Rhinofiller: Fat Grafting (Surgical) Versus Hyaluronic Acid (Non-Surgical)

background the author presented his experience using "fat grafting " (FG) and "hyaluronic acid " (HA) techniques in nasal remodeling. objectives the paper aimed to evaluate the efficacy and safety of the use of FG and HA in nasal remodeling for aesthetic improvement. methods a randomized controlled trial was conducted. 15 patients affected by soft defects of the dorsum, low and boxy nasal tip, and hidden columella, were treated with FG (study group-SG), comparing results with the control group (CG) (n = 17) treated with hyaluronic acid (HA). post-operative follow-up took place at 1, 2, 4, weeks, 3, 6, 12 months, and then annually. results 73.7% of SG patients showed excellent cosmetic results after 1 year compared with only 29.7% of CG patients. at one-month, major part of people who underwent the treatments (FG and HA) referred to satisfaction with the resulting volume contours (p = 0.389). 88.3% of CG patients versus 53.8% of SG described the HA and FG injection, respectively, as a very comfortable and non-invasive procedure. as expected, patient satisfaction with the appearance of nasal contouring was higher in the FG group at 1 year. conclusions FG and HA were safe and effective in this series of cases performed.