Modern cosmetology is to some extent an alternative to plastic surgery. This also applies to a procedure called 'nasal contouring' or 'injection rhinoplasty'. Point and line injections of certain substances allow you to adjust the shape of this part of the face. This is of course not an operational intervention, but the procedure is quite complicated. There is a great deal of experience required from the person performing the task, from the patient - the ability to select the appropriate dermato-cosmetologist and to follow the instructions exactly.
General information about the procedure and indications for it
Contour surgery is not a panacea. For example, unlike plastic surgery, it is not performed to reduce the size of an oversized nose, to "straighten" a bent inner hedge, or to correct the consequences of serious injuries.
But there are many signs of it:
- disproportionately small nose;
- aesthetically thin or broad, curved back;
- flabby, sagging skin on the nose (this is especially noticeable on the wings and its tip);
- depression at the site of the nasal septum in any part of the back;
- wings too wide, obvious asymmetry;
- stuffy nose (tip of nose pulled up), "beak-like" (he, on the contrary, "looks down"), nose "potato";
- congenital or acquired express humps (e. g. due to the need to wear glasses permanently);
- flattened bridge;
- the need for a slight modification of the outcome of the plastic surgery if it is not entirely appropriate for the surgeon or patient;
- not very noticeable presence of scars, scars, post-acne.
Injectable rhinoplasty cures many nasal problems, often causing mental discomfort.
Nasal contouring is performed for people over the age of 18 in licensed clinics and health centers. This can only be done by certified dermato-cosmetologists. The cost of the procedure depends on the error to be corrected, the region and the reputation of the institution.
No lasting effects are expected - the substance (filler) injected will be gradually absorbed and excreted from the body. Depending on the rate of metabolism and other individual characteristics of the body, the result lasts for 1-2 years.
Advantages and disadvantages of the procedure
Compared to plastic surgery, rhinoplasty has the following undoubted advantages:
- the ability to perform without surgery, which is unacceptable to many for a variety of reasons;
- relatively short recovery and rehabilitation period;
- lack of problems with respiratory function, sutures and scars;
- lower risk of complications, shorter list of contraindications;
- the overall safety of the substances used for health and their biocompatibility with the human body;
- the short duration of the "meeting" and the rapid impact;
- almost complete lack of pain;
- more affordable price;
- the "reversibility" of the result if it does not suit the patient.
An obvious effect that doesn’t have to wait long is one of the main benefits of rhinoplasty.
Of course, there were no shortcomings:
- injection rhinoplasty is, of course, significantly cheaper than "traditional", but even in this version, not everyone can afford the procedure;
- lack of lasting effect (regular new injections are needed to maintain it);
- it is difficult to find a truly qualified doctor with the necessary experience (the outcome usually depends on it).
Many would not mind correcting the shape of their nose, but not everyone manages to find the right professional.
Existing contraindications to contour plastics
Injectable rhinoplasty is classified by dermatocosmetologists as a low-traumatic procedure. However, it has a fairly long list of contraindications:
- incomplete healing of mechanical injuries (scratches, abrasions, burns) or purulent diseases (acne, folliculitis) in the "surgical area";
- the presence of malignant, benign tumors, as well as formations of unknown etiology (therefore, many professionals refuse to contour the nose if they have large moles, moles, warts);
- any chronic disease in the acute stage (especially high blood pressure, liver, kidney problems);
- viral and / or bacterial infections in the body, inflammation, regardless of location (even colds, SARS);
- diseases that negatively affect the immune system, causing problems in the endocrine system and hormonal "failures" (including any type of diabetes);
- the total period of childbirth and natural feeding of the child;
- trypanophobia (panic fear of injections, syringes, needles);
- skin hypersensitivity, tendency to hyperpigmentation, formation of rough keloid scars;
- recently (within the next 2 weeks) underwent "aggressive" cosmetic procedures (such as peeling affecting the deeper layers of the skin).
No studies on the effects of injectable rhinoplasty on the body and fetus of a pregnant woman have been performed, but it is unlikely that at least one expectant mother will want to put her baby at risk.
An allergic reaction to fillers is extremely rare (affects 1 user in 2, 000) but cannot be ruled out completely. Therefore, before the procedure, the selected drug is necessarily examined for individual intolerance.
