How is non-surgical nose rhinoplasty performed, its types and aftercare?

Nose reshaping is the most common type of service plastic surgeons provide. Many people always perceive even a small defect in the nose as a tragedy. But it can be difficult to decide on an operation: rhinoplasty. Modern aesthetic medicine offers an innovative way to remove blemishes. In the presence of minor defects, non-surgical rhinoplasty can improve the appearance and make the face symmetrical.

Types of rhinoplasty

In plastic surgery, it is customary to distinguish between various types of rhinoplasty depending on the technique and objectives of the surgery.

All types of operations are divided into primary and secondary (repeated), while they can be:

1. Reconstructive. This group includes manipulations aimed at restoring anatomical disorders that have arisen due to improper intrauterine development or as a consequence of traumatic injuries or diseases.
2. Aesthetic. Aimed at correcting deficiencies.

According to which problem needs to be solved, there are many types of rhinoplasty:

1. Reduce. Provides a reduction in the size of the osteochondral framework of the nose. This can be a shortening of the tip, a narrowing of the nasal bridge, the width of the nostrils, and the lateral cartilage.
2. Increase. Intended to correct defects by increasing the size of the nasal skeleton. It is also used for secondary plastics.
3. Septorhinoplasty. Elimination of the curvature of the nasal septum to facilitate nasal breathing, even to solve the problem of snoring.
4. Graft. The required shape of the nose is created from the patient's cartilage tissue. For transplantation, cartilage tissue can be taken from the atrium, the nasal septum.
5. Reconstructive rhinoplasty. Aimed at correcting the results of previous operations.

The target of the intervention can also be a separately hypertrophied nasal mucosa, columella (a bridge between the nostrils). Changing the shape of the tip of the nose (eliminating the hook or upturn) is a separate and more difficult type of surgery.

For any correction, the surgeon can choose a type of operative or non-surgical intervention.

Operations room

It is performed under general anesthesia. The duration of the operation can be up to several hours and the result is maintained for many years. Before the operation, the patient must sign a written consent for surgical intervention, therefore, it is required to carefully weigh the pros and cons and strictly follow the rules of preoperative preparation, which include:

• delivery of blood tests, fluorography, electrocardiogram;
• consultation of doctors of other specialties (dermatologist, therapist, psychiatrist);
• adherence to a diet.

After the operation, the patient remains in the hospital for several days under the supervision of medical staff. After discharge, you must also strictly follow some rules and restrictions.

Like any surgery, nose repair surgery has several contraindications and can cause side effects and complications.

Non surgical

Alternatively, plastic is used without surgery. Contour Plastic is minimally invasive and does not involve surgical intervention. It allows you to correct asymmetry, slightly reduce the tip, remove the hump, straighten the nose, but it is not suitable for solving complex problems (restoring respiratory function, eliminating birth defects).

It differs from classic rhinoplasty:

• the absence of a complex operation and a long period of rehabilitation;
• execution speed;
• short duration of effect (no more than one year);
• the possibility of doing it again is lost.

It can be injectable plastic with fillers, hyaluronic acid-based gels, hormone-disrupting medications, or non-injection correction with sutures or splints.

At a cost, contour rhinoplasty is several thousand rubles cheaper than the traditional one.

Classifications of operative rhinoplasty

Primary complete rhinoplasty does not involve an intervention that corrects the entire nose. This is the most popular type of surgery. Conditionally, indications for surgery are divided into 2 types, according to which the following will be performed:

Cosmetic plastic. If you want to get rid of the following nose defects:

• lumps on the back (humps);
• excessive length;
• thickened nose (potatoes);
• saddle
• large nostrils.

Functional plastic. Intended to eliminate the defects that cause bad breath, interfere with the passage of air through the nose:

• an injured septum with a curvature;
• Narrowing of the nostrils (birth defect)
• congenital imperfections of cartilage tissue.

Open

The technique is used in cases where it is not possible to achieve the assigned task in a closed way. The incision is made along the columella (the skin part of the fold between the nostrils) and on the wings of the nose where they meet the lip. Open rhinoplasty allows you to lift the soft tissues and cartilage upward to access the internal sections for manipulation. Required for large scale and technically complex operations:

• severe deformity of the nose, even with lateral displacement;
• combination of deformity of the nose with malformations ("cleft lip" or cleft hard palate);
• reconstruction in which grafts are used.

Disadvantages of this procedure include damage to the columella arteries, postoperative scar formation, and long-lasting postoperative tissue edema.

Re-rhinoplasty is performed only openly. Correcting the deficiencies of primary plastics is a difficult task, so an uncompromising aesthetic result is not always guaranteed.

