title: Correction of sequelae of rhinoplasty by lipofilling.
abstract: BACKGROUND
  Rhinoplasty sequelae can be difficult to treat, especially in patients with thin skin. Autologous fat grafting is already used in numerous applications in plastic surgery. However, its use in the nasal region remains relatively uncommon. Given its volumetric qualities and its action on cutaneous trophicity, adipose tissue can be considered the reference product for filling.
  
  
  METHODS
  From 2006 to 2012, 20 patients were treated by autologous fat injections according to the Coleman technique in order to correct rhinoplasty sequelae. The procedures were performed under local or general anaesthesia. The quantity of adipose tissue injected ranged from 1 to 6 cc depending on the size of the deformation and the zone being injected: dorsum irregularities, inverted V deformations, visible lateral osteotomies and saddle nose deformity.
  
  
  RESULTS
  Of the 20 patients followed up for 18-24 months, 18 had satisfactory aesthetic results after one procedure and two required a second session. Our experience gradually led us to design micro-cannulae for greater injection precision and enabled us to perform these procedures under local anaesthesia. The reduction in ecchymoses and postoperative oedema through the use of these cannulae has significantly reduced convalescence time.
  
  
  CONCLUSIONS
  In patients who undergo multiple procedures, lipofilling can be a simple and reliable alternative to correct imperfections following rhinoplasty.
authors.affiliation: Department of Plastic Surgery, Hospital de la Conception, 147 Bd Baille, 13005 Marseille, France. Electronic address: claire.baptista@ap-hm.fr.
authors.forename: C
authors.initials: C
authors.lastname: Baptista
authors.forename: P S A
authors.initials: PS
authors.lastname: Nguyen
authors.forename: C
authors.initials: C
authors.lastname: Desouches
authors.forename: G
authors.initials: G
authors.lastname: Magalon
authors.forename: J
authors.initials: J
authors.lastname: Bardot
authors.forename: D
authors.initials: D
authors.lastname: Casanova
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D004954:Esthetics; D005260:Female; D006801:Humans; D008875:Middle Aged; D009667:Nose Deformities, Acquired / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery*; D012225:Rhinoplasty / Q000379:methods*; D014182:Transplantation, Autologous; D016896:Treatment Outcome