In a recent article published in PRIME Journal, Alexander Rivkin, MD, unveiled his universal injection safety precautions (UISP) that aim to ensure injectors can perform nonsurgical rhinoplasty safely without compromising on results. The following is an exerpt from the original published work. The full article can be accessed on the PRIME Journal website.
Injection of dermal fillers is a relatively safe procedure, but adverse events (AEs), including serious ones like vascular compromise and ischemic complications, do occur. While filler complications can occur anywhere on the face, the nose is the most dangerous area of the face to inject filler with AEs that can be devastating.
Considering the global surge in demand for nonsurgical rhinoplasty (NSR) it is more important than ever that NSR injectors have a detailed understanding of nasal anatomy, a nuanced appreciation of nasal aesthetics, and a thorough knowledge of best practices in prevention, recognition and treatment of AEs. Adoption of and diligent adherence to the UISP described in this manuscript are key to prevention.
Injection safety in the nose hinges primarily on preventing and managing ischemic complications. Although bruising, erythema, tenderness and swelling may occur, these are transient and treatable with over-the-counter medication and vascular lasers. In addition, moderately serious AEs like granuloma and delayed onset of nodule formation that occur with filler injection in other areas of the face have not been reported after using FDA-approved fillers in the nose.1
Overall, the principles that govern safe injection in the face can be applied to NSR; however, meticulous following of those principles is of paramount importance with nasal injections. There are numerous reviews and reports of filler- related blindness and tissue necrosis, which firmly illustrate this point.2
This is a sample article from The Aesthetic Guide.
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