Dr. Anna Fogli: Nose filler on asian patients: our experience

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Abstract
The aim of a non surgical rhinoplasty is to correct minor deformities when surgical procedure is undesirable. In last decades multiple approaches were proposed: different levels (subcutaneous or supraperiosteal), different tools (blunt cannula or sharp needle), different products (high or low G’ HA filler, Calcium hydroxyapatite filler, botulinum toxin).
Nose filler requires an extensive anatomy and product knowledge, experience in dealing with complications.
Objective
The author has an important experience with asian patients, especially nose filler. The most frequent patients’ desire is to improve the dorsum hight, obtaining mid face projection and more proportional appearance. The aim of this presentation is to describe personal experience evaluating over 200 patients treated in the past 3 years, product choice, average outcome and patients satisfaction.
Methods
Patients undergone the treatment presented with low nose dorsum, low radix and drooping tip. Patients underwent previous post traumatic or aesthetic surgery were excluded.
The treatment was performed with blunt cannula, 25G x 50mm, using a high G’ hyaluronic acid filler.
The average amount of used filler was 1mL. Corrections, when needed, were performed 2 weeks after.
Results
Of 215 treated patients treated 1 vascular complication was reported, treated with hyaluronidase with no consequences, only 6 required more than 1 mL of product and 1 patient required hyaluronidase because was not satisfied with the result.
Conclusion
In order to achieve a satisfying result in asian patients, the choice of the proper product is mandatory: a low G’ HA will create an enlargement of the treated area with a high dissatisfaction rate.
Single entry point with cannula from the tip of the nose is recommended to obtain an homogenous result, and allows to achieve a Strut graft like effect.

The results can last up to 18 months.