Many people dream of correcting the shape of their nose, and plastic surgeons often work with clients who want to make both minor adjustments and completely change their nose for the better.
But, first, radical surgical intervention does not leave the patient a chance to correct the consequences of surgery (only minor correction is possible).
Contour rhinoplasty refers to non-surgical methods of correcting the shape of the nose faster and safer than surgery.
For this, fillers based on hyaluronic acid, its own tissues (lipofilling) and other materials are used; thread; hormonal agents that soften the cartilaginous tissue of the nose, which makes it possible to correct its shape.
Second, surgery is more expensive and in the event of a mistake by a surgeon, whose probability always exists, it is not always possible to correct the consequences. Today, as an alternative to this method, contouring is successfully used, which is performed faster and has no serious negative consequences.
Glucocorticosteroids are used for hormonal rhinoplasty, in which cartilage resorption is a side effect.
Therefore, to have an effect, they are administered in large doses. They appear for a very long time - within six months.
A common complication when using hormonal rhinoplasty is nasal failure.
Indications and contraindications
Surgical nose surgery is an effective way to achieve the desired result, but this type of intervention can be removed if a small correction of certain areas is required.
Indications for contour rhinoplasty, which allows it to be done quickly and safely, are:
- the tip of the nose very thin, drooping or inverted;
- lumps;
- asymmetrical nose;
- irregularities of another nature;
- signs 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 correction of the nose without surgery at a specific point in time, but over time the procedure becomes possible.
Such contraindications are:
- exacerbation of chronic diseases;
- ARVI;
- rhinitis;
- inflammation of the skin areas in the proposed area of the rhinoplasty procedure;
- pregnancy and lactation;
- rehabilitation period after complex cosmetic procedures.
Also, the procedure was not done for persons under 18 years of age. This is due to the fact that bone and cartilage tissues at this age are not yet fully formed, and medical intervention can lead to negative deviations.
What disadvantages will help to correct 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. This medical procedure is guaranteed to eliminate:
- Asymmetric shapenoseAfter the rhinoplasty procedure, the nose becomes flat, regardless of what caused 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 aesthetic perception, but in some cases lumps make a person's face unattractive and this is easily corrected with rhinoplasty.
- Shape restorationnose after injury. Often after accidents, fights or sports, the shape of the nose becomes ugly as a result of the injury, but this defect is quickly eliminated.
- Various removalfailures, potholes and irregularities.
Rhinoplasty specialists are also advised to eliminate the nose, or vice versa, to raise the tip of the nose.
How is 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 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, the correction areas are defined and all additional client wishes and other nuances are discussed.
Prior to correction, an anesthetic in the form of an oil is applied to and around the nose, which begins to act after about 15 minutes. Next, the correction process begins, which can be performed in a variety of ways.
Non-surgical filler rhinoplasty
If the correction is done by inserting filler, the procedure does not take more than forty minutes. At the same time, the changes are noticed immediately, as, unlike the surgical intervention, this procedure has no consequences such as swelling, bruising and swelling that prevent the doctor and the patient from evaluating 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 through bacterial synthesis. It turns out a completely safe product environmentally friendly, harmless to the body.
The main advantage of this type of filler is their absolute resistance to enzymes produced by skin cells. Under the influence of such enzymes, the filler is not destroyed, so the corrections made are stored for a long time.
The fillers are injected using a syringe with a thin needle. Such a needle ("cannula") differs from the usual one with a rounded blunt end and the cannula opening is located on the side.
The drug is stored in a sealed package immediately before the procedure and opened immediately before the administration process. Depending on the depth at which the filler is injected and the desired effect, a certain amount of it is used.
There are different types of fillers, each of which varies in terms of duration and effectiveness. In addition to medicines based on hyaluronic acid, the following are also used:
- autologous- are made on the basis of the client's own fabrics.
- Biodegradable- are gel preparations that are not exposed to the chemical composition of 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 removed, decomposed at the level of the simplest elements.
Each type has its own characteristics, advantages and disadvantages. So biodegradable fillers are not very costly, but the effect of introducing such drugs does not last more than 8-12 months.
More durable biodegradable fillers last longer in the body, but tissue fibrosis (connective tissue proliferation and scarring) is possible if they are used.
Autologous drugs have no such drawbacks, but they are much more costly and procedures that use such fillers require a certain amount of time to synthesize the drug.
Regardless of which filler is used to contour the nose, after the procedure, it may be necessary to use a splint to properly shape the shape of the nose, but it should not take more than a day to wear such a device, afterwhich the patient can remove himself.
