilitation
1188:Bronchial challenge test
1155:Pneumonia severity index
1147:Clinical prediction rule
392:, immediately above the
237:correction of retracted
63:Non-surgical rhinoplasty
19:Non-Surgical Rhinoplasty
1386:Plastic surgery filler
1351:Hyperinflation therapy
1316:Artificial respiration
1286:Mechanical ventilation
1221:Bronchoalveolar lavage
1122:CT pulmonary angiogram
681:10.1055/s-0029-1220652
669:Facial Plastic Surgery
470:10.1055/s-0029-1220645
458:Facial Plastic Surgery
415:History of rhinoplasty
358:Polymethylmethacrylate
314:Calcium hydroxyapatite
252:enhancing a retracted
154:
79:calcium hydroxyapatite
1331:Decompression chamber
999:Heart–lung transplant
503:Plast. Reconstr. Surg
152:
112:James Leonard Corning
1203:Impulse oscillometry
1178:Body plethysmography
620:10.4081/dr.2015.5851
585:Cosmetic Dermatology
390:subcutaneous tissues
254:anterior nasal spine
1326:Hyperbaric medicine
1308:Respiratory therapy
1226:Nasopharyngeal swab
851:Acoustic rhinometry
608:Dermatology Reports
491:Mar-Apr;9(2):130-6.
1198:Diffusion capacity
1170:Lung function test
787:respiratory system
346:Polyacrylamide gel
155:
145:Procedure overview
1373:
1372:
1369:
1368:
1356:Pulmonary hygiene
1346:Postural drainage
1255:
1254:
1096:
1095:
386:hypodermic needle
60:
59:
1398:
1264:
1260:Other procedures
1105:
800:
779:
772:
765:
756:
750:
749:
739:
699:
693:
692:
664:
658:
657:
647:
599:
593:
592:
576:
570:
569:
541:
535:
534:
498:
492:
488:
482:
481:
453:
442:
439:
433:
430:
410:Cosmetic surgery
268:traumatic injury
203:
194:
174:
165:
114:(1855–1923) and
53:edit on Wikidata
45:
16:
1406:
1405:
1401:
1400:
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1396:
1395:
1376:
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1374:
1365:
1302:
1251:
1235:
1207:
1164:
1141:
1109:Medical imaging
1092:
1081:Mediastinoscopy
1021:
1016:
1003:
989:Transplantation
984:Wedge resection
909:
789:
783:
753:
701:
700:
696:
666:
665:
661:
601:
600:
596:
578:
577:
573:
546:Clin Plast Surg
543:
542:
538:
500:
499:
495:
489:
485:
455:
454:
445:
440:
436:
431:
427:
423:
406:
372:
338:Liquid silicone
322:Hyaluronic acid
306:
213:
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206:
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204:
196:
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184:
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67:hyaluronic acid
56:
41:
12:
11:
5:
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1300:
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1278:
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1268:Oxygen therapy
1261:
1257:
1256:
1253:
1252:
1250:
1249:
1247:Blood gas test
1243:
1241:
1237:
1236:
1234:
1233:
1231:Sputum culture
1228:
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1124:
1119:
1113:
1111:
1102:
1098:
1097:
1094:
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1091:
1090:
1088:Nuss procedure
1084:
1083:
1078:
1076:
1068:
1067:
1062:
1057:
1052:
1047:
1042:
1040:
1037:pleural cavity
1028:
1026:
1005:
1004:
1002:
1001:
996:
991:
986:
981:
976:
971:
969:
961:
960:
955:
953:
945:
944:
939:
934:
932:Cricothyrotomy
929:
927:
919:
917:
911:
910:
908:
907:
902:
901:
900:
890:
885:
880:
878:
870:
869:
864:
862:
854:
853:
848:
846:Rhinomanometry
843:
838:
833:
828:
823:
818:
816:
808:
806:
797:
791:
790:
784:
782:
781:
774:
767:
759:
752:
751:
694:
675:(2): 120–123.
659:
594:
591:(12): 619–624.
571:
552:(4): 595–612.
