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Management of Patients Seeking Surgical Rhinoplasty with Previous Nasal Injections of Hyaluronic Acid

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  • Rhinoplasty
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Abstract

Background

Patients are looking for procedures which are minimally invasive and consequently incur minimal downtime. However, these procedures are not usually long lasting and have limited outcomes both esthetically and functionally. For these reasons, the number of patients seeking surgical rhinoplasty and who have previous nasally injected hyaluronic acid is increasing.

Methods

The aim of this article is to provide the surgeon with information for both the identification and surgical approach for those patients who seek nasal cosmetic surgery, and who have previously been treated with nasal injections of hyaluronic acid filler.

Results

We present cases that illustrate the use of this approach and suggest three possible patient management.

Conclusions

There are three possible approaches: wait HA to be naturally reabsorbed; apply hyaluronidase before the surgery or proceed to rhinoplasty with no prior application of hyaluronidase. The physician must be aware of this progression and know how to manage each case to optimize the surgical outcome.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine Ratings, please refer to Table of Contents or online Instructions to Authors www.springer.com/00266.

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available at video (1). All images were obtained with EPIQ7 equipment (Philips Medical Systems, Bothell, WA, USA), and two high frequency transducers (7–15 MHz and 4–18 MHz) were used

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Funding

The authors received no financial support for the research, authorship, and publication of this article.

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Authors and Affiliations

  1. ENT and Facial Plastic Surgeon, Private Practice, Av. Saturnino de Brito, 256, Vitoria, ES, Brazil

    Helena Hotz Arroyo Ramos

  2. ENT and Facial Plastic Surgeon, Jurado Institute of Education and Research, São Paulo, Brazil

    Leila Freire, Reinaldo Ragazzo & José Roberto Parisi Jurado

  3. Private Practice, Rio de Janeiro, Brazil

    Fernanda Cavallieri

  4. ENT and Facial Plastic Suregon, Private Practice, Rio de Janeiro, Brazil

    Andreia Ellery Frota

Authors
  1. Helena Hotz Arroyo Ramos
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  2. Leila Freire
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  3. Fernanda Cavallieri
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  4. Andreia Ellery Frota
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  5. Reinaldo Ragazzo
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  6. José Roberto Parisi Jurado
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Corresponding author

Correspondence to Helena Hotz Arroyo Ramos.

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Conflict of interest

The authors declare no potential conflicts of interest with respect to the research, authorship, and publication of this article.

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed Consent

All patients provided written consent for the use of their images.

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Ramos, H.H.A., Freire, L., Cavallieri, F. et al. Management of Patients Seeking Surgical Rhinoplasty with Previous Nasal Injections of Hyaluronic Acid. Aesth Plast Surg 45, 1675–1682 (2021). https://doi.org/10.1007/s00266-021-02136-3

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  • DOI: https://doi.org/10.1007/s00266-021-02136-3

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