Fig. 6.

Case 4—to smoothen postsurgical tip irregularities. A, Two years after rhinoplasty in a 26-year-old man; the patient came back wishing to address an increasing tip graft visibility that he had first started to notice during the past year. He had no other relevant medical or surgical history. Secondary surgery would necessitate a difficult and relatively risky procedure for such a small correction because an open rhinoplasty would likely be needed, and there would also be a higher risk for supratip swelling and worsening of the defect. Therefore, HA injection was preferred for this patient. B, Ten years after intradermal injection of 0.1 mL Restylane with a sharp 29-G needle around the edges of the tip graft; the tip graft was still effectively masked, and the patient was satisfied (1 retreatment intradermal injection with 0.05 mL Restylane using a sharp 29-G needle was given 5½ y after the first injection). The photographs are published with permission from the patient.