Many people dream of correcting their nose shape, and plastic surgeons often work with clients who want to make both minor adjustments and change their noses for the better.
However, in the first place, radical surgical intervention does not give the patient a chance to correct the results of the operation (only a small correction is possible).
Contour rhinoplasty is a non-surgical method that corrects the shape of the nose faster and more reliably than surgery.
For this purpose, fillers based on hyaluronic acid, their own tissues (lipofilling) and other materials are used; ropes; Hormonal images that soften the cartilage tissue of the nose, which allows you to correct the shape.
Second, the operation is more expensive, and it is not always possible to correct the results when there is a surgeon's error, which is always likely. Today, as an alternative to this method, the contour, which is performed faster and does not cause serious negative consequences, is used successfully.
Glucocorticosteroids, which have side effects of cartilage resorption, are used for hormonal rhinoplasty.
Therefore, they are used in large doses to have an effect. They are displayed for a very long time - six months.
A common complication when using hormonal rhinoplasty is nasal insufficiency.
Indications and contraindications
Surgical nasal surgery is an effective method to achieve the desired result, but it can be done if a small correction is required in certain areas.
Indications for contour rhinoplasty, which allows to perform it quickly and safely:
- very thin, swaying or raised nose tip;
- donqar;
- asymmetric nose;
- disorders of a different nature;
- scars and other similar defects.
Contour correction has a number of contraindications that can be absolute and relative. The first group includes oncological diseases, individual intolerance to drugs 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 certain time, but over time the procedure becomes possible.
Such contraindications are:
- exacerbation of chronic diseases;
- ARVI;
- rhinitis;
- inflammation of the skin in the proposed part of the rhinoplasty procedure;
- pregnancy and lactation;
- rehabilitation period after complex cosmetic procedures.
Also, the procedure is not performed for people under 18 years of age. This is due to the fact that bone and cartilage tissues are not yet fully formed at this age, and medical intervention can lead to negative deviations.
What are the disadvantages of contour rhinoplasty?
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 solve the patient's problems. Elimination of this medical procedure is ensured:
- Asymmetrical shapenose. After the rhinoplasty procedure, the nose is flattened, regardless of what caused such a deviation (from trauma, surgery or birth).
- GorbinkiOn the nose. Sometimes this defect is not even accepted and does not affect the aesthetic perception, but in some cases the blows are attractive to the human face, and this is corrected by rhinoplasty.
- Restoration of formnose 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.
- Removed differentlyfailures, holes and irregularities.
Rhinoplasty specialists are also consulted to remove the nasal passages or, conversely, to lift the tip of the nose.
How is the procedure
It is necessary to consult a dermatologist before correcting the shape of the nose. The doctor will examine the tolerance of the drugs used and the means 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 identified, and all additional customer requests and other nuances are discussed.
Before correction, an anesthetic is applied to the nose and around it in the form of an ointment, which begins to act after about 15 minutes. Then begins the adjustment process, which can be done in different ways.
Non-surgical rhinoplasty with fillers
If corrective fillers are provided, the procedure does not take more than forty minutes. At the same time, the changes are immediately noticeable, because, unlike surgery, this procedure does not give results such as swelling, bruising and swelling, which prevents the doctor and the patient to evaluate the work.
Fillers are called special gels of synthetic origin. The most common fillers are hyaluronic acid. Such preparations do not contain toxins and are produced by bacterial synthesis. It turns out an environmentally friendly product that is harmless and completely safe for 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 filler is not destroyed, so the corrections are maintained for a long time.
Fillers are injected using a syringe with a fine needle. Such a needle ("cannula") differs from the usual one by a round blunt tip, and the opening of the cannula is on the side.
The drug is stored in a sealed package immediately before the procedure and opened immediately before the application process. Depending on the depth of application of the filler and the desired effect, a certain amount is used.
There are different types of fillers, each of which differs in duration and effectiveness. In addition to hyaluronic acid-based drugs, the following are also used:
- Automatic- Made on the basis of the customer's own parts.
- It is biodegradable- gel preparations that are not exposed to chemical compounds of the human body, do not break down and are eliminated from the body for a longer period of time than other types.
- It is biodegradable- Decomposes under the influence of enzymes created by the body and is eliminated over time, decomposes to the level of the simplest elements.
Each species has its own characteristics, advantages and disadvantages. Thus, biodegradable fillers are not very expensive, but the effect of such drugs does not last more than 8-12 months.
More durable biodegradable fillers stay in the body longer, but when used, tissue fibrosis (proliferation of connective tissue and scarring) is possible.
Autologous drugs do not have such disadvantages, but they are much more expensive, and procedures using such fillers require a certain amount of time to synthesize the drug.
Regardless of which filler is used for the contour of the nose, after the procedure, it may be necessary to use a workshop 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.
Non-surgical nose surgery with hormone-based drugs
In this case, not hormonal drugs in the literal sense, but analogues that can partially dissolve and soften the cartilage tissue of the nose are used for further correction.
