Non-Surgical Epicanthoplasty and Rhinoplasty: Epicanthorhinoplasty

To describe a new non-surgical method to correct both medial epicanthal fold and flat nasal dorsum simultaneously using subdermal filler injections. Six patients were injected with 0.8 to 1 ml of injectable Hyaluronic Acid or hydroxyapatite fillers. The mean follow up was 9 months (6-12 months). All patients demonstrated an immediate satisfactory aesthetic improvement that was observed till the filler material was biodegraded. Two patients developed prolonged cutaneous hyperemia at the injection site and another one developed a fistula that resolved spontaneously after 10 days. Sub-dermal injectable fillers may provide a transient, faster, relatively safe, with a non-scar forming method to correct epicanthal folds and depressed nasal bridge simultaneously without the risks of traditional surgical procedures.