A Prospective Study of Non-Surgical Primary Rhinoplasty Using a Polymethylmethacrylate Injectable Implant

Rivkin, Alexander

doi:10.1111/dsu.12415

Cited by 37 publications

(20 citation statements)

References 22 publications

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“…Most practitioners agree that biodegradable fillers should be used in preference to permanent fillers for safety reasons, although some authors still favor permanent fillers. 4 In our study we assessed safety of the procedure, as there are potential disastrous complications that can occur, such as amaurosis after injection of fillers, fat, 5 or local anesthesia, 6 probably due to accidental intra-arterial injection with subsequent occlusion of the central retinal artery or its branches. Similar complications have been reported following septoplasty and rhinoplasty.…”

Section: Discussionmentioning

confidence: 99%

Injection Rhinoplasty with Hyaluronic Acid and Calcium Hydroxyapatite: A Retrospective Survey Investigating Outcome and Complication Rates

Schuster¹

2015

Facial plast Surg

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Injection rhinoplasty offers an attractive, reversible alternative to surgery. Here we assessed outcome, longevity of benefits, adverse effects, and patient assessment of injection rhinoplasty, using degradable synthetic fillers. Forty-six patients who underwent injection rhinoplasty using degradable fillers over the past 3 years were assessed (calcium hydroxyapatite: 26 patients, hyaluronic acid: 20 patients). Comparison of pre- and postoperative images indicated realistically achievable treatment results. Patient satisfaction was assessed using a 5-point questionnaire at 3 weeks and 9 months posttreatment. Forty-six patients (88 areas) were treated. At 3 weeks posttreatment, 85% of patients were satisfied with treatment results. At 9 months or later posttreatment, 87% of patients were very/completely satisfied with treatment results, regardless of filler used. Treatment longevity varied between 6 and 30 months (mean: 13.5 months). Positive evaluation was mainly due to accurate prediction of achievable results to meet patient expectations. There were one moderate and two severe complications, all following calcium hydroxyapatite treatment. Two resolved completely following treatment and one patient was lost to follow-up. This resulted in subsequent exclusive use of hyaluronic acid filler. Injectable biodegradable fillers are effective for correction of minor nasal deformities or irregularities. Attention must be given to injection technique and adverse effect management.

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Section: Discussionmentioning

confidence: 99%

Injection Rhinoplasty with Hyaluronic Acid and Calcium Hydroxyapatite: A Retrospective Survey Investigating Outcome and Complication Rates

Schuster¹

2015

Facial plast Surg

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“…35 It is currently FDA approved for the correction of nasolabial folds and moderate-to-severe atrophic facial acne scars, 35,36 but has been used successfully to correct malar atrophy and infraorbital rhytides and for nonsurgical rhinoplasty. [37][38][39][40][41] While rheology has been useful in evaluating the clinical performance of HA fillers and to some extent, CaHA, it does not appear to be useful in predicting the clinical effects of PMMA and limited studies have been performed evaluating the rheologic properties of PMMA. The volumizing effects of PMMA can be explained by its ability to stimulate collagen synthesis, similar to that of CaHA and PLLA.…”

Section: Polymethylmethacrylate Microspheresmentioning

confidence: 99%

Rheologic properties of soft tissue fillers and implications for clinical use

Heitmiller

Ring

Saedi

2020

J of Cosmetic Dermatology

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Background: The use of injectable soft-tissue fillers has become an essential tool in esthetic rejuvenation. Rheology, the study of flow of matter, helps to understand the function of these products. Aims: The purpose of this article is to review the rheologic properties of soft-tissue fillers currently available in the United States and to evaluate how these properties relate to clinical performance. Methods: This article explains basic rheologic terms and describes how rheologic properties of specific soft-tissue fillers affect filler performance. Results: The currently available soft-tissue fillers have unique rheologic and physicochemical properties that influence performance and cosmetic outcome. These properties determine that filler product is most appropriate based on degree of soft-tissue defect and anatomic location. Conclusion: It is imperative for physicians to have an in-depth understanding of the rheologic properties of soft-tissue fillers in order to appropriately select and utilize these products for the desired cosmetic outcome.

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“…This year I published a prospective, blinded study on the safety and efficacy of injecting methyl methacrylate (Artefill, Suneva, Santa Barbara, CA) to correct nasal contour deficiencies [21]. Artefill is a third-generation methyl methacrylate filler in a collagen carrier that was FDA approved in 2006 for nasolabial fold correction.…”

Section: Historymentioning

confidence: 99%

Nonsurgical Rhinoplasty: Nasal Grid Analysis and Nasal Injecting Protocol: Correction

2019

Plastic &Amp; Reconstructive Surgery

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The goal of this chapter is to acquaint the experienced injector with the technique of Nonsurgical Rhinoplasty (NSR). This is an advanced technique and I am assuming that readers will be thoroughly familiar with how to perform cosmetic injections. I am also assuming that readers are knowledgeable about the various fillers and injectables available today in the United States. NSR provides the first noninvasive alternative to surgical rhinoplasty, accomplishing the cosmetic goals of contour improvement without the risks and downtime of surgery. NSR is not a replacement for rhinoplasty and is appropriate in a specific subgroup of rhinoplasty candidates, which will be characterized. The procedure is currently being performed in a variety of ways, as described in the literature review. This chapter will detail the optimal methods of carrying out NSR based on a 10-year, 2500-patient experience with the technique. Discussion will also include critical safety concerns, tips on how to get the best results possible, and complication management. Being prepared for complications is a particular concern with NSR because timely intervention is so critical in cases of ischemic events. Patient selection, knowledge of the anatomy, meticulous technique, and a focus on safety is the key to success with this procedure. Overall, NSR is safe, precise, effective, and versatile. My patients are thrilled with their results, and I have made it the foundation of a thriving practice.

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A Prospective Study of Non-Surgical Primary Rhinoplasty Using a Polymethylmethacrylate Injectable Implant

Abstract: Filler rhinoplasty using a PMMA-based injectable filler is safe and effective. This is the first study documenting the use of PMMA for this indication. Longer-term follow-up is needed to demonstrate persistence of improvement.

Cited by 37 publications

References 22 publications

Injection Rhinoplasty with Hyaluronic Acid and Calcium Hydroxyapatite: A Retrospective Survey Investigating Outcome and Complication Rates

Injection Rhinoplasty with Hyaluronic Acid and Calcium Hydroxyapatite: A Retrospective Survey Investigating Outcome and Complication Rates

Rheologic properties of soft tissue fillers and implications for clinical use

Nonsurgical Rhinoplasty: Nasal Grid Analysis and Nasal Injecting Protocol: Correction

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