Secondary Liquid Rhinoplasty: Challenges, Techniques, and Long-term Outcomes.

[BACKGROUND] The increasing demand for rhinoplasty revisions highlights the need for effective secondary correction. Non-surgical rhinoplasty (NSR) with dermal fillers has emerged as a minimally invasive alternative to traditional surgical interventions for addressing post-surgical nasal imperfections.

[OBJECTIVES] This study aimed to describe and analyze the clinical application of dermal fillers for secondary nasal enhancement in a large series of post-rhinoplasty patients, focusing on anatomical targeting, injection planes, and rheological filler selection to establish best practices for non-surgical structural correction.

[METHODS] This was a retrospective observational cohort analysis of prospectively documented patient records from a single private plastic surgery practice, spanning December 2004 to February 2025. Only patients with a minimum of 6 months of documented post-treatment follow-up data by the February 2025 endpoint were included. The analysis focused on patients with prior surgical rhinoplasty undergoing NSR secondary correction using dermal fillers.

[RESULTS] A total of 1122 post-surgical rhinoplasty patients underwent NSR. The overall complication rate was 2.8%, with all adverse events being minor and transient. Patient-reported satisfaction was high at 92%.

[CONCLUSIONS] Secondary liquid rhinoplasty, when performed with surgical insight, is an advanced, anatomy-driven approach that leverages dermal fillers to simulate structural effects. This method achieved high patient satisfaction and low complication rates, offering a reproducible and safe modality for managing post-surgical nasal imperfections.