Different methods and drugs
The technique chosen by the person injecting rhinoplasty and the particular drug will be determined by the nature and extent of the problem.
Fillers are injectable;
- under the skin;
- into the mucosa.
The drug is a viscous, dense gel that retains its shape. Its main component is hyaluronic acid or calcium hydroxyapatite. In the first case, the substance is intended to fill cavities and cavities, increase volume, and "side effect" rejuvenate tissues at the cellular level by stimulating the synthesis of collagen and elastin. rostok.
The shape of the nose after contouring is helped by special preparations - fillers.
Hyaluronic acid-based fillers are eliminated faster from the body. However, formulations containing calcium hydroxyapatite require precise calculation by a person skilled in the art of where, how and at what dose. In the event of an error, very serious complications and negative consequences are possible.
The success of the process depends on the quality of the filler. Therefore, reputable clinics and centers only use products from reputable companies, and such drugs simply cannot be cheap.
The high-quality filler, together with the expertise of the dermatocosmetologist, provides the desired effect after rhinoplasty.
What is the preparation and the procedure itself
The preparation of an injection rhinoplasty necessarily involves consultation with the attending physician. During the conversation with the patient, it is determined whether the nose contouring will be effective at all, and the results of the "surgery" are modeled using computer graphics, taking into account the patient's wishes. these contraindications for injection rhinoplasty.
They also explain to the patient how the procedure itself, the preparation for it, and the recovery period are going. They give recommendations that need to be followed later, even if they seem like ridiculous reinsurance. The consultation shall end with the date of the "operation".
Nasal contouring is not performed without prior study of the patient's medical history and clarification of the absence of contraindications.
Preparations begin a week before. The patient will need:
- take the recommended antiviral medication if you are prone to herpes;
- stop drinking alcohol, strong tea and coffee, minimize smoking (ideally stop smoking completely), include wholesome and healthy foods in your diet;
- do not take an anticoagulant (if a blood-thinning medication is prescribed and cannot be interrupted, you should wait until the nose is finished);
- do not perform salon cosmetic procedures (especially the administration of hardware and injections).
Coffee consumed in large quantities retains fluid in the body, which prevents the tissues from regenerating quickly.
The session itself takes 30-45 minutes. Here's how:
- The dermatologist cleans the "operating area" and removes decorative and nursing cosmetics if necessary. The filler injection area is also treated with an antiseptic.
- At the request of the patient, the doctor will use local anesthesia. In most cases, they do it without this - hairpins are used for filler injections, and punctures cause almost no pain. But skin sensitivities are different for everyone, so some prefer to keep themselves safe. It takes 15-20 minutes for the anesthetic to take effect. At this time, the specialist will prepare everything. The ampoule containing the medicine should be new and opened in front of the patient. All "consumables" (syringes, needles, gloves) are disposable. The patient has the right to have the ampoule inspected more closely to make sure it is the right medicine for the right dose and expiration date.
- The doctor wipes off any remaining anesthetic cream or gel with a cotton ball and repeats the treatment with an antiseptic.
- The person skilled in the art will inject the required amount of filler into the desired areas. It should then be properly divided with your fingers as if it were "carving out" a new shape of the nose.
- At the end of the procedure, the "work area" is disinfected again. The patient is then advised to spend an additional 15-20 minutes at the clinic. If they do not notice any discomfort or deterioration, they can go home.
The most important part of the process, injecting the filler, takes only 10-15 minutes.
Sometimes, in order for the filler to "remember" the new shape faster, they practice putting on a special rail. You have to wear it for a maximum of a day, after which you can get rid of the "accessory" yourself.
Recommendations for the rehabilitation period
Rehabilitation after contour plastic surgery is divided into 2 stages. The first takes 3-4 days, during which time it is clear that the nose has experienced some intervention.
At this time, dermato-cosmetologists recommend:
- Minimizes facial touch. Do not touch the injection site at all unless you are using a disinfectant, regenerator and / or anti-inflammatory cream recommended by your doctor. In fact, you can’t pull your nose, squeeze, rub your nose, back, and so on.
- Do not use care and decor cosmetics in the "operating area. " It is better not to get even water on your nose.
