Nonsurgical Elementary Rhinoplasty: A Volumetric Standardized Hyaluronic Acid Filling Technique in Five Steps

Hyaluronic acid filling to correct the nose contour has gained popularity in recent years. Although many techniques are described about the amount of the product and steps to follow to obtain, practitioners still need clarification about the amount of product and steps to follow obtain natural and s...

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Main Authors: Luddi L. Oliveira, André Braz, Eliandre Palermo, Maria C.A. Issa
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc.
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1802317
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author Luddi L. Oliveira
André Braz
Eliandre Palermo
Maria C.A. Issa
author_facet Luddi L. Oliveira
André Braz
Eliandre Palermo
Maria C.A. Issa
author_sort Luddi L. Oliveira
collection DOAJ
description Hyaluronic acid filling to correct the nose contour has gained popularity in recent years. Although many techniques are described about the amount of the product and steps to follow to obtain, practitioners still need clarification about the amount of product and steps to follow obtain natural and safe results. We aim to demonstrate a new technique with a systematic sequence that considers the anatomy and individual characteristics. The nonsurgical elementary rhinoplasty (NOSER) technique is performed in five steps using cannulas, a high G prime hyaluronic acid, and two injection entry points. The areas to be treated and the specific quantity of filler to be used are based on the assessment. Steps 1 to 3 are for the tip's projection, support and lift, and step 4 is for filling the radix area and straightening the dorsum. Step 5 is used for refinement and softening of the supratip. All five steps are done in small aliquots in the central area, at the deep plane. Through the procedure, it is possible to achieve an aesthetic improvement in the nose by widening the labial columellar angle, exposing the columella, projecting the tip, and aligning the dorsum (disguising the hump), even without performing all five steps. This technique could be a good and highly reproducible alternative for upgrading the nose contour.
format Article
id doaj-art-1e8c4040efc94c31bda9121df80a8dce
institution Kabale University
issn 0970-0358
1998-376X
language English
publisher Thieme Medical Publishers, Inc.
record_format Article
series Indian Journal of Plastic Surgery
spelling doaj-art-1e8c4040efc94c31bda9121df80a8dce2025-01-31T23:58:37ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X10.1055/s-0045-1802317Nonsurgical Elementary Rhinoplasty: A Volumetric Standardized Hyaluronic Acid Filling Technique in Five StepsLuddi L. Oliveira0https://orcid.org/0009-0007-7431-794XAndré Braz1Eliandre Palermo2https://orcid.org/0000-0002-9320-9967Maria C.A. Issa3https://orcid.org/0000-0003-1031-7370Plastic Surgery, Private Clinic, Belo Horizonte, Minas Gerais, BrazilDermatology, Private Clinic, Rio de Janeiro, Rio de Janeiro, BrazilDermatology, Private Clinic, São Paulo, São Paulo, BrazilDepartment of Dermatology, Department of Internal Medicine, Fluminense Federal University, Rio de Janeiro, BrazilHyaluronic acid filling to correct the nose contour has gained popularity in recent years. Although many techniques are described about the amount of the product and steps to follow to obtain, practitioners still need clarification about the amount of product and steps to follow obtain natural and safe results. We aim to demonstrate a new technique with a systematic sequence that considers the anatomy and individual characteristics. The nonsurgical elementary rhinoplasty (NOSER) technique is performed in five steps using cannulas, a high G prime hyaluronic acid, and two injection entry points. The areas to be treated and the specific quantity of filler to be used are based on the assessment. Steps 1 to 3 are for the tip's projection, support and lift, and step 4 is for filling the radix area and straightening the dorsum. Step 5 is used for refinement and softening of the supratip. All five steps are done in small aliquots in the central area, at the deep plane. Through the procedure, it is possible to achieve an aesthetic improvement in the nose by widening the labial columellar angle, exposing the columella, projecting the tip, and aligning the dorsum (disguising the hump), even without performing all five steps. This technique could be a good and highly reproducible alternative for upgrading the nose contour.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1802317hyaluronic acidnoserhinoplastycosmetic techniques
spellingShingle Luddi L. Oliveira
André Braz
Eliandre Palermo
Maria C.A. Issa
Nonsurgical Elementary Rhinoplasty: A Volumetric Standardized Hyaluronic Acid Filling Technique in Five Steps
Indian Journal of Plastic Surgery
hyaluronic acid
nose
rhinoplasty
cosmetic techniques
title Nonsurgical Elementary Rhinoplasty: A Volumetric Standardized Hyaluronic Acid Filling Technique in Five Steps
title_full Nonsurgical Elementary Rhinoplasty: A Volumetric Standardized Hyaluronic Acid Filling Technique in Five Steps
title_fullStr Nonsurgical Elementary Rhinoplasty: A Volumetric Standardized Hyaluronic Acid Filling Technique in Five Steps
title_full_unstemmed Nonsurgical Elementary Rhinoplasty: A Volumetric Standardized Hyaluronic Acid Filling Technique in Five Steps
title_short Nonsurgical Elementary Rhinoplasty: A Volumetric Standardized Hyaluronic Acid Filling Technique in Five Steps
title_sort nonsurgical elementary rhinoplasty a volumetric standardized hyaluronic acid filling technique in five steps
topic hyaluronic acid
nose
rhinoplasty
cosmetic techniques
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1802317
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AT andrebraz nonsurgicalelementaryrhinoplastyavolumetricstandardizedhyaluronicacidfillingtechniqueinfivesteps
AT eliandrepalermo nonsurgicalelementaryrhinoplastyavolumetricstandardizedhyaluronicacidfillingtechniqueinfivesteps
AT mariacaissa nonsurgicalelementaryrhinoplastyavolumetricstandardizedhyaluronicacidfillingtechniqueinfivesteps