Title:
The injectable filler in rhinoplasty: not a complication-free alternative
Authors:
P. Leupe and D. J. Menger
Institutions:
Department of Otorhinolaryngology, Head and Neck Surgery, AZ Delta Roeselare, Belgium; Department of Otorhinolaryngology, Head and Neck Surgery, Center for Facial Plastic and Reconstructive Surgery, University Medical Center Utrecht and Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands
Keywords:
Rhinoplasty; adverse effects; cosmetic techniques; nose deformities, acquired; silicone oils; hyaluronic acid
Pages:
137 - 142
Abstract:
The injectable filler in rhinoplasty: not a complication-free alternative. Problem: Non-surgical or “filler” rhinoplasty seems an attractive tool to fine-tune the aesthetic results of surgery; its use as a primary technique is also increasingly popular. However, physicians performing these procedures should be aware that they are not complication- free. Methodology/Results: In two case studies we now describe potential foreign body reactions, resulting in granulomas, to first generation silicone oil fillers, and second generation injectable hyaluronic acid fillers. Conclusions: Foreign body reactions are especially prevalent against permanent fillers, particularly silicone, and ideally these should be abandoned. Given that granulomas can also be provoked by temporary and semi-permanent fillers, we would advise restraint in their use, with appropriate vigilance to ensure the early recognition of complications. The increasing popularity of filler rhinoplasty will likely provoke a higher incidence of complications in the future. Intra- lesional steroid injections can be attempted as a treatment, although surgical resection of these “granulomas” may ultimately be required.
Issue:
Vol. 12, 2016, 2nd trimester


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The injectable filler in rhinoplasty: not a complication-free alternative