Rhinoplasty/management of filled noses

Facial plastic surgery dealing with filled noses, be they altered by prior nonsurgical fillers or prior rhinoplasty procedures is becoming an increasingly difficult management problem. According to the popularity of injectable fillers globally, so too increases the complexity of required subsequent surgical intervention secondary to altered anatomy, fibrosis, and unpredictable tissue response. The purpose of this study is to investigate the efficacy and safety of structured surgical protocols in secondary rhinoplasty of filled noses. A prospective cohort of 48 patients who either had received nasal fillers or had a history of rhinoplasty were observed prospectively for 24 months. Individualized surgical planning was guided by preoperative imaging along with filler-type identification and histological analysis. Surgical management was emphasized by precisely removing filler, grafting in structures, and tailoring aesthetic refinement. Functionally and aesthetically, results were good and patients had minimal complications and reported 89.5% high satisfaction scores. It points out that such factors as filler migration, inflammatory reactions, and vascular risks must be taken into account in planning surgery. This research provides a standardized approach combining imaging, intraoperative navigation, and patient-specific strategy to make the rhinoplasty procedure safer and more predictable in complex cases. Given the findings, this evolving entity of nasal surgery underscores the need for targeted and interdisciplinary collaboration, and carrying this out through long-term follow-up.