"Nonsurgical Rhinoplasty in Patients of African Descent: A Retrospective Review".

Abstract

There is a paucity of research on non-surgical rhinoplasty in the population of African descent. In this group, underlying anatomy and aesthetic ideals vary, necessitating differences in the consultation process and in treatment. We present a case series from a single clinician's practice performing non-surgical rhinoplasty on patients of African descent. A retrospective chart review was completed on eligible patients who received non-surgical rhinoplasty treatment with hyaluronic acid filler injections by the first author (A.H.) from March 2018 to February 2021. Demographic variables, indications for treatment, patient-reported outcomes and adverse events were reviewed. We also share the first author's technique for non-surgical rhinoplasty in this patient cohort. A total of 487 patients of African descent or mixed race including African descent were included in this study. The most common indications for treatment were lack of bridge definition (63.9%); excessive alar width (61.6%); and a bulbous tip (61.6%). Median filler volume was 0.6ml (range 0.3-2.1ml) at the initial treatment visit. There were no reported cases of infection, vascular occlusion, or necrosis. This study is the first to illustrate the effectiveness and safety profile of non-surgical rhinoplasty in a population of African descent. Anatomic variations and the desire for racially congruent results must be acknowledged to ensure satisfactory outcomes.