Many people dream of correcting the shape of the nose, and plastic surgeons often work with clients who wish to both make small adjustments and completely change their noses for the better.
But, first of all, radical surgery does not give the patient a chance to correct the consequences of the operation (only minor correction is possible).
Contour rhinoplasty refers to non-surgical methods that allow the shape of the nose to be corrected faster and more safely than surgery.
For this, fillers based on hyaluronic acid, own tissues (lipofilling) and other materials are used; son; hormonal agents that soften the cartilage tissue in the nose, which helps correct its shape.
Secondly, the operation is more expensive, and in the event of an error by the surgeon, the probability of which always exists, it is not always possible to correct the consequences. Today, as an alternative to this method, contouring is used successfully, which is carried out faster and does not have serious negative consequences.
For hormonal rhinoplasty, glucocorticosteroids are used, in which resorption of cartilage is a side effect.
Therefore, to have an effect, they are administered in large doses. They are posted for a very long time - within six months.
A common complication when using hormonal rhinoplasty is failure of the nose.
Indications and contraindications
Surgical nose surgery is an effective way to achieve the desired result, but this type of intervention can be avoided if a small correction of certain areas is required.
The indications for contour rhinoplasty, which allows it to be done quickly and safely, are:
- tip of nose too thin, drooping or turned upside down;
- asymmetrical nose;
- irregularities of a different nature;
- scars and other similar defects.
Contour correction has a number of contraindications, which can be absolute and relative. The first group includes oncological diseases, individual intolerance to the drugs used and their components, hemophilia, autoimmune diseases and diseases of the endocrine system.
Relative contraindications are factors that do not allow correcting the nose without surgery at a specific time, but over time the procedure becomes possible.
These contraindications are:
- exacerbation of chronic diseases;
- inflammation of skin areas in the proposed area of the rhinoplasty procedure;
- Pregnancy and breast feeding;
- rehabilitation period after complex cosmetic procedures.
In addition, the procedure is not carried out for people under the age of 18. This is due to the fact that bone and cartilage tissue at this age has not yet fully formed, and medical intervention can lead to negative deviations.
What disadvantages will contour rhinoplasty help correct?
Since non-surgical rhinoplasty may not help in all cases, it is important to know when such a method will be appropriate and will help resolve the patient's problems. This medical procedure is guaranteed to eliminate:
- Asymmetric shapenose. After the rhinoplasty procedure, the nose becomes uniform, regardless of the cause of such a deviation (trauma, surgery or was present from birth).
- GorbinkiIn the nose. Sometimes this defect is not considered as such and does not affect the aesthetic perception, but in some cases the bumps make a person's face unattractive, which is easy to correct with rhinoplasty.
- Shape restorationnose after injury. Often after accidents, fights or sports, the shape of the nose becomes ugly as a result of damage, but this defect is quickly eliminated.
- Removal of miscellaneousfailures, dimples and irregularities.
Also, rhinoplasty specialists are consulted to eliminate upturned noses or, on the contrary, to raise the tip of the nose.
How is the procedure
Before correcting the shape of the nose, it is necessary to consult a dermatologist. The doctor will examine the tolerance of the drugs used and the funds used during the procedure.
After that, you can discuss all the details of the operation with a rhinoplasty specialist. At this point, the result is predicted, the correction areas are determined, and all additional customer wishes and other nuances are discussed.
Before the correction, an anesthetic in the form of an ointment is applied to and around the nose, which begins to act after about 15 minutes. Then the correction process begins, which can be done in various ways.
Non-surgical rhinoplasty with fillers
If the correction is carried out by the introduction of fillers, the procedure takes no more than forty minutes. At the same time, the changes are immediately noticeable, because, unlike a surgical intervention, this procedure does not have such consequences as swelling, bruising and swelling, which makes it difficult for the doctor and the patient to assess the work.
The fillers are called special gels of synthetic origin. The most common fillers are hyaluronic acid. These preparations do not contain toxins and are produced by bacterial synthesis. It turns out to be a completely safe ecological product that is harmless to the body.
The main advantage of this type of filler is its absolute resistance to enzymes produced by skin cells. Under the influence of such enzymes, the charge is not destroyed, so the corrections made are retained for a long time.
The fillers are injected using a syringe with a fine needle. Such a needle ("cannula") differs from the usual needle with a rounded end and the opening of the cannula is located on the side.
The drug is stored in a sealed package immediately before the procedure and is opened immediately before the administration process. Depending on the depth at which the charge is injected and the desired effect, a certain amount is used.
There are different types of fillers, each of which differs in terms of duration and effectiveness. In addition to drugs based on hyaluronic acid, the following are also used:
- Autologous- are made from the customer's own fabrics.
- Biodegradable- are gel preparations which are not exposed to chemical compounds in the human body, do not break down and are excreted from the body longer than other types.
- Biodegradable- decompose under the influence of enzymes produced by the body, and over time are eliminated, broken down to the level of the simplest elements.
Each type has its own characteristics, advantages and disadvantages. So, biodegradable fillers are not very expensive, but the effect of the introduction of such drugs does not last more than 8-12 months.
More durable biodegradable fillers last longer in the body, but tissue fibrosis (connective tissue overgrowth and scarring) is possible if used.
Autologous drugs do not have such drawbacks, but they are much more expensive, and procedures using such fillers require some time to synthesize the drug.
Regardless of the filling material used for the contour of the nose, after the procedure it may be necessary to use a splint to properly shape the shape of the nose, but it does not take more than a day to wear such an accessory. , after which the patient can remove it himself.