536:
493:
483:
443:
434:
424:
422:
419:
418:
417:
412:
405:
402:
371:
368:
367:
366:
354:
342:
334:
318:
305:
304:Modern fillers
302:
270:
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256:
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208:
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120:Robert Gersuny
97:
94:
58:
57:
50:
47:
46:
39:
33:
32:
27:
21:
20:
13:
10:
9:
6:
4:
3:
2:
1403:
1392:
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1383:
1381:
1362:
1359:
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1214:
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1201:
1199:
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1148:
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1138:
1135:
1133:
1130:
1128:
1125:
1123:
1120:
1118:
1117:Bronchography
1115:
1114:
1112:
1110:
1106:
1103:
1099:
1089:
1086:
1085:
1082:
1079:
1077:
1075:
1074:
1070:
1069:
1066:
1063:
1061:
1058:
1056:
1053:
1051:
1048:
1046:
1045:Thoracentesis
1043:
1041:
1039:
1038:
1034:
1030:
1029:
1027:
1025:
1019:
1014:
1010:
1006:
1000:
997:
995:
994:Decortication
992:
990:
987:
985:
982:
980:
977:
975:
974:Pneumonectomy
972:
970:
968:
967:
963:
962:
959:
956:
954:
952:
951:
947:
946:
943:
940:
938:
935:
933:
930:
928:
926:
925:
921:
920:
918:
916:
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906:
903:
899:
896:
895:
894:
891:
889:
886:
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871:
868:
865:
863:
861:
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852:
849:
847:
844:
842:
839:
837:
834:
832:
829:
827:
824:
822:
819:
817:
815:
814:
810:
809:
807:
805:
801:
798:
796:
792:
788:
780:
775:
773:
768:
766:
761:
760:
757:
747:
743:
738:
733:
729:
725:
721:
717:
713:
709:
705:
698:
695:
690:
686:
682:
678:
674:
670:
663:
660:
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646:
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637:
633:
629:
625:
621:
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613:
609:
605:
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582:
575:
572:
567:
563:
559:
555:
551:
547:
540:
537:
532:
528:
524:
520:
516:
512:
509:(2): 179–88.
508:
504:
497:
494:
487:
484:
479:
475:
471:
467:
463:
459:
452:
450:
448:
444:
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435:
429:
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364:
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355:
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328:
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315:
311:
310:
309:
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299:
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287:
283:
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267:
264:
261:
257:
255:
251:
248:
245:
242:
240:
236:
233:
230:
229:
228:
225:
223:
222:birth defects
218:
202:
193:
173:
164:
151:
144:
142:
140:
136:
132:
127:
125:
121:
117:
113:
110:
107:
106:New York City
103:
100:Non-surgical
95:
93:
91:
87:
82:
80:
76:
72:
68:
64:
54:
44:
40:
38:
34:
31:
28:
26:
22:
17:
1391:Nose surgery
1071:
1055:Thoracoscopy
1031:
964:
958:Bronchoscopy
948:
922:
888:Laryngectomy
883:Laryngoscopy
873:
857:
811:
714:(1): 52–58.
711:
707:
697:
672:
668:
662:
611:
607:
597:
588:
584:
574:
549:
545:
539:
506:
502:
496:
486:
464:(2): 67–72.
461:
457:
437:
428:
398:
383:
373:
356:
344:
336:
320:
312:
307:
290:methacrylate
271:
226:
217:physiognomic
214:
128:
99:
86:paraffin wax
83:
62:
61:
1193:Capnography
1073:mediastinum
1060:Thoracotomy
1050:Pleurodesis
1018:mediastinum
942:Tracheotomy
893:Laryngotomy
831:Somnoplasty
826:Septoplasty
821:Rhinoplasty
614:(1): 5851.
379:anaesthesia
109:neurologist
102:rhinoplasty
1380:Categories
1276:Intubation
1183:Spirometry
1065:Chest tube
1009:Chest wall
867:Sinusotomy
841:Rhinectomy
836:Alarplasty
421:References
394:periosteum
370:Techniques
282:granulomas
139:granulomas
118:physician
69:ones like
1341:Nebulizer
1132:Spiral CT
1024:diaphragm
979:Lobectomy
898:Thyrotomy
728:2231-3796
636:2036-7392
628:2036-7406
349:(PAAG or
331:Restylane
274:infection
239:columella
71:Restylane
1213:Cytology
950:bronchus
915:Lower RT
804:Upper RT
746:33643885
689:19415580
654:25918619
566:11039892
478:19415573
404:See also
363:Artefill
327:Juvederm
298:Artefill
294:Artecoll
278:hematoma
260:pyriform
131:silicone
116:Viennese
90:silicone
75:Juvederm
25:ICD-9-CM
1160:CURB-65
924:trachea
795:Surgery
737:7881997
645:4387334
351:Aquamid
96:History
43:D012225
1336:Heliox
1033:pleura
1013:pleura
875:larynx
744:
734:
726:
687:
652:
642:
634:
626:
564:
531:253378
529:
523:887659
521:
476:
286:methyl
135:ulcers
124:dorsum
1240:Other
1101:Tests
859:sinus
624:eISSN
527:S2CID
376:local
51:[
30:21.87
1022:and
966:lung
813:nose
742:PMID
724:ISSN
685:PMID
650:PMID
632:ISSN
562:PMID
519:PMID
474:PMID
137:and
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