ABSTRACT RELAZIONI 2017

ACCESSO UTENTI REGISTRATI - SOCI E STUDENTI

PUNTO DI ACCESSO ASSOCIATI AGORA'


ARMONIZZAZIONE DEL PROFILO NASALE

NON SURGICAL RHINOPLASTY WITH VYCROSS ™ TECHNOLOGY FILLER: TECHNICAL PERSONNEL AND EVALUATION OF STABILITY OF THE RESULT TO 12 MONTHS AFTER TREATMENT

Dario Palazzolo

Introduction: The rinofiller is, currently, the main non-invasive medical alternative to surgical rhinoplasty for the correction of aesthetic defects of the nose. Starting from the idea that the nose is a characteristic feature of each face and that its characterizing defects should not be altered, but attenuated, the rinofiller often becomes preferable to surgery.

The rinofiller is an alternative to the surgery. The aim of our study was to demonstrate how  the personnel rinofiller technique with the injection hyaluronic acid of vycross™ Tecnology can be an optimal choise to the surgery, can lead results, in selected cases,  similar to the surgery.

It was applied a personal technique to the correction of different elements: harmonization and regularization of the dorsal aesthetic lines of the nose, correction along the midline of the hump in the cranial point of the angle of the nose and the correction of the tip, piling on two points (cranial to the junction point of the two lateral crus and at the level the columella).

It was used a high molecular weight hyaluronic acid with Vycross ™ technology (17,5 mg), highly moldable after infiltration, but stable in time. They selected 61 patients whose follow-up has reached at least 12 months after treatment. The treated blemishes included: a load asymmetry of the nasal pyramid, hump and tip of the nose ipoprojected and / or rotated downward.

Results: In no case it has been reported an adverse reaction to the injected filler. A 3-6-12 months no patient required a correction, demonstrating the perfect stability and durability of the product and the result, ensuring a very high patient satisfaction.

Conclusion: The rinofiller technique is a viable alternative, in selected cases, to plastic surgery for the treatment of cosmetic defects of the nose. The use of a hyaluronic acid with specific characteristics for this treatment is critical to the quality and stability of the result. The proposed personal technique has proved safe, repeatable, predictable and well tolerated by patients. The results were durable and fully in line with the patient's expectations about the treatment.

NON SURGICAL NOSE JOB: ANATOMICAL AND CLINICAL ASPECTS

R. Rauso

Background: During last years non surgical nose remodelling with dermal fillers has been a demanding procedure in aesthetic medicine, however, due to nasal anatomy's complexity, it is essential for the physician a perfect anatomical knowledge of the area to achieve the best results for the patients.

Material and methods: Showing anatomical specimens, the authors clearly explain the “know how” to face non surgical nose remodeling with dermal fillers.

Results: Nor maior, neither minor complications have been recorded from the author performing non surgical nose job

Conclusion: Nowadays, with consistent knowledge of nasal anatomy and dermal fillers actually sold, it is possible to achieve safe and good result in non surgical nose job.

KEYWORDS: Non surgical rhinoplasty; rhinofiller; filler

NON-SURGICAL RHINOPLASTY IN THREE BASIC  POINTS. TECHNICAL SIMPLIFICATION AND RESULTS STABILITY

C. Incandela

INTRODUCTION

Non-surgical rhinoplasty conducted  with absorbable fillers is a valid alternative to dealing rationally with nasal profile defects such as the jab or the poor projection of the tip.

It can also be considered as a first approach to future surgical therapy, as well as to correct nasal pyramid defects resulting from a rhinoplasty.

In my personal experience I have tried to simplify the technique for an increasingly predictable, repeatable result and to avoid any vascular consequences.

MATERIALS AND METHODS

Careful selection of the patient is necessary. All non-surgical rhinoplasty patients were photographed before and immediately after treatment with a follow-up of 15 days, 6 months and 12 months. The patients treated were 33.

F = 29

M = 4

 Age range = 18 to 53 years

Two of the patients had undergone primary and secondary surgical rhinoplasty. The filler used was always a crosslinked hyaluronic acid filler with NASHA technology, 20mg / ml.

In most cases (70%) a ml was used, in a percentage of less than about 0.5 ml / 0.6 ml. 26 patients were treated with infiltration of botulinum toxin in the tip muscle depressor. Infiltration must be periostal or perichondral  in order to minimize the risk of vascular injury. All infiltrations were conducted with 29G needles. Only in the treatment of primary and secondary rhinoplasty a 25g cannula was used for the uncertainty of the new vascular anatomical network.

The three treated areas are the back at the front nose junction, the tip to allow greater projection and columella to increase the opening of the nose lip.

RESULTS

All patients were satisfied with the treatment. Photographic documentation is a key tool to demonstrate results and compare them over time.

No side effect, no consequences. Only a slight edema that lasts for 3-5 days. The results are stable for at least one year.

CONCLUSIONS

Non-surgical rhinoplasty is spreading like a serene, reliable and lasting method. On selected patients, it is an outpatient treatment that allows immediate return to social life. It can also be a valid alternative to corrections from primary and secondary rhinoplasty.

The treatment of the three areas has proven to be safe and has made it easy to simplify the technique and achieve repeatable results.

