Our Summary

This research paper is about how the use of injectables, like hyaluronic acid, can affect the need for secondary nose surgeries (known as rhinoplasties). The researchers looked at studies from all over the world that involved either secondary nose surgeries or a combination of first and second nose surgeries, as well as surgeries involving injections. They used databases like the National Library of Medicine and the Cochrane Library and limited their search to English-language studies published from 2007 to 2019.

They found 15 studies that matched their criteria. Hyaluronic acid was the most commonly used injectable for revising nose surgeries. Between 80% and 100% of patients were satisfied with their results, but between 20% and 50% needed another injection. Minor side effects like swelling, bruising, and redness were common (4%) after getting filler injections. Serious side effects like lumps or blocked blood vessels causing skin death or vision problems were rare (0.4%).

The researchers concluded that using injectables seems to lessen the need for a second nose surgery. This could change the way nose surgeries are performed in the future, but only if doctors understand the technique well enough to avoid serious blood vessel complications.

FAQs

  1. What injectable is commonly used for revising nose surgeries?
  2. What were the side effects observed after getting filler injections in the reviewed studies?
  3. How can the use of injectables potentially change the future of nose surgeries?

Doctor’s Tip

A helpful tip a doctor might tell a patient considering rhinoplasty is to discuss the option of using injectables like hyaluronic acid for revision surgeries. These injectables can potentially reduce the need for a second surgery and help achieve satisfactory results. However, it is important to be aware of potential side effects and ensure that the doctor performing the procedure is experienced and skilled in order to minimize risks.

Suitable For

Patients who are typically recommended rhinoplasty include:

  1. Patients who are unhappy with the size or shape of their nose
  2. Patients with a nasal deformity due to injury or trauma
  3. Patients with breathing difficulties due to a deviated septum or other structural issues
  4. Patients with a congenital nasal deformity
  5. Patients with asymmetry or disproportion in the nose
  6. Patients with a desire to enhance their facial appearance through nose reshaping

Overall, patients who are in good general health and have realistic expectations about the outcome of the surgery are good candidates for rhinoplasty.

Timeline

Before rhinoplasty:

  • Patient consults with a plastic surgeon to discuss goals and expectations
  • Patient undergoes a physical examination and discusses medical history
  • Surgical plan is developed, including potential use of injectables like hyaluronic acid
  • Patient receives pre-operative instructions and prepares for surgery

After rhinoplasty:

  • Patient undergoes rhinoplasty surgery, which may involve the use of injectables to achieve desired results
  • Patient experiences swelling, bruising, and discomfort in the days following surgery
  • Follow-up appointments are scheduled to monitor healing and address any concerns
  • Patient may require additional injections of hyaluronic acid to refine results
  • Patient experiences gradual improvement in appearance as swelling subsides
  • Patient evaluates final results and satisfaction with the outcome

Overall, the use of injectables like hyaluronic acid can potentially reduce the need for secondary nose surgeries in patients undergoing rhinoplasty, leading to high levels of patient satisfaction. However, it is important to be aware of potential side effects and complications associated with injectables to ensure safe and successful outcomes.

What to Ask Your Doctor

Some questions a patient should ask their doctor about rhinoplasty include:

  1. What are the risks and potential complications associated with rhinoplasty surgery?
  2. How experienced are you in performing rhinoplasty procedures?
  3. What are the expected results of the surgery, and are there any limitations to what can be achieved?
  4. Will I need any additional surgeries or procedures after the initial rhinoplasty?
  5. What type of anesthesia will be used during the surgery?
  6. How long is the recovery process, and what can I expect in terms of pain and discomfort?
  7. Are there any non-surgical alternatives to rhinoplasty that I should consider?
  8. How long will the results of the surgery last, and are there any long-term effects to consider?
  9. What is the cost of the procedure, and is it covered by insurance?
  10. Can you provide before and after photos of previous patients who have undergone rhinoplasty with injectables to revise their nose surgeries?

Reference

Authors: Bouaoud J, Belloc JB. Journal: J Stomatol Oral Maxillofac Surg. 2020 Nov;121(5):550-555. doi: 10.1016/j.jormas.2020.03.008. Epub 2020 Mar 20. PMID: 32205302