A Prospective Study of Non‐Surgical Primary Rhinoplasty Using a Polymethylmethacrylate Injectable Implant. Issue 3 (18th January 2014)

• Record Type: Journal Article
• Authors: Rivkin, Alexander
• Is Part Of: Dermatologic surgery. Volume 40:Issue 3(2014)
• Page Start: 305
• Page End: 313
• Publication Date: 2014-01-18
• Subjects: Skin -- Surgery -- Periodicals; Skin -- Diseases -- Surgery -- Periodicals; 617.477
• DOI: 10.1111/dsu.12415
• Languages: English
• ISSNs: 1076-0512

Abstract

<abstract abstract-type="main" id="dsu12415-abs-0001"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="dsu12415-sec-0001" sec-type="section"> <title>Background</title> <p>Nonsurgical rhinoplasty involves the use of injectable fillers to improve the contours of the nose. It has become a widely practiced procedure since this author first popularized it in 2003. The use of permanent fillers in nonsurgical rhinoplasty has not been well documented, especially in this country.</p> </sec> <sec id="dsu12415-sec-0002" sec-type="section"> <title>Objectives</title> <p>To demonstrate the safety and effectiveness of a polymethylmethacrylate (PMMA)‐based filler for nonsurgical rhinoplasty.</p> </sec> <sec id="dsu12415-sec-0003" sec-type="section"> <title>Methods and Materials</title> <p>Eligible subjects underwent up to three injection sessions with a commercially available PMMA product and were followed for 1 year. Efficacy was assessed according to evaluator grading of subjects and digital image analysis of standardized photographs.</p> </sec> <sec id="dsu12415-sec-0004" sec-type="section"> <title>Results</title> <p>Nineteen subjects were enrolled and followed to conclusion. Average improvement in global score was more than one point observed on day 90 and lasting through 1 year. Eight of 10 subjects showed improvement according to digital image analysis at 1 year. Subject satisfaction was high throughout the study. Adverse events were minimal and well tolerated.</p> </sec> <sec id="dsu12415-sec-0005" sec-type="section"> <title>Conclusion</title> <p>Filler rhinoplasty using a PMMA‐based injectable filler is safe and effective. This is the first study documenting the use of PMMA for this indication. Longer‐term follow‐up is needed to demonstrate persistence of improvement.</p> </sec> </abstract>