Secondary Liquid Rhinoplasty Achieves 90%+ Patient Satisfaction: Study
Key Takeaways
- Secondary liquid rhinoplasty achieved a 92% patient satisfaction rate in a series of 1,122 postrhinoplasty patients treated with dermal fillers.
- The overall complication rate was 2.8%, with all reported adverse events characterized as minor and transient.
- The authors emphasize that procedural success depends heavily on anatomy-driven injection techniques, appropriate filler selection, and surgical expertise.
Secondary liquid rhinoplasty using hyaluronic acid dermal fillers may offer a safe and effective option for correcting postsurgical nasal contour irregularities, according to a large retrospective study published in the Aesthetic Surgery Journal.
As demand for revision rhinoplasty continues to grow, nonsurgical rhinoplasty (NSR) has emerged as a minimally invasive alternative for patients seeking correction of residual aesthetic concerns without undergoing another operation. In the current study, investigators analyzed outcomes from 1,122 patients who previously underwent surgical rhinoplasty and later received secondary NSR with dermal fillers.
Large Series Supports Anatomy-Driven Secondary Liquid Rhinoplasty
The retrospective observational cohort included prospectively documented cases from a single private plastic surgery practice between December 2004 and February 2025. Eligible patients had undergone prior rhinoplasty and had at least 6 months of documented follow-up after filler treatment.
Rather than focusing solely on outcomes, the authors also examined technical considerations, including anatomical treatment targets, optimal injection planes, and rheological characteristics of fillers selected for structural nasal correction. The overall complication rate was 2.8%, with all adverse events reported as minor and transient. Patient-reported satisfaction reached 92%.
The authors wrote that secondary liquid rhinoplasty is "an advanced, anatomy-driven approach that leverages dermal fillers to simulate structural effects," adding that the technique "achieved high patient satisfaction and low complication rates, offering a reproducible and safe modality for managing postsurgical nasal imperfections."
The authors noted that successful outcomes depend on detailed knowledge of postsurgical nasal anatomy, appropriate filler selection, and injection techniques performed by experienced clinicians.
Source
Valente DS, et al. Aesthetic Surgery Journal. 2026. Doi:10.1093/asj/sjaf212