Il Rinofiller con acido ialuronico come alternativa Medica alla rinoplastica chirurgica. La nostra esperienza con l’utilizzo di agocannula da unico accesso e device iniettivo elettronico. 

Introduzione 

Nell’estetica del viso, il naso ed in particolar modo il suo profilo, riveste un ruolo di primaria importanza. Per tale motivo sempre più persone richiedono un intervento correttivo per il raggiungimento del miglior risultato estetico con la minima invasività.

Scopo del nostro studio è dimostrare come la nostra tecnica mediante l’utilizzo dell’agocannula attraverso un solo punto di accesso ed un device elettronico per l’iniezione dell’acido ialuronico dalla caratteristiche specifiche, si possa considera come l’alternativa medica alla rinoplastica chirurgica 

Materiali e metodi

Sono stati trattati 272 pazienti che presentavano inestetismi quali: punta del naso proiettata e/o ruotata verso il basso, gobba e asimmetrie a carico della piramide nasale.

La nostra tecnica prevede un unico punto d’accesso 4-5 mm al di sotto della punta del naso a livello della columella, utilizzando una cannula da 25G e 60mm di lunghezza. È stato utilizzato un acido ialuronico con tecnologia brevettata RHA (resylient Hyaluronic Acid) dalle caratteristiche ideali per il rinofiller, iniettato mediante dispositivo elettronico brevettato.

Nel follow up si è valutato il risultato finale tramite fotografia, la soddisfazione del paziente (GAIS), eventuali reazioni avverse e/o complicanze. 

I controlli sono stati effettuati a 15 giorni, 6 e 12 mesi dal primo trattamento

Risultati

La procedura con device iniettivo elettronico è stata svolta in ambulatorio in una media di 6 (4-10) ed è risultata indolore e pressochè esangue per la totalità dei pazienti con. Non si sono verificati casi di necrosi della punta del naso, casi di infezione o reazioni avverse al prodotto impiantato. 82 pazienti (30%) hanno presentato edema della regione trattata e 24 (9%) rossore nella regione dell’accesso entrambe non evidenti al controllo a 15gg.

In 32 pazienti (11%) è stato necessario eseguire un leggero ritocco a 15 giorni, al fine di ottimizzare la forma ottenuta.

Il grado di soddisfazione dei pazienti a 6 mesi dal trattamento è stato del 100 %, a 12 mesi dal trattamento 88%.

Conclusioni

Dalla nostra esperienza si evince come il rinofiller sia un’alternativa alla rinoplastica chirurgica per la correzione degli inestetismi del naso. La nostra tecnica con utilizzo di acido ialuronico iniettato mediente agocannula con device elettronico ed unico punto d’accesso si è rivelata ripetibile, precisa, indolore ed estremamente sicura, garantendo un risultato estetico pienamente soddisfacente per il paziente. L’utilizzo del device elettronico ha permesso una distribuzione uniforme e precisa dell’acido ialuronico impiantato.

Mesorhinofiller simplified and effective solution for no-surgical nose re-shape

F. Romeo

INTRODUCTION - OBJECTIVES and SCOPE OF THE STUDY

The use of hyaluronic acid as a filler for the improvement and harmonization of the facial profile and the nasal shape is one of our elements of choice, in small corrections, in patients who show unwillingness to receive rhinosurgery. 

This approach has produced convincing and satisfactory results.

MATERIALS and METHODS

Through the presentation of case studies, the author explains what it considers the key points of the harmonization of the nasal profile. We have 4 key points. By focusing on improving the nasofrontal angle, dorsum nasi (Clepsydra), nasal tip and nasolabial angle, are presented planning, technical measures and implementation criteria

Material used: hyaluronic acid cross linked with needle implanted  length of 4 mm and gauge smaller than the one indicated by the manufacturer of the device.

Inclusion criteria: small corrections, corrections higher in patients who show unwillingness to receive rhinosurgical treatment, minor corrections and additions of previous rhinosurgery , patients no longer willing to receive additional rhinosurgical treatment.

Patient's age range is between 21 and 62 years of age, average 38 yrs.

Exclusion criteria: autoimmune diseases in active phase, infections or trauma in or next to the area to be injected, patients with no idea of the target result offered by the technique.

All patients have signed detailed informed consent and was shown to them and commented on a large number of clinical cases with photos before and after treatment of conditions the same to their own.

Evaluation of results with detailed photographic comparison measuring methods and analysis: Clinical evaluation, standardized Digital Photography, level assessment with Visual Rating Scale of satisfaction.

RESULTS

Achieved results have in all patients  ticked off a score around 0 and 5, after twelve months follow up, on a satisfaction rating scale from - 3 as the worst  score and + 3 as the better one (according to a 5 score as the  best final result    "expected" by the patient after treatment). - 85% range 4-5 and 15% 3 - two months after that the improvement was considered completed by the Author

CONCLUSIONS

            The use of hyaluronic acid as a filler for the improvement and harmonization of the the nasal profile and shape is one of our elements of choice and is sets a standard in the author's working procedures. The excursus on the various cases presented are helpful to understand the easy applicability of the technique.

KEYWORDS

MesoRhinoFiller, Rhinofiller, Hyaluronic acid, improving the nasal profile

Agorà dal 1986 attività scientifica e formativa per la Medicina Estetica

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Anni di Scuola di
Formazione in Medicina Estetica
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