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Rinofiller: un'opzione di trattamento complementare per pazienti precedentemente sottoposti a rinoplastica chirurgica

Introduction: Rhinoplasty is a widely performed surgical procedure aimed at improving both the respiratory function and aesthetic appearance of the nose. Despite the positive outcomes achieved through surgery, many patients experience imperfections that negatively impact their desired result. In this context, rhino-filler presents itself as a promising complementary treatment option in aesthetic medicine. Objectives: The main objective of this study was to evaluate the effectiveness of treatment with rhino-filler in these patients, considering aesthetic results, procedural safety, and patient satisfaction. Objective evaluation criteria were based on photographs, while subjective criteria relied on patient-reported satisfaction. Materials and Methods: A group of 15 patients who had previously undergone surgical rhinoplasty and were not fully satisfied with the aesthetic outcome were selected. The sample of patients was followed for a period of 2 years, with an average age of 42.5 years. Of the 15 patients, only 2 were male, and 3 had undergone multiple surgical rhinoplasties. In the therapeutic approach, a high G' filler was used, containing cross-linked HA with a concentration of 25mg/ml, 10.0% BDDE modification, and 0.3% lidocaine. This product was chosen for its high cohesiveness and compression resistance, excellent lifting and projection capabilities. Results: The results were evaluated through a combination of objective measurements and subjective assessments by the patients themselves. Significant reductions in post-surgical irregularities were observed: photographic evidence provided objective data supporting the clinically observed aesthetic results. In terms of safety, no significant adverse effects were reported in the treated patients. Any adverse reactions, such as temporary redness, edema or minor bruising, were well-tolerated by the patients and resolved spontaneously in the following days after treatment. No significant complications or serious adverse reactions were observed during the short- and medium-term follow-up. Furthermore, patients reported a significant increase in self-esteem and self-confidence. Conclusions: Treatment with rhino-filler represents a valid and safe option to refine and enhance the results of surgical rhinoplasty. Accurate patient evaluation and proper treatment planning are crucial. Rhino-filler offers a minimally invasive approach to achieve optimal results in a shorter time frame and with a brief recovery period. Further studies will be necessary to investigate the long-term effectiveness and the potential need for maintenance treatments over time. Finally, the synergistic combination of nasal surgery and rhino-filler represents a comprehensive and personalized alternative to meet the needs of patients seeking optimal aesthetic results. Bibliography: 1. Harb,A., & Brewster,C.T. (2020). The nonsurgical rhinoplasty: a retrospective review of 5000 treatments. Plastic and Reconstructive Surgery, 145 (3), 661-667. 2. Trevidic,P., Kim,H.J., Harb,A., Ho,W.W., & Liew,S. (2022). Consensus recommendations on the use of hyaluronic acid-based fillers for nonsurgical nasal augmentation in Asian patients. Plastic and Reconstructive Surgery, 149 (2),

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