Many people dream of correcting the shape of the nose, and plastic surgeons often work with clients who want to make minor adjustments and completely change their nose for the better.
But, first of all, radical surgical intervention does not leave the patient the possibility of correcting the consequences of the operation (only a small correction is possible).
Contour rhinoplasty refers to non-surgical methods to correct the shape of the nose faster and safer than surgery.
For this, fillers based on hyaluronic acid, own tissues (lipofilling) and other materials are used; threads; Hormonal agents that soften the cartilage tissue of the nose, allowing it to correct its shape.
Second, the operation is more expensive, and in the event of a surgeon's error, the probability of which always exists, it is not always possible to correct the consequences. Today, as an alternative to this method, contouring is successfully used, which is done faster and does not have serious negative consequences.
For hormonal rhinoplasty, glucocorticosteroids are used, in which cartilage resorption is a side effect.
Therefore, to be effective, they are administered in large doses. They show up for a long time, within six months.
A common complication when using a hormonal rhinoplasty is nose failure.
Indications and contraindications.
Nose surgery is an effective way to achieve the desired result, but this type of intervention can be dispensed with if a small correction of certain areas is required.
The indications for contour rhinoplasty, which allows it to be performed quickly and safely, are:
- tip of nose too thin, drooping or turned up;
- hump;
- asymmetric nose;
- irregularities of 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 to correct the nose without surgery at a specific time, but over time the procedure becomes possible.
Such contraindications are:
- exacerbation of chronic diseases;
- ARVI;
- rhinitis;
- inflammation of skin areas in the proposed area of the rhinoplasty procedure;
- pregnancy and lactation;
- rehabilitation period after complex cosmetic procedures.
Also, the procedure is not done for people under the age of 18. This is due to the fact that bone and cartilage tissues at this age have not yet fully formed, and medical intervention can provoke negative deviations.
What disadvantages will contour rhinoplasty help correct?
Since nonsurgical rhinoplasty may not help in all cases, it is important to know when such a method will be appropriate and help solve the patient's problems. This medical procedure is guaranteed to eliminate:
- Asymmetrical shapenose. After the rhinoplasty procedure, the nose is leveled, regardless of the cause of the deviation (trauma, surgery, or was present from birth).
- GorbinkiIn the nose. Sometimes this defect is not considered as such and does not affect aesthetic perception, but in some cases the lumps make a person's face unattractive, and this is easy to correct with a 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.
- Deleting severalfailures, dimples and irregularities.
Likewise, rhinoplasty specialists are consulted to eliminate flat noses or, conversely, to lift the tip of the nose.
How is it the procedure
Before correcting the shape of the nose, it is necessary to visit a dermatologist. The doctor will examine the tolerance of the drugs used and the funds that are used during the procedure.
After that, you can discuss all the details of the operation with a rhinoplasty specialist. At this stage, the result is predicted, correction zones are determined, and all additional wishes of the client and other nuances are discussed.
Before correction, an anesthetic in the form of an ointment is applied on and around the nose, which begins to act after about 15 minutes. Then the correction process begins, which can be done in a number of ways.
Non-surgical rhinoplasty with fillers
If the correction is made by introducing fillers, the procedure takes no more than forty minutes. At the same time, the changes are immediately noticeable, since, unlike surgical intervention, this procedure does not have consequences such as swelling, bruising and swelling that prevent the doctor and the patient from evaluating 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 is a completely safe ecological product, harmless to the body.
The main advantage of this type of filler is its absolute resistance to the enzymes produced by the skin cells. Under the influence of such enzymes, the filler is not destroyed, so the corrections made are saved for a long time.
Fillers are injected with a syringe with a fine needle. Said needle ("cannula") differs from the usual one with a rounded and blunt end, and the opening of the cannula is located on the side.
The medicine is stored in a sealed package immediately before the procedure and opened immediately before the administration process. Depending on the depth to which the filler 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 hyaluronic acid-based drugs, the following are also used:
- Autologous- They are made on the basis of the client's own fabrics.
- Biodegradable- they are gel preparations that 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- they break down under the influence of enzymes produced by the body, and over time they are removed, they break down to the level of the simplest elements.
Each type has its own characteristics, advantages and disadvantages. Therefore, biodegradable fillers are not very expensive, but the effect of the introduction of such drugs does not last more than 8-12 months.
Longer-lasting biodegradable fillers last longer in the body, but tissue fibrosis (proliferation of connective tissues and scars) is possible if used.
Autologous drugs do not have such drawbacks, but they are much more expensive and procedures using such fillers require a certain amount of time to synthesize the drug.