- If possible, sleep only on your back or at least on your side, but not under any circumstances - without burying your face in the pillow.
When severe symptoms suggestive of the intervention resolve, the following should be avoided for the next 2-3 weeks:
- visits to baths, saunas, solariums (on the one hand, high temperatures are harmful, on the other hand, sweat corrodes punctures that have not yet fully healed, inhibits regeneration, and thirdly, it can cause infection, which is now very undesirable);
- bathing in natural and artificial reservoirs (this is also a potential "source of infection");
- sunbathing (every time you go outside when the punctures are completely healed, you should apply a sunscreen with an SPF of 30 or higher on your nose);
- frequent stays in an "upside down" position;
- intense sports training and any other physical activity;
- any salon cosmetic procedure;
- use of skin care products containing alcohols, acids, dyes, fragrances, other "aggressive" substances (in which case hypoallergenic cosmetics for sensitive skin are the best choice), exfoliators, peels, decorative cosmetics;
- long lying in a hot bath (a hot shower is also undesirable).
Intensive training also carries a risk of nasal injury, so it is better to refrain from them during the rehabilitation period after contouring.
Possible negative consequences
If both the physician and the patient adhere strictly to the "protocol" of the procedure, both for the injection of the filler and for the preparation and rehabilitation periods, the risk of complications after the rhinoplasty is minimized.
Of course, you have to endure unpleasant symptoms for the next 3-7 days, but in this case, these are the norms:
- bruises at the sites where the skin was pierced;
- swelling, swelling and / or redness in the "surgical area";
- mild dull or aching pain;
- small hematomas.
Immediately after contouring, the nose may not appear to be very representative, but this is a temporary phenomenon.
More serious complications and negative consequences can be the fault of both the doctor and the patient. The first is to inject into the skin during the delivery of the filler, to choose the wrong injection sites, and to determine the amount of medicine to be injected. The second is to ignore the instructions given to him. In addition, complications may not occur immediately, but 2-3 weeks after nasal contouring.
- "Migration" filler. This most often occurs with poor quality medication or mechanical effects on the nose after administration. The filler moves, the nose gives an unnatural appearance, asymmetry and disproportion appear.
- "Pounding" and tangible seals under the skin, pronounced asymmetry of the nose. This occurs if you "exaggerate" the filler or distribute it improperly during the process.
- Allergic reaction. It cannot be ruled out unless an individual intolerance test has been performed with the selected medicinal product. Manifestations of allergies range from unpleasant but tolerable (rash, itching, burning, redness) to life-threatening (Quincke's edema, breathing problems).
- Inflammatory process, purulence. Typical symptoms are flushing, skin hyperaemia, fever. They occur when an infection is applied to the puncture site during or after injection rhinoplasty.
- Tissue necrosis, occlusion of blood vessels, embolism. It is accompanied by cramps, loss of skin sensitivity, intense pain, and the skin tone becomes cyanotic or dead white. This occurs when the filler is accidentally injected too deep and "pinches" the small capillaries and larger blood vessels. Calcium hydroxyapatite-based preparations are particularly dangerous in this respect: their entry into blood vessels can cause serious cardiovascular problems, even to myocardial infarction.
The lack of the desired effect after rhinoplasty can also be considered as a kind of negative consequence. This is due to the introduction of low-quality medicine or injections into subcutaneous layers that are too deep.
It is possible to "reverse" the effect
The need to get rid of the injected filler may arise both in the case of complications that endanger health and when the outcome of the procedure is simply not satisfactory to the patient. Hyaluronic acid has an antagonist substance - hyaluronidase. By injection or hardware, the desired dose is injected into the desired area. One (in rare cases 2-3 procedures) is enough to get the nose back to its "initial state. "
Everything is more complicated with calcium hydroxyapatite. It does not appear at all at this time. Injection of saline solution in combination with hardware procedures helps to gradually release the filler over several months.
Many people want to correct the shape of their nose if possible. But sometimes you have to refuse plastic surgery. However, there is an alternative to surgery - nasal contouring. You should only choose a qualified doctor who will explain what effects each patient can expect and how to avoid unpleasant consequences after the procedure. In order for everything to be successful, experience and strict adherence to the "protocol" of rhinoplasty for injection are required, and from the patient - all regulations must be followed.