Closed

The method is less traumatic than the open one. The incision is made from the inside, on the mucosa of the nasal vestibule. Such access is done when a small volume operation is to be performed. This type of intervention is divided into marginal (along the internal surfaces of the wings of the nose), transseptal, interchondral and transchondral. A closed access option is microinstrument endoscopic rhinoplasty.

It allows to exclude damage to the arteries and tissue malnutrition, postoperative scars are not visible, since they are located in the nasal cavity, the outside of the skin is not affected. The method is often used for cosmetic operations.

To be

Operation in which a laser is used instead of a scalpel to cut tissue. The laser incision is smoother, since the parallel cautery of the vessels excludes the development of bleeding.

There are 2 types of laser rhinoplasty:

• open, which involves the dissection of tissues before shaping the soft part or cartilaginous base;
• superficial: incisions are not made in the skin, but the evaporation of the superficial layers to correct small changes in the tissues of the nose.

Reconstructive injection rhinoplasty

Sometimes those who decide to undergo rhinoplasty surgery want not only to predict and develop a model, but also to see the end result. This can be helped with the contour injection nasal plasty procedure. The result is achieved more quickly, comfortably and economically.

You can inject drugs repeatedly. In some cases, fibrous tissue forms at the injection site, and the nose can take shape for a long time.

Hyaluronic Acid Injections

The effect of hyaluronic acid injections lasts for about six months. The introduction of drugs allows you to level the surface of the skin and make the nose symmetrical, small irregularities are filled. Hyaluronic acid based fillers are used in cosmetic surgery. These funds are classified as biodegradable, that is, in solution. Over time, the drug breaks down into safe components: water and carbon dioxide.

Plastic nasal fillers

There are several groups of fillers. Biodegradable, in addition to those mentioned above, include:

• based on animal collagen;
• on collagen of human origin;
• on calcium hydroxyapatite;
• on synthetic lactic acid.

These fillers can have a long-lasting effect.

Biodegradable fillers (non-absorbable or permanent) are made from silicone or another synthetic base (biopolymers). The effect after its application persists for a long time, but experts do not recommend its use. There are several reasons to reject synthetic fillers:

• can cause tissue fibrosis;
• it is impossible to remove them from the body;
• it may become an obstacle to the rhinoplasty operation in the future.

Hormonal drugs

Glucocorticosteroids, synthetic substances similar to hormones produced by the human adrenal cortex, are used to correct some imperfections in the nose. They are able to soften and partially dissolve the cartilage tissue, which allows to correct the shape of the wings and the tip of the nose, to soften the hump.

The procedure is relatively simple to perform, but difficult to prepare: it is necessary to calculate very precisely the dose and depth of drug administration to avoid asymmetry and the formation of unnecessary cavities in the nose. Additionally, excess hormones can trigger uncontrolled tissue atrophy.

Most often, such correction is carried out in courses of various procedures.

Lipolytics

Lipolytics are agents that are used for meso-injections. It is a biologically active material that promotes subcutaneous fat burning. Dermaheal is used to correct the shape of the nose. Helps to eliminate wrinkles and folds, will eliminate the "fleshy" nose. Contains active ingredients: phosphatidylcholine, hyaluronic acid, carotene and others.

Rhinoplasty without injection

Much less often, nose correction is done without injections. Experts consider that such procedures are not effective enough.

With a clip tongue

To align the back of the nose and its tip, use a splint, a device made of plastic or plaster. The design creates constant pressure on cartilage and soft tissues and changes their position over time. With the help of a splint, you can lift the tip, narrow the wings, reduce the length (by lifting the tip), smooth the hump, and restore symmetry.

Today, detachable lightweight structures in the form of clips or clips are spreading. They must be used every day for several months.

Threads

To eliminate asymmetry, straighten the back, correct the wings and the tip of the nose, filament rhinoplasty is used. Correction technology involves inserting strong, self-absorbing threads under the skin. Unlike fillers, the nose does not visually enlarge after insertion of threads. The result lasts 3 years.

The bion threads are made of caprolac and fix the tissues of the nasal area through a multitude of grooves. The threads are inserted through small punctures, then the beautician tightens them and gives the nose area the desired shape. The result becomes apparent after 2-3 days. Other benefits of using threads:

• low invasiveness;
• painless
• the use of local anesthesia;
• without complications;
• no swelling or bruising.

Disadvantages of this correction method:

• scars may appear at puncture sites;
• the threads can be contoured, that is, they will be visible.

The procedure is contraindicated for people with thin, fair skin and those with a tendency to form keloid scars.

