Nasal Airflow Improvement After Rhinofiller: Evaluation Using PROMs and Rhinomanometry

Nonsurgical rhinofiller is increasingly used for aesthetic nasal reshaping, but little is known about its functional impact on nasal airflow. This study evaluates nasal airflow changes after rhinofiller using patient-reported outcome measures and objective rhinomanometry.

One hundred and twenty-one patients with mild nasal deviation, positive Cottle test, and no prior nasal surgery underwent rhinofiller with VYC-25. Patients completed FACE-Q and NOSE scale questionnaires preoperatively and at 1, 3, and 6 months post-treatment. Objective active anterior rhinomanometry was performed preoperatively and at 6 months.

NOSE scale showed significant improvement from baseline to 6 months (mean reduction of 33.7 ± 9.4 points; p<0.05). FACE-Q nasal satisfaction module showed improvement by 21% (± 5%). Rhinomanometry demonstrated a 24% (± 4%) reduction in inspiratory pressure gradient at 100 Pa (p <0.05).

Rhinofiller may provide both aesthetic enhancement and functional improvement in nasal airflow in selected patients. Patients should be informed that this is not a substitute for surgical septorhinoplasty.

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