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Epistaxis01:30

Epistaxis

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Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
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The nose is composed of an observable exterior segment (external nose) and an internal segment within the skull known as the nasal cavity (internal nose). The external nose, visible on the face, consists of a framework of bone and hyaline cartilage enveloped in skin and muscle and lined with a mucous membrane. This structure is supported by the frontal bone, nasal bones, and maxillary bone and is supplemented by a cartilaginous framework comprising the septal nasal cartilage, lateral nasal...
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The papillary and reticular dermis are the two layers of the dermis. They are made of connective tissue with fibers of collagen extending from one to the other, making the border between the two somewhat indistinct. The dermal papillae extending into the epidermis belong to the papillary layer, whereas the dense collagen fiber bundles below belong to the reticular layer.
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[Jacques Joseph (1865-1934): The turning point. Part II: From rhinopoïesis to rhinoplasty].

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[Birth of rhinoplasty in the West].

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Related Experiment Video

Updated: Apr 25, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
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[Rhinoplasty and dermal fillers].

Y Jallut1, P S Nguyen2

  • 1Immeuble Convergence, 50, rue Berthy-Albrecht, 84000 Avignon, France.

Annales De Chirurgie Plastique Et Esthetique
|August 30, 2014
PubMed
Summary

Non-surgical rhinoplasty using fillers like hyaluronic acid or calcium hydroxylapatite offers an alternative to surgery. Careful technique with microcannulas and small injections minimizes serious risks such as skin necrosis.

Keywords:
Acide hyaluroniqueBotulinum toxinCalcium hydroxylapatiteComplication post-opératoireDermal fillersFillerHyaluronic acidHydroxyapatite de calciumPost-operative complicationsProduit de comblementRhinoplastieRhinoplastyToxine botulique

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Area of Science:

  • Plastic Surgery
  • Dermatology
  • Cosmetic Procedures

Background:

  • Nonsurgical rhinoplasty using fillers is an appealing alternative to surgical rhinoplasty.
  • This technique requires careful application to prevent serious complications.

Purpose of the Study:

  • To describe a preferred technique for nonsurgical rhinoplasty using absorbable fillers.
  • To highlight potential complications and their management.

Main Methods:

  • Utilized absorbable fillers: hyaluronic acid and calcium hydroxylapatite (ANSM-approved).
  • Employed 27G microcannulas over needles for injections.
  • Advocated for multiple small boluses via tunnel injections, avoiding large single-volume injections.

Main Results:

  • Calcium hydroxylapatite is recommended for the nasal dorsum.
  • Hyaluronic acid is preferred for the nasal tip.
  • Technique minimizes risks like the Tyndall effect and skin necrosis.

Conclusions:

  • A meticulous injection technique with specific fillers for different nasal areas is crucial.
  • Adherence to described methods is key to preventing adverse events in nonsurgical rhinoplasty.