ArticleAesthetic surgery journal. Open forum2025
Novel Ultrasound-Assisted Nonsurgical Rhinoplasty Technique: Injection Guidelines From Evidence to Clinical Practice Based on 4400 Procedures.
Article in Aesthetic surgery journal. Open forum, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Nonsurgical rhinoplasty has gained popularity as a minimally invasive alternative to surgery; however, the nasal region's complex and variable vascular anatomy has led to a significant increase in complications. This underscores the need for a standardized, anatomy-based injection protocol supported by clinical evidence. Objectives: The objective of this study was to evaluate the efficacy and vascular safety of a structured injection protocol for nonsurgical rhinoplasty using hyaluronic acid, guided by real-time Doppler ultrasound in Latin American patients. Methods: The protocol included preinjection Doppler mapping, aspiration testing, and anatomically specific filler volumes. Real-time ultrasound guidance verified filler placement. Results: Among 365 positive aspirations (8.3%), 73.97% occurred at the anterior nasal spine, yet no vascular occlusions were observed in this region. Twenty vascular events (0.45%) were recorded-18 in the nasal tip and 2 in the columella-all resolved without sequelae using a high-dose hyaluronidase protocol. Optimal outcomes were achieved with 0.2 mL in the nasal spine and columella and 0.15 mL in the tip. At baseline, 96% of patients rated outcomes as "Very Improved," decreasing slightly to 89% at 2 weeks. Conclusions: This Doppler-guided, stepwise protocol demonstrated high efficacy and low complication rates in high-risk nasal zones. The findings support the routine integration of ultrasound and anatomically tailored injection techniques to enhance safety and reproducibility in nonsurgical rhinoplasty. Level of Evidence 4 Therapeutic:
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Registered trials
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