The complexity of such a procedure requires that the specialist accurately calculate the amount of drug injected and correctly determine the depth of injection. In case of failure, it is possible to develop nasal congestion and even uncontrolled tissue atrophy caused by overdose.
This method is not as fast as the others and is usually a course of several procedures lasting between two and three weeks. The effectiveness of this method is very high, but the doctor and the patient go to the desired result in stages, so no obvious change can be found in the first days.
Before the procedure, it is necessary to consult an endocrinologist, who will determine the patient's hormonal background, and in some cases, doctors say that such procedures are impossible due to problems with certain hormone levels.
Nasal surgery with ropes
When using this method, special ropes are pulled from the nasal areas, which require subsequent correction in certain areas.
As a result of these "pulls" you can make the necessary changes in the shape of the nose.
Adaptation takes place during the first two days, after which the remnants of the ropes are removed. This procedure is performed under local anesthesia and is mainly used to reshape the wings and tip of the nose.
In modern contoured rhinoplasty, ropes are not yet used as other methods. This is due to the relatively high cost of this method, which can correct only minor defects.
Rehabilitation process
Unlike surgery, which always involves complex operations, non-surgical nasal contouring does not require a long rehabilitation period at the end of the procedure.
In addition, after the nose is corrected, in such cases, the patient can leave the clinic independently without the supervision of a doctor immediately after the operation.
One day after the contour correction, a person can return to a normal lifestyle, and three days later you can see the final effect of the procedure in the mirror.
However, contour rhinoplasty can have some complications. These may be small local edemas and bruises, but do not require additional procedures and medical intervention and disappear in a day or two.
The main thing to avoid during the rehabilitation period, which lasts from a few days to a week - any, even the slightest injury. This can lead to fibrosis, so it is better to take sick leave if the activity of a person undergoing rhinoplasty is associated with physical activity or the risk of accidental injury in the workplace.
In addition, it is necessary to limit the exposure of the skin to direct sunlight during rehabilitation (especially in summer), can not use even a minimal amount of cosmetics, and avoid visiting the solarium. These days, baths and saunas are also excluded.
Contour efficiency
The effectiveness of rhinoplasty depends directly on three factors: the type of procedure, the fillers, the variety and the cost of such a tool.
Unlike the results of plastic surgery, the effect of non-surgical rhinoplasty lasts for a maximum of three years and requires the use of the most expensive biologically degradable drugs.
With the use of cheap fillers, minimal changes 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 about a year and a half. It is impossible to name the exact time, because everything depends on the characteristics of the metabolism of a particular patient and the breakdown of fillers.
Possible complications
The non-surgical rhinoplasty procedure is simple, painless and takes an average of half an hour. However, this does not exclude possible complications that may be observed in patients in some cases.
Sometimes such negative consequences of contour rhinoplasty are noticeable during rehabilitation, and recovery can take several days. If problems start after a week and complications are observed, it is necessary to undergo a diagnosis, after which appropriate treatment will be prescribed.
The most harmless complications include:
- slight swelling and bruising;
- pain in the area of correction;
- swelling in the areas where rhinoplasty was performed.
Experts call such results acceptable and do not recommend taking special measures to eliminate such complications.
A more serious condition is the blockage of large blood vessels as a result of the doctor's actions. This leads to impaired blood flow, and in most cases the result of such a complication is tissue death.
Embolism is accompanied by symptoms such as spasm, pain syndrome, areas of the skin in the area of correction may turn blue. If you find such symptoms, you should consult a doctor immediately.
In extremely rare cases, allergic reactions to one or more of the drugs used are possible. However, this possibility is minimized if the procedure is performed under the supervision of an experienced specialist.
Even less, it is possible to distort the shape of the nose after surgery. This can be due to the incompetent actions of the doctor, as well as the characteristics of the patient's cartilage and bone tissue. In such cases, the situation can be corrected only by surgery.
In some cases, non-surgical rhinoplasty can cause the following side effects:
- Medicines may be used in some clinicsLow qualitycausing pain. The procedure of injecting a needle under the skin is very unpleasant, but if pain occurs, the doctor may use an anesthetic as an anesthetic. An overdose of anesthesia, in turn, can lead to fainting.
- It can be with a fairly deep application of the druggel protrusionand subcutaneous migration. As a result, such problem areas will appear uneven and bulging. In people with thin skin, purple spots appear at the injection sites.
- Inflammation- normal reaction of the body to the introduction of foreign substances. However, if such inflammation at the injection site does not last more than three days, this is a reason to consult a doctor. Often, "knots" form under the skin in inflamed areas, which can only be removed with surgery.
- Causes very deep injectionsfiller migration. . . In such cases, it flows under the skin, changes its location, and therefore distorts the shape and features of the patient's face. The main reason for this side effect is the inexperienced actions of the doctor, who can not correctly determine the depth of application of the drug.
When deciding on a contour plastic that does not require surgical intervention, it is necessary to clearly understand the prospects and measure 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 important to undergo a thorough examination, based on the contraindications to contour rhinoplasty: this will ensure the prevention of unpleasant consequences.