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CC BY 4.0 · Indian J Plast Surg 2025; 58(02): 139-145
DOI: 10.1055/s-0045-1802317
Ideas and Innovations

Nonsurgical Elementary Rhinoplasty: A Volumetric Standardized Hyaluronic Acid Filling Technique in Five Steps

Luddi L. Oliveira 
1   Plastic Surgery, Private Clinic, Belo Horizonte, Minas Gerais, Brazil
,
André Braz
2   Dermatology, Private Clinic, Rio de Janeiro, Rio de Janeiro, Brazil
,
Eliandre Palermo 
3   Dermatology, Private Clinic, São Paulo, São Paulo, Brazil
,
Maria C.A. Issa 
4   Department of Dermatology, Department of Internal Medicine, Fluminense Federal University, Rio de Janeiro, Brazil
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Abstract

Hyaluronic acid filling to correct the nose contour has gained popularity in recent years. Although many techniques are described about the amount of the product and steps to follow to obtain, practitioners still need clarification about the amount of product and steps to follow obtain natural and safe results. We aim to demonstrate a new technique with a systematic sequence that considers the anatomy and individual characteristics. The nonsurgical elementary rhinoplasty (NOSER) technique is performed in five steps using cannulas, a high G prime hyaluronic acid, and two injection entry points. The areas to be treated and the specific quantity of filler to be used are based on the assessment. Steps 1 to 3 are for the tip's projection, support and lift, and step 4 is for filling the radix area and straightening the dorsum. Step 5 is used for refinement and softening of the supratip. All five steps are done in small aliquots in the central area, at the deep plane. Through the procedure, it is possible to achieve an aesthetic improvement in the nose by widening the labial columellar angle, exposing the columella, projecting the tip, and aligning the dorsum (disguising the hump), even without performing all five steps. This technique could be a good and highly reproducible alternative for upgrading the nose contour.

Keywords

hyaluronic acid - nose - rhinoplasty - cosmetic techniques

Authors' Contributions

L.L.O. developed the concept. L.L.O. and M.C.A.I. developed the methodology and prepared the original draft. L.L.O., E.P., A.B., and M.C.A.I. contributed to the review and editing of the manuscript and visualization.




Publication History

Article published online:
31 January 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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