Nose surgery without surgery with hormone-based medicines
In this case, hormonal drugs are not used in the literal sense of the word, but their analogues, which are able to disperse and partially soften the cartilaginous tissue 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 drug injected and accurately determine the depth of injection. In case of failure, the formation of cavities in the nose and even atrophy of uncontrolled tissues, which is provoked by an excessive amount of the drug, is possible.
This method is not as fast as others, and is usually a course of several procedures, lasting two or 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 noticeable 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.
Non-surgical floss nose correction
When using this method, special fibers are pulled through the areas of the nose that require correction, which are then pulled into certain areas.
As a result of these "pulls" you can make the necessary changes to the shape of the nose.
During the first two days, the adjustment is made, after which the remnants of the threads are removed. This procedure is performed under local anesthesia and is mainly used to reshape the arms and tip of the nose.
In modern contouring rhinoplasty, fibers are not yet used as often as other methods. This is due to the fact that, at a relatively high cost, this method can only correct minor defects.
Rehabilitation process
Unlike surgical intervention, which always involves complex surgeries, contouring nasal rhinoplasty without surgery does not require a long period of rehabilitation at the end of the procedure.
Moreover, after nasal correction, in such cases, the patient can leave the clinic independently immediately after the operation without having to be under the supervision of a physician.
One day after contour correction, a person can already return to his usual way of life, and after three days in the mirror you can see the final effect of the procedure.
But contour rhinoplasty can have some complications. These may be small local edemas and bruises, but they do not require any additional procedures and medical intervention and disappear within 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 damage. This can provoke fibrosis, so if the activity of a person who has undergone rhinoplasty is associated with physical activity or the risk of accidental injury at work, it is best to take a medical leave.
In addition, during the rehabilitation period, it is necessary to limit exposure to the skin of the face of sunlight (especially in summer), you can not use makeup even in minimal amounts and refrain from visiting the sun room. Baths and saunas are also excluded these days.
Contouring effectiveness
The effectiveness of rhinoplasty depends directly on three factors: 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, and this provided that the most expensive biodegradable drugs are used.
Minimal changes with the use of free fillers are observed only during the first six to eight months, after which the procedure must be repeated. On average, the effect of this type of rhinoplasty lasts about a year and a half. It is impossible to mention the exact time, as it all depends on the metabolic characteristics of a particular patient and the breakdown of filler components.
Possible complications
The procedure for non-surgical rhinoplasty is simple, painless and takes an average of half an hour. But this does not exclude possible complications that in some cases may be observed in patients.
Sometimes such negative consequences of contour rhinoplasty can be observed during the rehabilitation period, while healing can take more than a few days. If after a week the problems start and complications are noticed, 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 area of correction;
- swelling in areas that have undergone rhinoplasty.
Experts call such consequences acceptable and do not advise taking any special measures to eliminate such complications.
Much more serious is the situation when, as a result of the doctor's actions, the large blood vessels become blocked. This leads to impaired blood flow 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 skin in the area of correction may take on a bluish tinge. If you find such signs, you should immediately consult a doctor.
In extremely rare cases, allergic reactions to one or more of the ingredients contained in the preparations used are possible. But provided the procedure is performed under the supervision of an experienced specialist, this probability is minimized.
Even more rarely, after surgery, a violation of the shape of the nose is possible. This can happen both due to unqualified actions of the doctor, as well as due to the features of the patient's cartilage and bone tissue. In such cases, the situation can only be corrected with surgery.
In some cases, non-surgical rhinoplasty may have the following side effects:
- Some clinics may use medicationCilesi e dobetthat cause pain. By itself, the procedure for inserting a needle under the skin is quite uncomfortable, but if pain occurs, the doctor may use an anesthetic as an anesthetic. An anesthetic overdose, on the other hand, can lead to unconsciousness.
- With fairly deep injections of the drug, there may begel extensionand its migration under the skin. As a result, such problem areas will look uneven and bumpy. In people with thin skin, purple spots appear at the injection sites.
- Inflammation- 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 with surgery.
- Very deep injections lead tofiller migration. . . In such cases, it leaks under the skin, changing its location, and because of this, the shape and facial features of the patient are distorted. The main reason for this side effect is the improper actions of the doctor who can not accurately determine the depth of administration of the drug.
When deciding on a contour plastic that does not require surgery, it is necessary to clearly understand the prospects 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 necessary to undergo a thorough examination, based on the contraindications for contour rhinoplasty: this will guarantee the avoidance of the consequences ofunpleasant.