Nonsurgical Rhinoplasty in Patients of African Descent: A Retrospective Review

Background: There is a paucity of research on nonsurgical rhinoplasty in the population of African descent. In this group, underlying anatomy and aesthetic ideals vary, necessitating differences in the consultation process and in treatment. The authors present a case series from a single clinician’s practice performing nonsurgical rhinoplasty on patients of African descent. Methods: A retrospective chart review was completed on eligible patients who underwent nonsurgical rhinoplasty treatment with hyaluronic acid filler injections performed by the first author (A.H.) from March of 2018 to February of 2021. Demographic variables, indications for treatment, patient-reported outcomes, and adverse events were reviewed. The authors also share the first author’s technique for nonsurgical rhinoplasty in this patient cohort. Results: A total of 487 patients of African descent or mixed race including African descent were included in this study. The most common indications for treatment were lack of bridge definition (63.9%), excessive alar width (61.6%), and a bulbous tip (61.6%). Median filler volume was 0.6 mL (range, 0.3 to 2.1 mL) at the initial treatment visit. There were no reported cases of infection, vascular occlusion, or necrosis. Conclusions: This study is the first to illustrate the effectiveness and safety profile of nonsurgical rhinoplasty in a population of African descent. Anatomical variations and the desire for racially congruent results must be acknowledged to ensure satisfactory outcomes. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.