Patient Satisfaction After Non-surgical Rhinoplasty Using Hyaluronic Acid: A Literature Review

Overview

Few studies have measured patient satisfaction after filler rhinoplasty using hyaluronic acid. This systematic review, conducted using the PRISMA method, gathered all articles assessing satisfaction with self questionnaires or scales after the procedure. The authors also analysed injection protocols and complications, framing inclusion around the population, intervention, comparison, outcome, timing and setting framework.

Sections of note

• Systematic review of eight studies covering 674 patients; the journal assigns level of evidence III.
• Mean age was 29.5 years, range 19 to 67, with a sex ratio of 0.20.
• Satisfied or very satisfied ratings were 100 percent immediately after injection, 404 of 404 patients.
• Satisfaction was 98.2 percent in the following weeks, 628 of 639 patients.
• Satisfaction was 84.7 percent at 3 months, 333 of 393 patients.
• Satisfaction was 96.4 percent at one year, though based on only 62 patients.
• Duration of effect ranged between 8 and 14 months.
• One local infection was reported, with no skin necrosis and no blindness.
• Most authors used less than 1 mL of hyaluronic acid per procedure.

What it means for a patient

• Satisfaction was very high overall but dipped at three months, then was reported high again at one year in a much smaller group.
• The number of patients assessed fell sharply over time, from 404 immediately to 62 at one year, so late figures rest on few people.
• The effect lasted roughly 8 to 14 months across the included studies.
• The serious complications associated with nasal filler were not observed in this pooled group, but 674 patients is too few to estimate rare events.

Why this paper matters

Filler rhinoplasty is marketed on satisfaction and convenience, and this review is one of the few attempts to pool the evidence for those claims. It quantifies both satisfaction and duration. Rare vascular complications and results beyond one year remain outside its reach.

Terms

• Hyaluronic acid: an injectable gel used to add volume, which can be dissolved.
• Systematic review: a structured search and pooling of studies meeting set criteria.
• PRISMA: a standard method for reporting systematic reviews.
• Visual analog scale: a rating along a line, used to measure satisfaction.
• Skin necrosis: death of skin from loss of blood supply.