Secondary Liquid Rhinoplasty: Challenges, Techniques, and Long-term Outcomes

Area of Science:

• Plastic Surgery
• Dermatology
• Aesthetic Medicine

Background:

• Rhinoplasty revisions are increasingly common, necessitating effective secondary correction methods.
• Non-surgical rhinoplasty (NSR) with dermal fillers presents a minimally invasive option for post-surgical nasal imperfections.

Purpose of the Study:

• To analyze the clinical application of dermal fillers for secondary nasal enhancement in post-rhinoplasty patients.
• To establish best practices for non-surgical structural correction by focusing on anatomical targeting, injection planes, and filler selection.

Main Methods:

• Retrospective observational cohort analysis of 1122 patients undergoing NSR for secondary correction.
• Inclusion criteria: prior surgical rhinoplasty and ≥6 months follow-up data.
• Focus on anatomical targeting, injection planes, and rheological filler selection.

Main Results:

• A total of 1122 post-surgical rhinoplasty patients underwent NSR.
• The overall complication rate was 2.8%, with all events being minor and transient.
• Patient-reported satisfaction was high at 92%.

Conclusions:

• Secondary liquid rhinoplasty with dermal fillers is an advanced, anatomy-driven approach for structural correction.
• This method demonstrates high patient satisfaction and low complication rates.
• NSR is a reproducible and safe modality for managing post-surgical nasal imperfections.