ABSTRACT
As a nasal surgeon, my understanding of nasal proportions and anatomy has allowed me to use surgical analytics in the setting of non-surgical rhinoplasty techniques. My philosophy towards non-surgical rhinoplasties is to place filler with the utmost precision and surgical knowledge of anatomy. The filler should be used in a similar fashion to a surgical cartilage graft. The most important aspects of obtaining precise results with liquid rhinoplasties are the filler depth placement, the plane of placement, and the controlled amounts used. Microdroplet quantities are used to effectively prevent excess swelling of the nose and reduce the possibility of a bloated or puffy appearance. Maintaining very small microdroplets is important to preserve a sharper and more precise result. Aspiration is performed with each injection. The injector who is undertaking liquid rhino-plasties needs to master nasal anatomy at the level of a surgeon. The filler should be placed whenever possible in the plane of the periosteum and perichondrium, and it will be safest and most avascular by staying directly in the midline. With this precise technique, our patients have a high satisfaction rate and minimal downtime while achieving elegant refinement of primary contour irregularities, posttraumatic, and postsurgical rhino-plasty corrections.