Indications for the procedure

When the shape and size of the patient's nose is satisfied, the doctor will most likely prescribe a procedure without performing surgical manipulations. You can do without a scalpel when correcting details to get rid of:

• of the asymmetry of the nose;
• dents, dips, depressions and irregularities;
• of the drooping tip of the nose;
• from the hump;
• a flat upper back;
• of sagging skin near the nose.

This procedure is also used as a temporary measure in the event that a minor patient with severe disabilities (as a result of a fracture or injury) cannot be operated on.

In men

Men prefer a radical approach to modeling with fillers to get rid of flaws once and for all. The indications for rhinoplasty in men can be:

• frequent sinusitis, chronic nasal congestion;
• injuries that led to deformation of the nose and its septum;
• congenital pathologies and deformities in the bone structure of the organ;
• saddle shape, large nostrils, wide bridge of the nose, great length or thickness of the nose;
• respiratory disorders;
• the presence of an ugly hump.

Between women

Any type of intervention can be applied to the woman. Which one to turn to, the surgeon decides. If small changes are to be made, then the cosmetic problem will be resolved without the use of a scalpel. Often the injection method is used on the eve of the operation, so that a woman can assess how her nose will look in the future.

What can be fixed with this procedure

Hump correction

The reduction is achieved by injecting filler into the curved part. To correct the hump, the gel is injected along the entire back of the nose. Most often, absorbable preparations with hyaluronic acid are used to straighten the nose.

Tip correction

It is done by injecting fillers into problem areas. This rhinoplasty is especially requested when there are small pits or depressions at the tip of the nose. The nose of the potato is corrected by introducing a filling in the same tip, this sharpens it.

The tip can be lifted by injecting the gel into the columella area of the nose. Visually this hides the hooked tip. In some cases, it is also necessary to inject into the wings of the nose to slightly shrink the nostrils.

Repair a broken nose

If the nose has been injured more than once, contouring will not help. In such a situation, only surgery on the nasal septum is indicated. And most likely a full-blown aesthetic and reconstructive operation. Reconstruction of both the septum and the external osteochondral skeleton may be necessary.

Backrest alignment

It is impossible to align the crooked bridge of the nose without surgery. Injection rhinoplasty only allows the defect to be masked. For example, a flat nose correction (with a low bridge and a raised tip) is performed by injecting fillers over the entire surface of the nasal bridge to the tip.

Wing reduction

Hyaluronic acid gel is used to correct the asymmetry of the wings of the nose. In this case, the specialist must accurately calculate the dose.

The nose becomes finer and more expressive after hormone rhinoplasty.

If it is necessary to eliminate the asymmetry of the nostrils or reduce them, fillers are injected into the lower part of the wings of the nose.

How old is the operation?

There must be clear reasons for the operation on the face. A conscientious plastic surgeon will not undertake to correct a minor's nose if a certain whim of a girl or a boy serves as its basis.

People who have reached the age of 18 can enter the operation. In extremely rare situations, this condition can be violated. The minimum age for rhinoplasty for girls is 13-14 years, for boys - 15-16 years.

For medical reasons, a teenager can undergo almost any plastic surgery. However, doctors recommend being patient until the beginning of age, when the operated organ is made up of at least 80-90%.

How is the preparation for the non-surgical procedure going?

Unlike classic surgery, it is easier to prepare for a non-surgical procedure. Perhaps the doctor will advise you to consult a dermatologist, tell you what tests are performed to identify contraindications and restrictions.

Compliance with the following rules will help reduce the risk of complications:

• 10 days before plastic surgery, you must stop drinking alcohol;
• salicylates increase bleeding, which means that a week before the procedure, you should stop taking "Aspirin" and other similar drugs;
• refrain from eating at least 10 hours before;
• a few days before the injection of plastics, it is recommended to exclude high physical activity;
• it is necessary to wash your hair the day before, as you cannot bend over and wet your face after the procedure.

The doctor prescribes the intake of antihistamines. With elevated temperature, menstruation, respiratory diseases, the procedure will have to be abandoned until recovery.

I need anesthesia

General anesthesia is not required for non-surgical rhinoplasty. For anesthesia, local application or infiltration anesthesia is used.

Technology realization

Non-surgical plastic surgery is performed on an outpatient basis, there is no need for hospitalization of patients. After the procedure, the plastic surgeon's clients go home.

A thorough examination and computer modeling of the future shape of the nose are performed. The average duration of the manipulations is 35 to 60 minutes. The operation proceeds step by step as follows:

1. The patient is conscious, only local anesthesia is used. The doctor applies a lidocaine-based cream to the nose and the area around it. The exposure time under the film is 10 to 15 minutes.
2. After opening the vial with the medicine and filling the gel into the microcannula, gradually and carefully inject the filler into the designated areas of the nose. If the client has a wish, he can observe the progress of the process with the help of a mirror, which he will hold alone.
3. If necessary, the esthetician can re-infuse the filler.
4. The final stage is a light manual massage. It is necessary for a better distribution of the filling.

