A 40-year-old woman sought correction after failed rhinoplasty with inverted V deformity, dorsal hump, and valve collapse.
Results remained natural and stable over 7+ years, demonstrating durability and graft-like integration.
Surgical revision was excluded due to lack of cartilage support and prior trauma. Neauvia Intense (PEG-HA 28 mg/ml) was used as a structural rhinofiller. In 2018, 1 ml was injected with a 22G cannula under SMAS, mimicking grafts (extension, spreader, strut), followed by a 1 ml touch-up in 2022.
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