第6回アジア太平洋美容外科アカデミー、フィリピン　マニラ 2007/03/02-04

The role of glabella augmentation for Oriental rhinoplasty

Keizo Fukuta, M.D.
Haruo Oguchi, M.D.
Yuji Nakanishi, M.D.
Verite Clinic

The most common demand in rhinoplasty for Orientals is augmentation of the dorsum. Insertion of a silicone implant has been widely used for this purpose.

The dorsal augmentation increases the height of the dorsal line, and it shifts the nasion to more cephalic position at the same time. This means the dorsal augmentation alone can make the nose look longer.

The dorsal augmentation provides impression of nose being too long for those who have low dorsum with the nasion in an adequate or cephalic position. In contrast, the augmentation of the glabella can shift the nasion caudally.

This paper presents our experience of the combined use of glabella augmentation with dorsal augmentation of the nose. A simple method for the glabella augmentation is injection of hyaluronic acid.

Although the result is temporary, it is a very intuitive technique. For those who seek for a permanent result, we have used a PTFE implant, which is inserted via endonasal approach or open rhinoplasty approach.