The result can be evaluated immediately. Fillers are safe and fully absorbed in 1. 5 years.

Consequences and contraindications of non-surgical rhinoplasty

A correction should not be made to women during pregnancy or during menstruation. Non-surgical correction is contraindicated for people suffering from the following diseases:

• acute infectious diseases;
• cheloidosis;
• autoimmune pathologies;
• endocrine system pathologies, including diabetes mellitus;
• hemophilia and other blood clotting problems;
• allergies and individual intolerance to the components of the drugs used;
• oncological diseases, tumors of any location.

What complications can arise

Complications after surgery occur in 10% of cases. They can also occur during surgery (bleeding, skin breaks, tear of the muco-cartilaginous flap, violation of the integrity of the bone pyramid, fracture of the bone site).

If various cosmetic defects are removed during the operation, a number of complications may develop:

• nosebleeds
• postoperative pigmentation;
• bone callus;
• soft tissue swelling and bruising;
• loss of smell;
• the appearance of keloid scars;
• labored breathing;
• curvature of the nasal septum.

Rhinoplasty without surgery is not that dangerous, although it is also considered a difficult procedure in cosmetic surgery. After that, a special splint is applied to the patient's nose, which fixes the result and protects from injury.

For several hours after the procedure, there may be redness and swelling of the skin in the nasal area. These problems disappear completely in 24 hours. After tightening with threads, bruises may form, which completely disappear within a week.

Rare complications include processes that may occur due to the inexperience of the surgeon performing the procedure or the patient's non-compliance with postoperative rules: displacement of fillers and rupture of threads inserted under the skin. The doctor must deal with the problem and urgently.

Caring for your nose after surgery

Laser rhinoplasty, hyaluronic acid injections, and fillers minimize the rehabilitation period. Immediately after the nose contouring procedure, you can go home. The swelling goes away in 1-2 days.

On average, rehabilitation lasts several days (depending on the correction method performed). There are almost no restrictions after the manipulation done. You can continue going to work, playing sports, and living your normal life.

In the postoperative period, it is necessary to control facial expressions: you can not squint, frown. For several hours, you should not strain your muscles, blow your nose, sneeze, and cough. In the first 2-3 days of recovery, you should not wear glasses.

Strict restrictions apply to visit any place to swim (ponds, pool, baths, sauna). You should also stop sunbathing, smoking and foundation.

You cannot massage the injection site or do physical therapy for 2 weeks.

How long does edema last after surgery?

The full rehabilitation period after surgery can last about a year. In the first days, the patient must wear bandage, bandage or cast. Facial swelling will disappear in 1-2 days. After 21 days, the cast is removed and blood clots from the nose and tampons are removed.

Active recovery occurs in the next 3 months, the traces of side effects decrease, but minor changes may occur until the end of the year.

What to do if the operation is unsuccessful

The result of the performed operation can be judged only after 6 months. Practice shows that 20% of all interventions to correct or eliminate defects of the nose are not the only ones.

If after this time the nose does not take the desired shape or swelling remains, then the operation can be considered unsuccessful. In such situations, repeat operations are assigned.

When to repeat the procedure

The effect of non-surgical nose surgery lasts for about a year on average. You can repeat the procedure at any time.

After surgery, repeat (secondary) rhinoplasty can be prescribed no earlier than a year later. Technically, this is a more complex procedure. It is prescribed if the patient is not satisfied with the result or if the previous operation was not successful (did not give the expected effect).

Benefits of non-surgical rhinoplasty

The filler and suture procedure cannot be considered a complete alternative to surgery, but it does have a number of obvious advantages. The main ones are:

• painless
• short rehabilitation period (sometimes absent);
• quick achievement of results;
• reversibility (you can always return the previous form if the result is not satisfactory).

The procedure has pros and cons. It has an extremely low effect on the general condition of the body, does not harm the tissues of the face, after which no scars and scars are formed. But if injected incorrectly, gel clumps can form under the skin. Its displacement will cause a change in the shape of the nose.

After a minimally invasive intervention, there are no stitches, the skin heals better. But the risk of infection and infection still persists.

The low cost makes the procedure available to everyone who wants to improve their appearance. However, the possible complications make it necessary to treat the choice of clinic with great care.Most of the time, unsuccessful cosmetic interventions occur after visiting unspecialized salons and doctors who do not have the proper qualifications.The final decision should be made only after studying the teacher's previous work and clinic evaluations.