Nose surgery without surgery with hormone drugs
In this case, hormonal drugs in the literal sense are not used, but their analogues, which are able to partially dissolve and soften the cartilage tissue of the nose for further correction of its shape.
The complexity of such a procedure lies in the fact that the specialist must accurately calculate the amount of the drug injected and correctly determine the depth of injection. If this is not successful, the formation of cavities in the nose and even uncontrolled tissue atrophy, caused by an excessive amount of the drug, is possible.
This method is not as quick as the others, and it is usually a course of several procedures, spanning two to three weeks. The effectiveness of this method is quite high, but the doctor and the patient achieve the desired result in stages. Therefore, in the early days, no obvious changes can be found.
Before the procedure, it is necessary to consult an endocrinologist who will determine the hormonal background of the patient, and in some cases doctors declare the impossibility of such procedures due to problems with the level of certain hormones.
Nonsurgical nose correction with threads
When using this method, special threads are pulled through areas of the nose that require correction, which are then pulled into certain areas.
As a result of these "pull-ups" you can make the necessary changes to the shape of the nose.
During the first two days, an adaptation takes place, after which the remains of the threads are removed. This procedure is performed under local anesthesia and is primarily used to reshape the wings and tip of the nose.
In modern contour rhinoplasty, threads are not yet used as often as other methods. This is due to the fact that at its relatively high cost this method can correct only small flaws.
Unlike surgery, which always involves complex operations, rhinoplasty around the nose without surgery does not require a long period of rehabilitation at the end of the procedure.
In addition, after the correction of the nose, in such cases, the patient can independently leave the clinic immediately after the end of the operation without the need to be under the supervision of a doctor.
A day after contour correction, a person can already return to his usual way of life, and after three more days in the mirror, you can see the final effect of the procedure.
But contour rhinoplasty can have complications. These can be small local edemas and bruises, but they don't require any additional procedures or medical intervention and go away within a day or two.
The main thing to avoid during the rehabilitation period, which lasts from several days to a week - any injury, even the slightest. This can cause fibrosis, so if the activity of a person who has had rhinoplasty is associated with physical activity or the risk of accidental injury at work, it is best to take sick leave.
In addition, during the rehabilitation period, it is necessary to limit the exposure of the skin of the face to sunlight (especially in summer), you can not use cosmetics even in minimal quantities and refrain from visiting thesolarium. Baths and saunas are also excluded on these days.
The effectiveness of contouring
The effectiveness of rhinoplasty directly depends on three factors: on the type of procedure, in the case of fillers, their variety and the cost of such a tool.
Unlike the results of plastic surgery, the effect of non-surgical rhinoplasty lasts a maximum of three years, provided that the most expensive biodegradable drugs are used.
Minimal changes with the use of cheap fillers are observed only for the first six to eight months, after which the procedure should be repeated. On average, the effect of this type of rhinoplasty lasts about a year and a half. It is impossible to name the exact moment, since it all depends on the characteristics of the metabolism of a particular patient and the degradation of the filling components.
The non-surgical rhinoplasty procedure is simple, painless, and lasts an average of half an hour. But this does not exclude possible complications which in some cases can be observed in patients.
Sometimes such negative consequences of contour rhinoplasty can be noticed during the rehabilitation period, while recovery can take more than several days. If after a week problems begin and complications are observed, it is necessary to undergo a diagnosis, after which the appropriate treatment will be prescribed.
The most harmless complications include:
- slight swelling and bruising;
- pain in the correction area;
- swelling in areas that have undergone rhinoplasty.
Experts qualify these consequences as acceptable and advise against taking special measures to eliminate these complications.
The situation is much more serious when, as a result of the actions of the doctor, large blood vessels are blocked. This leads to impaired blood circulation and the result of such a complication in most cases is tissue death.
Embolism is accompanied by symptoms such as spasms, pain syndrome, areas of the skin in the correction area may acquire a bluish tint. If you notice such signs, you should see a doctor immediately.
In extremely rare cases, allergic reactions to one or more of the ingredients of the preparations used are possible. But provided that the procedure is carried out under the supervision of an experienced specialist, this probability is minimized.
Even less often, after surgery, a violation of the shape of the nose is possible. This can happen both due to unqualified actions of the doctor, and due to the peculiarities of the cartilage and bone tissue of the patient. In such cases, the situation can only be corrected by surgical intervention.
In some cases, non-surgical rhinoplasty can have the following side effects:
- Some clinics may use drugsLow qualitythat cause pain. In itself, the procedure of inserting a needle under the skin is quite unpleasant, but in case of pain, the doctor can use an anesthetic as an anesthetic. An overdose of anesthetic, in turn, can lead to unconsciousness.
- With insufficiently deep introduction of the drug, there may begel protrusionand its migration under the skin. As a result, these problem areas will appear uneven and bumpy. In people with thin skin, purple spots appear at the injection sites.
- Inflammation- the body's normal reaction to the introduction of foreign substances. But if such inflammation at the injection sites does not go away for more than three days, then this is a reason to see a doctor. Often, "nodules" form under the skin in inflamed areas, which can only be removed with surgery.
- Too deep injections lead tofilling migration. . . In such cases, it sinks under the skin, changing its location, and as a result, the shape and features of the patient's face are distorted. The main reason for this side effect is the inept actions of the doctor who cannot correctly determine the depth of administration of the drug.
When choosing a contour plasty that does not require surgery, it is necessary to fully understand the outlook and weigh all the pros and cons of this method.
In most cases, this is the best way to correct the shape of the nose, but before the procedure it is imperative to undergo a complete examination, based on contraindications to contour rhinoplasty: this will ensureavoid unpleasant consequences.