Repeated hyaluronic acid (HA) filler rhinoplasty can produce “bottoming out” effect. This effect produces cosmetically displeasing widening of the dorsal aesthetic line. This article demonstrates use of Hyalase to recreate a cosmetically satisfying dorsal aesthetic line.
KimPAhnJT.Structured nonsurgical Asian rhinoplasty. Aesthetic Plast Surg. 2012;36(3):698-703.
2.
NecasJBartosikovaLBraunerPKolarJ.Hyaluronic acid (hyaluronan): a review. Vet Med. 2008;53(8):397-411.
3.
HyalsePI.Sanofi-Aventis Australia Pty Ltd12-24. Last Amend: October28, 2010.
4.
JonesDTezelABorrellM.In vitro resistance to degradation of hyaluronic acid dermal fillers by ovine testicular hyaluronidase. Derm Surg. 2010;36(S1):804-809.
5.
RaoVChiSWoodwardJ.Reversing facial fillers: interactions between hyaluronidase and commercially available hyaluronic-acid based fillers. J Drugs Dermatol. 2014;13(9):1053-1056.
6.
RzanyBBecker-WegerichPBachmannFErdmannRWollinaU.Hyaluronidase in the correction of hyaluronic acid-based fillers: a review and a recommendation for use. J Cosmet Dermatol. 2009;8:317-323.
