Abstract

Background: Non-surgical rhinoplasty using hyaluronic acid dermal fillers is a cos-
metic procedure that has been becoming increasingly popular among patients want-
ing to correct nasal deformities or nasal irregularities, in the recent years.

Aim: This systematic review aims to provide quality evidence about the success of
non-surgical rhinoplasty procedures in terms of patient satisfaction and complications.
Methods: A systematic electronic literature search using keywords and MESH search

terms over the PubMed/Medline, Cochrane Central, Scopus, and EBSCO online data-
bases was conducted from November 2005 to February 2021. Additionally, the refer-
ence lists of included systematic reviews were hand searched. Data collected included

patient satisfaction and complications from prospective and experimental studies
providing highest level of evidence. Articles were critically appraised, and MINORS
scale was used to assess the risk of bias.

Results: Based on the search criteria, 2896 citations were found. After removing du-
plicates and screening for relevance, 23 citations were finalized for full-text review,

of which 12 articles were excluded and 11 articles were included in the study. The
average satisfaction of patients amongst the studies was found to be >90%. In all the
studies, transient edema and erythema, post-injection pain, and bruising were some

temporary complications. Rare complications that were reported were vascular im-
pairments and hematoma.

Conclusions: Non-surgical rhinoplasty is a good, minimally invasive alternative over
conventional rhinoplasty. There is however a paucity of quality data in the form of

experimental and prospective studies regarding the accuracy, effectiveness, and com-
plications of non-surgical rhinoplasty.

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