Five-point liquid rhinoplasty: Results from a retrospective analysis of a novel standardized technique and considerations on safety

Abstract

Background: Nonsurgical aesthetic improvement of the nose with hyaluronic acid (HA) fillers is becoming increasingly popular but comes with important safety considerations. Aims: To assess the safety and effectiveness of the standardized “five-point liquid rhinoplasty” approach. Methods: This was a retrospective, single-center analysis of consecutive adult patients undergoing nonsurgical aesthetic treatment of the nose. All had one of the three main indications (insufficient nasal projection, nasal hump, or deep glabella) and were injected using HA fillers with high elastic modulus. Treatments were given using some or all of the injection points of the “five-point liquid rhinoplasty” technique: P1 (nasal tip, 0.2–0.3 ml supracartilaginous); P2 (nasal root, 0.1–0.2 ml supraperiostal); P3 (cartilaginous dorsum, 0.1–0.2 ml supracartilaginous/supraperiostal); P4 (subnasal, 0.1–0.2 ml supraperiostal); and P5 (nasal alar, 0.1–0.2 ml per side supraperiostal). The risk of complications was minimized by injecting deep and staying in the midline as far as possible. Results: Twenty patients were enrolled (n = 15 female [75%]; mean age: 37.8 ± 11.7 years). The mean volume of filler used was 0.66 ± 0.35 ml per patient. Nineteen subjects (95%) said they were “very satisfied” with results, and the physician was also “very satisfied” with outcomes in 19 patients (95%). Two individuals experienced hematoma, which was managed conservatively; there were no other significant complications. Conclusions: The “five-point liquid rhinoplasty” is a simple and effective method designed to maximize safety. It offers a good alternative to surgery in selected patients.