{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T17:07:33Z","timestamp":1784135253628,"version":"3.55.0"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T00:00:00Z","timestamp":1761091200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,15]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n The increasing demand for rhinoplasty revisions highlights the need for effective secondary correction. Nonsurgical rhinoplasty (NSR) with dermal fillers has emerged as a minimally invasive alternative to traditional surgical interventions for addressing postsurgical nasal imperfections.<\/jats:p>\n <\/jats:sec>\n \n Objectives<\/jats:title>\n The authors of this study aim to describe and analyze the clinical application of dermal fillers for secondary nasal enhancement in a large series of postrhinoplasty patients, focusing on anatomical targeting, injection planes, and rheological filler selection to establish best practices for nonsurgical structural correction.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n 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 posttreatment follow-up data by the February 2025 endpoint were included. The analysis focused on patients with previous surgical rhinoplasty undergoing NSR secondary correction using dermal fillers.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n A total of 1122 postsurgical 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%.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n 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 postsurgical nasal imperfections.<\/jats:p>\n <\/jats:sec>\n \n Level of Evidence: 4 (Therapeutic)<\/jats:title>\n For image description, please refer to the figure legend and surrounding text.<\/jats:p>\n <\/jats:sec>","DOI":"10.1093\/asj\/sjaf212","type":"journal-article","created":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T11:32:12Z","timestamp":1761046332000},"page":"916-920","source":"Crossref","is-referenced-by-count":0,"title":["Secondary Liquid Rhinoplasty: Challenges, Techniques, and Long-term Outcomes"],"prefix":"10.1093","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6101-5087","authenticated-orcid":false,"given":"Denis Souto","family":"Valente","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafaela 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