Non-surgical Rhinoplasty (NSR): A Systematic Review of Its Techniques, Outcomes, and Patient Satisfaction

Abstract

Surgical rhinoplasty (SR), commonly known as nose job, is a widely practiced cosmetic surgery globally, aimed at addressing diverse aesthetic and functional concerns related to the nose. In recent years, non-surgical rhinoplasty (NSR) has gained popularity due to advanced techniques involving hyaluronic acid (HA) dermal fillers, offering advantages such as affordability, reduced side effects, and faster results. However, concerns persist about the suitability of dermal fillers for nasal anatomy and potential complications, prompting this comprehensive review. This study systematically evaluated the techniques, fillers, safety, and patient satisfaction associated with NSR, with the intent of providing valuable insights for clinicians and patients considering NSR or SR for improved aesthetic outcomes. The literature search, following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria, yielded 16 relevant studies from an initial pool of 1002 articles. These studies covered various aspects of NSR, including techniques, complications, limitations, and positive results. In conclusion, NSR appears to be a quick and safe option for addressing minor nose shape issues, particularly through the use of HA fillers, but further discussion and standardization are necessary to address risks and limitations. A randomized controlled trial (RCT) using photographic evidence could significantly propel the progress of this evolving treatment. RCTs offer an optimal method to assess NSR's adverse effects and overall outcomes by allowing controlled comparisons between treatment and control groups. This approach minimizes biases and generates reliable statistical data, which is critical for evaluating safety, efficacy, and potential risks, thereby guiding informed clinical decisions.

Use of Grafts Materials in Dorsal Augmentation Rhinoplasty

“…Rhinoplasty uses hyaluronic acid (HA) due to its effectiveness and short recovery time, [39][40][41][42] but HA filler injections are not without complications: blindness and skin necrosis have been reported as a result of nasal filler injections and injection site reactions; infection; hypersensitivity; vascular disorders, etc. 43…”

Sling-bridge technique: new technique in extracorporeal septorhinoplasty

“…One of the most common aesthetic surgical procedures in the world is rhinoplasty, which can be performed by both an otorhinolaryngologist and a plastic surgeon ( 1 ). Rhinoplasty is one of the most frequently conducted cosmetic surgeries worldwide, with over 350,000 procedures performed each year in the United States ( 2 ). Rhinoplasty can be performed for both aesthetic and functional purposes, and it is very essential for the surgeon to carefully interview the patient to figure out exactly what their main aim and expectation are for the surgery and to thoroughly go through the surgery plan with the patient.…”

Beyond the Aesthetics: Understanding Risks in Nonsurgical Rhinoplasty

“…Nonsurgical rhinoplasty (NSR) is becoming an increasingly attractive alternative for those seeking less invasive ways to improve the appearance of the nose. The procedure is particularly suited to patients with minor imperfections and defects in the nasal area that do not require full surgical intervention 2,4 .…”