Nonsurgical Rhinoplasty Using Injectable Fillers: A Safety Review of 2488 Procedures

Rivkin, Alexander

doi:10.1089/fpsam.2020.0291

Cited by 24 publications

(26 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In a recent review of 2488 NSR procedures performed by the author with a range of fillers, the overall rate of adverse events in postsurgical patients was 10.8%, significantly higher than the rate of adverse events in patients without previous surgery (7.4%; P = 0.032). 13 Thus, injection of postrhinoplasty patients with PMMA-collagen gel requires an even higher level of expertise and care.…”

Section: Discussionmentioning

confidence: 99%

“…In the author’s experience, the radix is the most frequently injected (77% of procedures, alone or in combination), followed by the tip (70%), dorsum (60%), side wall (26%), ala (2%), and columella (<1%). 13 The most common combination is the dorsum, radix, and tip. Regardless of the area, the injector must be vigilant and extremely conservative with the speed, force, and amount of product that they inject.…”

Section: Discussionmentioning

confidence: 99%

“…The second session should not be before 4 months to ensure that collagen induction by the PMMA microspheres has peaked. 13 Injecting earlier increases risk of overcorrection. Given that PMMA-collagen gel is long-lasting, a conservative and multisession approach to injection is best.…”

Section: Discussionmentioning

confidence: 99%

“…For each of the most commonly used fillers in this setting, including HA fillers, calcium hydroxylapatite (CaHA; Radiesse; Merz North America, Inc., Raleigh, N.C.), and PMMA-collagen gel, use in the nose is off-label. 12 , 13 Filler choice should be based on the anatomic location of the defect, desired outcome, and product attributes such as reversibility, longevity, viscosity, hydrophilicity, elasticity, and moldability after injection. 14 For instance, HA fillers generally last 6–18 months, are easily moldable, and are reversible at any time following injection; however, they have a minimal collagen stimulating effect.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

PMMA-collagen Gel in Nonsurgical Rhinoplasty Defects: A Methodological Overview and 15-year Experience

Rivkin

2022

Plastic and Reconstructive Surgery - Global Open

Self Cite

View full text Add to dashboard Cite

Background: Nonsurgical rhinoplasty (NSR) is an alternative to surgical rhinoplasty for patients who desire correction of mild-to-moderate aesthetic nasal defects but do not wish to undergo surgery due to concern about risks, recovery time, or cost. Although not a surrogate, NSR can be a more accessible and more precise modality for achieving aesthetic goals. Furthermore, for certain types of defects, the precision possible with filler injection versus surgery can make NSR the preferred procedure. In these instances, polymethylmethacrylate (PMMA)-collagen gel is a valuable tool for appropriate candidates due to its permanence and its favorable safety profile when injected appropriately. Methods: Optimal use of PMMA-collagen gel for NSR is predicated on expert-level injector experience and careful patient selection and education. The author draws on over 15 years of experience treating more than 1000 NSR patients with PMMA-collagen gel to provide a discussion of relevant anatomy; methodological overview, including patient selection; and a video describing injection technique of NSR with PMMA-collagen gel. Results: To our knowledge, this is the first published guidance on NSR with permanent filler. In addition to the clinical experience provided, patient images with 10 years of follow-up are included to illustrate the durability of the results and the continued natural appearance of the correction as the treated patients continue to age. Conclusion: In patients with aesthetic nasal deficits treated with filler, where permanent correction is desired, the appropriate use of PMMA-collagen gel is an effective treatment option.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

PMMA-collagen Gel in Nonsurgical Rhinoplasty Defects: A Methodological Overview and 15-year Experience

Rivkin

2022

Plastic and Reconstructive Surgery - Global Open

Self Cite

View full text Add to dashboard Cite

show abstract

“…The junction between the ULC and the back septum is known as the internal nasal valve. Any operation that weakens support for the ULC and dorsal septum, such as resecting a back hump, may result in progressive displacement and the squeezing of a central void, as previously mentioned (Rivkin & Medicine, 2021). This is the same anatomical problem that causes an inverted V, although the constricted middle vault is less visible and is frequently referred to as hourglass deformity in those who have a normal kidney dorsal region width (Bergeron & Chen, 2009).…”

Section: Internal Valve Collapse/hourglass Deformitymentioning

confidence: 98%

A Medical Approach for Rhinoplasty

Shahzad¹,

Hussain²,

Karim³

et al. 2022

FCS

View full text Add to dashboard Cite

Rhinoplasty is one of the most commonly performed aesthetic surgical procedures in plastic surgery. Over the past 20 years, one of the most gratifying operations performed by facial plastic surgeons remains rhinoplasty. Both surgeries and patients may feel like they are running "home" when everything is running as scheduled, but mutual sadness may also occur when the outcome is different. Many of the typical complexities can be prevented with careful attention to particular operational maneuvers with intentional actions, extra grafts, or more conservative resections during the main rhino-plastic procedure. A view of these retrospective problems may reveal typical risks that are preemptive when the procedure is performed. Due to the subjective character of the esthetic outcome, the identification of problems in cosmetic rhinoplasty is challenging. One may expect rhino-plastic patients more critical of the outcomes, but our experience as well as those of others suggest that the surgeon is more likely than the patient to be satisfied. With a subsequent medial collapse, the ULCs might become destabilized. Moreover, the new dorsal septum produced by the excision of the hump is smaller than the original native dorsum. Even if the ULCs shrink solidly to the septum, a constricted middle vault region will be created.

show abstract

Hyaluronidase injection vs direct surgery in surgical rhinoplasty patients treated with non-surgical nasal reshaping with hyaluronic acid filler: a systematic review

et al. 2021

View full text Add to dashboard Cite

Nonsurgical Rhinoplasty Using Injectable Fillers: A Safety Review of 2488 Procedures

Cited by 24 publications

References 15 publications

PMMA-collagen Gel in Nonsurgical Rhinoplasty Defects: A Methodological Overview and 15-year Experience

PMMA-collagen Gel in Nonsurgical Rhinoplasty Defects: A Methodological Overview and 15-year Experience

A Medical Approach for Rhinoplasty

Hyaluronidase injection vs direct surgery in surgical rhinoplasty patients treated with non-surgical nasal reshaping with hyaluronic acid filler: a systematic review

Contact Info

Product

Resources

About