Regardless of the filler that was used to contour the nose, after the procedure, it may be necessary to wear a splint to properly shape the nose, but it takes no more than a day to wear such an accessory, after which the patient can remove it. on your own.
Non-surgical nose surgery with hormone-based medications
In this case, hormonal drugs are not used in the literal sense of the word, but their analogues, which can partially dissolve and soften the cartilaginous tissues of the nose for the subsequent correction of its shape.
The complexity of such a procedure lies in the fact that the specialist must accurately calculate the amount of the injected drug and correctly determine the depth of the injection. In case of failure, the formation of cavities in the nose and even uncontrolled tissue atrophy, which is provoked by an excessive amount of the drug, is possible.
This method is not as fast as the others and usually consists of several procedures that span two to three weeks. The effectiveness of this method is quite high, but the doctor and the patient go to the desired result in stages, therefore, in the first 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 claim the impossibility of such procedures due to problems with the level of certain hormones.
Non-surgical nose correction with threads.
Using this method, special threads are pulled through the areas of the nose that require correction, which are then pulled into certain areas.
As a result of these "pull-ups" the necessary changes can be made to the shape of the nose.
During the first two days, adaptation takes place, after which the remnants of the threads are removed. This procedure is performed under local anesthesia and is used primarily to reshape the wings and tip of the nose.
In modern contouring rhinoplasty, threads are still not used as often as other methods. This is due to the fact that, at a relatively high cost, this method can correct only small defects.
Rehabilitation process
Unlike surgical intervention, which always involves complex operations, non-surgical nose contour rhinoplasty does not require a long rehabilitation period at the end of the procedure.
Also, 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 the contour correction, a person can already return to his usual lifestyle, and after another three days in the mirror he can see the final effect of the procedure.
But contour rhinoplasty can have some complications. These can be small local edema and bruising, but they do not require any additional procedures or medical intervention and disappear within a day or two.
The main thing to avoid during the rehabilitation period, which lasts from several days to a week, any injuries, even the slightest. This can lead to fibrosis, so if the activity of a person who underwent rhinoplasty is associated with physical activity or the risk of accidental injury at work, it is better to take sick leave.
In addition, during the rehabilitation period, it is necessary to limit the exposure of the skin of the face to open sunlight (especially in summer), you can not use cosmetics even in minimal quantities and refrain from visiting the solarium. Baths and saunas are also excluded on these days.
The effectiveness of contouring
The effectiveness of rhinoplasty depends directly on three factors: the type of procedure, in the case of fillers, its variety and the cost of said tool.
Unlike the results of plastic surgery, the effect of non-surgical rhinoplasty lasts a maximum of three years, and this as long as the most expensive biodegradable drugs are used.
Minimal changes with the use of inexpensive fillers are observed only during the first six to eight months, after which the procedure should be repeated. On average, the effect of this type of rhinoplasty lasts for 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 breakdown of the filler components.
Possible complications
The non-surgical rhinoplasty procedure is simple, painless, and takes about half an hour. But this does not exclude the possible complications that in some cases can be observed in patients.
Sometimes these 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 consider such consequences to be acceptable and do not recommend taking special measures to eliminate such complications.
Much more serious is the situation in which, as a result of the actions of the doctor, large blood vessels are blocked. This leads to poor blood flow and the result of such a complication in most cases is tissue death.
The 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 find such signs, you should immediately consult a doctor.
In extremely rare cases, allergic reactions to one or more of the components contained in the preparations used are possible. But as long as 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 occur both from unqualified actions of the doctor, and from the peculiarities of the cartilage and bone tissue of the patient. In such cases, the situation can only be corrected by surgery.
In some cases, non-surgical rhinoplasty can have the following side effects:
- Some clinics may use drugsLow qualitythat cause pain. On its own, the procedure to insert a needle under the skin is quite unpleasant, but if pain occurs, the doctor may use an anesthetic as an anesthetic. An anesthetic overdose, in turn, can lead to unconsciousness.
- With insufficiently deep introduction of the drug, there may begel bumpand their migration under the skin. As a result, these problem areas will look uneven and bumpy. In people with thin skin, purple spots appear at injection sites.
- Inflammation- the normal reaction of the body to the introduction of foreign substances. But if such inflammation at the injection sites does not go away for more than three days, this is a reason to consult a doctor. Often "nodules" form under the skin in inflamed areas, which can only be removed by surgery.
- Injections that are too deep causefill migration. . . In such cases, it flows under the skin, changing its location, and due to this, the shape and characteristics 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 drug administration.
When deciding on a contour plasty that does not require surgical intervention, it is necessary to clearly understand the perspectives and weigh all the advantages and disadvantages 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 full examination, based on the contraindications for contour rhinoplasty - this will guarantee to avoid unpleasant consequences.