Non-Surgical Rhinoplasty After Rhinoplasty: A Systematic Review of the Technique, Results, and Complications

Overview

Surgical rhinoplasty has a high revision rate, and filler can sometimes correct residual defects instead of a second operation. The Spanish authors ran a PRISMA-compliant systematic review of adults with prior surgical rhinoplasty who then had filler, recording indications, complication rate, filler type and satisfaction.

Sections of note

• 20 articles, 2,048 patients.
• Hyaluronic acid in 67% of patients.
• Indications varied; middle-third (mid-vault) deformities were the most notable.
• High satisfaction across studies; low rate of major complications.
• An increased risk of skin necrosis was observed compared with filler in unoperated noses.

What it means for a patient

• Small defects after surgery can often be camouflaged with filler, avoiding a revision operation.
• An operated nose has altered blood supply and scar, which raises the risk of the filler damaging the skin; the injector should be experienced with post-surgical noses.
• Results are temporary.

Why this paper matters

It pools the evidence on a common but higher-risk use of nasal filler. Limits: heterogeneous observational studies, no pooled incidence figures given in the abstract.

Terms

• Non-surgical rhinoplasty (NSR): reshaping with injectable filler.
• Middle third: the cartilaginous mid-vault of the nose.
• Skin necrosis: skin death from blocked blood supply.
• PRISMA: reporting standards for systematic reviews.