Secondary Liquid Rhinoplasty: Challenges, Techniques, and Long-term Outcomes.

BACKGROUND

The increasing demand for rhinoplasty revisions highlights the need for effective secondary correction. Nonsurgical rhinoplasty (NSR) with dermal fillers has emerged as a minimally invasive alternative to traditional surgical interventions for addressing postsurgical nasal imperfections.

OBJECTIVES

The authors of this study aim to describe and analyze the clinical application of dermal fillers for secondary nasal enhancement in a large series of postrhinoplasty patients, focusing on anatomical targeting, injection planes, and rheological filler selection to establish best practices for nonsurgical structural correction.

METHODS

This was a retrospective observational cohort analysis of prospectively documented patient records from a single private plastic surgery practice, spanning December 2004 to February 2025. Only patients with a minimum of 6 months of documented posttreatment follow-up data by the February 2025 endpoint were included. The analysis focused on patients with previous surgical rhinoplasty undergoing NSR secondary correction using dermal fillers.

RESULTS

A total of 1122 postsurgical rhinoplasty patients underwent NSR. The overall complication rate was 2.8%, with all adverse events being minor and transient. Patient-reported satisfaction was high at 92%.

CONCLUSIONS

Secondary liquid rhinoplasty, when performed with surgical insight, is an advanced, anatomy-driven approach that leverages dermal fillers to simulate structural effects. This method achieved high patient satisfaction and low complication rates, offering a reproducible and safe modality for managing postsurgical nasal imperfections.

LEVEL OF EVIDENCE: 4 (THERAPEUTIC): For image description, please refer to the figure legend and surrounding text.