Rhinomodelation with hyaluronic acid and intercurrence associated with the lack of patient collaboration

Abstract

The rhinomodeling technique provides the correction of small nasal defects in specific cases, as a less invasive alternative when compared to rhinoplasty plastic surgery. Hyaluronic acid, a product used as filler, has become the most used material due to its biocompatibility with the body and its effect being reversible through hyaluronidase. This study is a clinical case that addresses the use of hyaluronic acid as injectable nasal filler. The use of two different brands of filler material with different crosslinks (restylane defyne and rennova lift) was proposed. While the procedure was under the professional's control, there were no complications. Still in the office, guidelines such as not to massage the region and not to press the filled place were informed to the patient. One week after the procedure, the patient wore glasses over the filled region, upper portion of the nasal dorsum, which culminated in the filler flowing to the sides of the nose, which was later removed with the enzyme that degrades hyaluronic acid, hyaluronidase. The replacement of the glasses for another model that did not exert support in the filled region was indicated. In this case, it was necessary to emphasize the importance of the patient's cooperation in following professional recommendations after the procedure.