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Ancient Greeks (Hippocrates) described treatments and techniques applied to the restoration of injured noses. He classified nasal injuries, from simple contusions of soft tissues to complicated fractures.

Even in our days, the nose is the central and most prominent

feature on the human face; and on its shape, size, and appearance depends the relative facial beauty of the person. Considering that, rhinoplasty is the most common facial procedure performed for women and the second most common for men and patients are increasingly requesting, low cost and less invasive but definitely effective, procedures with minimal downtime and instant results, make sense why, non – surgical rhinoplasty (a relatively new treatment), has grown fashionable in some countries.

A variety of filler materials are currently available, of these, hyaluronic acid (HA), calcium hydroxyapatite (CaHA) and silicone have most frequently been used for treating nasal deformities. HA and CaHA are much safer then silicone (causing severe granulomatous reactions), but still may lead to complications (trivial to severe) such as infection, allergic reactions, thinning of skin envelope and necrosis.

The mechanism leading to tissue necrosis after filler injection is not fully understood but there must be intra- and extravascular factors. Physicians should always take under consideration, as an early stage diagnosis step, pain and skin color change to blue, due to the fact that these two factors could be the only early symptoms and signs.

Filler rhinoplasty is an alternative method for patients who, for any reason (medical, financial), do not wish to undergo surgery. This presentation will give information for technical considerations and complications regarding non-surgical rhinoplasty.

Tilemachos L. Anthopoulos
Dermatologist – Veneorologist
Skin Surgeon
Deputy Director of the Division of Interventional
Dermatology at Henry Dunant Hospital