A Retrospective Analysis of Patient Satisfaction With a Graft-Based Non-Surgical Rhinoplasty Procedure Using a Modified Surgical Rhinoplasty Module

January 2024 | Volume 23 | Issue 1 | 1292 | Copyright © January 2024


Published online December 13, 2023

Kalpna K. Durairaj MDa, Maximillion W. Hayama b, Ani Shirinyan c

aHuntington Memorial Hospital, Pasadena, CA
bUniversity of California, Los Angeles (UCLA), Los Angeles, CA
cUniversity of Southern California (USC), Los Angeles, CA

Abstract
Non-surgical rhinoplasty, also known as liquid or injection rhinoplasty, utilizes hyaluronic acid-based fillers to offer a minimally invasive alternative to surgical rhinoplasty. Patient goals for injection rhinoplasty include improving various aspects of their nose, including the bridge of the nose, tip of the nose, shape of the nose in profile, and how well the nose suits the face. The purpose of this study is to use a modified surgical rhinoplasty questionnaire to analyze patient satisfaction and adverse complication rates of the authors' non-surgical injection rhinoplasty technique using a hyaluronic acid-based filler. A retrospective data analysis of 56 patients who had received a graft-based non-surgical rhinoplasty procedure between January 2019 and December 2019 was conducted. All procedures were performed at a single center by the primary investigator. Participants completed a questionnaire to assess for preoperative and postoperative satisfaction with their nose using a visual analog scale and modified "FACE-Q" module. Two-tailed paired t-tests and confidence intervals were calculated using bootstrapping/resampling techniques. Visual analog scale results depict a paired median difference of 4, yielding a P-value of 0.00001. Results illustrate that using a graft-based non-surgical rhinoplasty technique presents a promising alternative to surgical rhinoplasty that significantly improves patient satisfaction with their nose while ensuring minimal complication rates. Over 98% of patients indicated feeling "somewhat" or "very likely" to repeat the procedure.

J Drugs Dermatol. 2024;23(1):1292-1296.     doi:10.36849/JDD.7073

INTRODUCTION

Surgical rhinoplasty has been the gold standard for nasal reshaping for the past century, with over 726,000 procedures performed internationally in 2018 alone.1 However, this number has been declining due to the rise in popularity of minimally invasive, non-surgical rhinoplasty alternatives: which offer comparable results at a lower cost and less downtime. In the U.S., surgical rhinoplasty procedures were down 3% between 2018 and 2019, with 213,780 and 207,284 procedures performed respectively,2 these trends offer insight on the newfound prominence of non-surgical cosmetic procedures utilizing hyaluronic acid based fillers, which saw a 27.9% increase between 2014 and 2018.1 Although non-surgical rhinoplasty trends were not explicitly recorded by these surveys, the primary investigator has noted an increased demand for injection rhinoplasty over the last years.

In order to evaluate patient satisfaction with non-surgical rhinoplasty and adverse complications rates, a questionnaire should be developed to assess the efficacy and success of the procedure. We looked at the FACE-Q module which has been utilized by Kalaaji et al to assess surgical rhinoplasty outcomes among 243 patients.4 Most notably, patients from this study reported feeling "very" or "somewhat" dissatisfied with the nasal bridge (85.7%), nasal tip (83.7%), nasal profile (91.8%), and the appearance from every angle (93.8%) prior to their surgical rhinoplasty procedure.4 Post-operatively, patient dissatisfaction among these categories decreased substantially: 45%, 51.7%, 43.4%, 55% respectively.4 The FACE-Q module also assessed for quality of life improvements such as ability to breathe through the nose and adverse complications experienced.4 

Comparative to surgical rhinoplasty, discourse regarding patient satisfaction with liquid rhinoplasty is limited due to its newfound prevalence in the aesthetic community. Few studies evaluate patient satisfaction with injection rhinoplasty to the same degree of specificity as that of surgical rhinoplasty. Although there are several studies that provide insight on complication rates and visual assessment scores from a surgeon's perspective, ultimately the patient's satisfaction should be the highest consideration when determining the efficacy and success of the procedure.5,6