This study details a single-centre, nonrandomised, prospective trial of 150 consecutive patients undergoing non-surgical rhinoplasty using hyaluronic acid fillers. The study’s aim was to develop an injecting protocol for different anatomical anomalies to achieve consistent results. Virgin noses and previously operated on noses were sub-grouped and a standard grid pattern was transferred to each patient in order to identify asymmetries and detail the site and volume of filler injected into each site. A thorough review of nasal anatomy and safe injecting practice for non-surgical rhinoplasty is provided, as well as site specific tips for correction of nasal inadequacies or asymmetries. The results are impressive with both blinded clinicians and self-reporting patients highly satisfied following injection at several time points. Bruising was the commonest complication and seen in almost a third of patients. This article offers well balanced information with a valuable section on safe injecting technique. The use of a detailed assessment and injection grid provides more information than the standard documentation used in contemporary practice. The added level of documentation should improve replicability of results for repeat treatments.

Nonsurgical rhinoplasty: nasal grid analysis and nasal injecting protocol.
Bertossi D, Lanaro L, Dorelan S, et al.
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James Wokes

University Hospital North Durham, UK

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