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Nonsurgical Elementary Rhinoplasty: A Volumetric Standardized Hyaluronic Acid Filling Technique in Five Steps
Luddi L Oliveira1, André Braz2, Eliandre Palermo3
1Plastic Surgery, Private Clinic, Belo Horizonte, Minas Gerais, Brazil.
Summary
Nonsurgical elementary rhinoplasty (NOSER) uses a five-step hyaluronic acid filler technique for natural nose contouring. This method enhances nasal aesthetics by addressing tip projection, dorsum alignment, and refinement, offering a reproducible alternative.
Area of Science:
- Plastic Surgery
- Dermatology
- Aesthetic Medicine
Background:
- Hyaluronic acid (HA) fillers are increasingly popular for non-surgical rhinoplasty.
- Existing techniques lack standardized protocols for achieving natural and safe results.
- Practitioners require clearer guidance on product volume and procedural steps.
Purpose of the Study:
- To introduce and demonstrate the Nonsurgical Elementary Rhinoplasty (NOSER) technique.
- To provide a systematic, anatomy- Considerate approach for HA nasal contouring.
- To offer a reproducible method for aesthetic nasal enhancement.
Main Methods:
- The NOSER technique involves five sequential steps using cannulas and high G' HA filler.
- Two specific injection entry points are utilized.
- Treatment areas and filler volumes are tailored to individual patient anatomy and aesthetic goals.
Main Results:
- The technique addresses tip projection, support, and lift (Steps 1-3).
- Radix augmentation and dorsal hump camouflage are achieved (Step 4).
- Supratip refinement and softening are performed (Step 5), leading to improved columellar angle, tip projection, and dorsal alignment.
Conclusions:
- The NOSER technique offers a structured approach to non-surgical rhinoplasty with HA fillers.
- It allows for significant aesthetic improvement, including tip projection and dorsal alignment.
- The method is highly reproducible and serves as a valuable alternative for nasal contour enhancement.
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