How is non-surgical nasal rhinoplasty performed, its types and care after it

Nasal resection is the most common type of service offered by plastic surgeons. 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 eliminate imperfections. In the presence of small 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 several types of rhinoplasty according to the technique and goals of the operation.

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

1. Reconstructor. This group includes manipulations aimed at restoring anatomical disorders that have arisen due to improper intrauterine development or as a result of traumatic injury or disease.
2. Aesthetics. Aims to correct deficiencies.

Depending on the problem to be solved, there are many types of rhinoplasty:

1. Reduction. Provides a reduction in the size of the osteochondral frame of the nose. This can be a shortening of the tip, narrowing of the nasal bridge, the width of the nostrils and the lateral cartilage.
2. Expansion. Aims to correct defects by increasing the size of the nasal skeleton. Also used for secondary plastics.
3. Septorinoplasty. Eliminate nasal septum curvature in order to facilitate nasal breathing, including resolving the problem of snoring.
4. Shartimi. The required shape of the nose is created by the patient's cartilage tissue. For transplantation, ear cartilage tissue, nasal septum can be taken.
5. Reconstructive rhinoplasty. Aims to correct the results of previous operations.

The purpose of the intervention may also be a separately hypertrophied nasal mucosa, the columella (a bridge between the nostrils). Changing the shape of the tip of the nose (eliminating the whole or inverted) is a special and more difficult type of surgery.

For each correction, the surgeon can choose some type of surgery or non-surgical intervention.

Operating room

Performed under general anesthesia. The duration of the operation can be up to several hours, and the result is stored for many years. Before the operation, the patient must sign a written consent for the surgical intervention, therefore it is required to carefully weigh the pros and cons and strictly apply the rules of preparation before the operation, which includes:

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

After the operation, the patient is in the hospital for several days under the supervision of medical personnel. After downloading, you also need to strictly follow some rules and restrictions.

Like any surgery, nose repair surgery has a number of contraindications and can cause side effects and complications.

Not surgical

Otherwise, non-surgical plastic is used. Contour plastic is minimally invasive and does not involve surgery. Allows you to correct asymmetry, slightly reduce the tip, remove lumps, straighten the nose, but it is not suitable for solving complex problems (restore respiratory function, eliminate congenital defects).

Differs from classical rhinoplasty:

• lack of a complex operation and a long rehabilitation period;
• speed of execution;
• short duration of effect (not more than one year);
• the possibility of re-performing as the result is lost.

This can be injection plastic using fillers, hyaluronic acid-based gels, hormonal dissolving medications, or non-injection correction using sutures or joints.

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

Operative classifications of rhinoplasty

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

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

• bounce back (bumps);
• excessive length;
• thick nose (potatoes);
• saddle back;
• large nostrils.

Functional plastic. In order to eliminate defects that lead to poor breathing, interfere with the passage of air through the nose:

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

Open

The technique is used in cases where it is not possible to achieve the given 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 join the lip. Open rhinoplasty allows you to lift soft tissues and cartilage upwards, to gain access to the internal sections for manipulation. Required for technically complex and large-scale operations:

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

Disadvantages of this intervention include damage to the columella arteries, formation of a postoperative scar, and edema of the postoperative tissue that lasts.

Rhinoplasty is performed only in an open manner. Correcting the defects of the primary plastic is a difficult task, therefore 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, in the mucosa of the nasal cavity. Such an approach is performed when a small volume operation is to be performed. This type of intervention is divided into marginal (along the inner surfaces of the nasal wings), transseptal, inter- and transchondral. One closed entry option is endoscopic rhinoplasty using microinstruments.

Allows to exclude damage to arteries and malnutrition of tissues, postoperative scars are not visible, as they are located in the nasal cavity, the outer part of the skin remains intact. The method is often used for cosmetic surgery.

LASER

An operation in which a laser is used instead of a scalpel to cut tissue. Laser incision is smoother, as parallel cauterization of the vessels precludes the development of bleeding.

There are 2 types of laser rhinoplasty:

• open, which involves tissue dissection before modeling the soft part or cartilaginous base;
• superficial - no skin incisions are made, but the evaporation of the superficial layers to correct small changes in the nasal tissues.

Injectable reconstructive 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 by the contour injection nasal plastic procedure. The result is achieved faster, more comfortable and cheaper.

You can inject medication 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 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, i. e. dissolution. Over time, the drug decomposes into safe ingredients - water and carbon dioxide.

Plastic nasal filler

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

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

These fillers can have a long-term effect.

Biodegradable fillers (non-absorbent or permanent) are made on the basis of silicone or other synthetic base (biopolymers). The effect after their application lasts for a long time, but experts do not recommend their use. There are several reasons for rejecting synthetic fillers:

• they can cause tissue fibrosis;
• it is impossible to remove them from the body;
• in the future it may become a hindrance to rhinoplasty surgery.

Hormonal drugs

To correct some imperfections in the nose, glucocorticosteroids are used - synthetic substances similar to hormones produced by the human adrenal cortex. They are able to soften and partially disperse cartilage tissue, which makes it possible to correct the shape of the wings and the tip of the nose, to soften lumps.

The procedure is relatively simple to perform, but difficult to prepare: it is necessary to accurately calculate the dosage and depth of administration of the drug in order to avoid asymmetry and the formation of unnecessary cavities in the nose. In addition, excess hormones can cause uncontrolled tissue atrophy.

Most often, such a correction is performed in the course of several procedures.

Lipolytics

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

Injection rhinoplasty

Very rarely, nasal correction is done without injections. Experts consider such procedures ineffective.

With a catchy tongue

To connect the back of the nose and its tip, use a funnel - a device made of plastic or plaster. The design creates constant pressure on the cartilage and soft tissues and changes their position over time. With the help of a stick, you can raise the tip, narrow the arms, reduce the length (raising the tip), soften the bumps and restore symmetry.

Nowadays, lightweight mobile structures in the form of clamps or clips are spreading. They should be worn every day for several months.

Threads

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

Bion fibers are made of capro and regulate the tissues of the nasal area through a common number. The fibers are inserted through small piercings, then the beautician tightens them and gives the desired shape to the nose area. The result becomes visible after 2-3 days. Other benefits of using yarn:

• low invasiveness;
• Without pain;
• use of local anesthesia;
• without complications;
• without swelling and bruising.

Disadvantages of this correction method:

• marks may appear at drilling sites;
• the fibers can be contoured, i. e. they will be visible.

The procedure is contraindicated for people with thin thin skin and those who have 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 to perform it without performing surgical manipulations. You can do without scalpel when correcting details in order to get rid of:

• from nasal asymmetry;
• from dives, dives, depressions and irregularities;
• from the tip of the nose;
• nga gunga;
• from a flat upper back;
• from loose skin near the nose.

Such a procedure is also used as a temporary measure in case a small patient with severe disability (as a result of a fracture or injury) cannot be operated on.

To men

Men prefer a radical approach to filler modeling in order to get rid of defects once and for all. Indications for rhinoplasty in men may be:

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

Among women

Any kind of intervention can be applied to women. Which to direct, the surgeon decides. If small changes are made, then the aesthetic problem will be solved without the use of the scalpel. Often the injection method is used on the eve of surgery, so that a woman can assess what her nose will look like in the future.

What can be fixed using this procedure

Bump correction

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

Correction of advice

It is performed by injecting fillers in problem areas. Such rhinoplasty is especially required when there are small pits or depressions in the tip of the nose. The nose of the potato is corrected by inserting a filler on top, this makes it sharper.

The yeast can be raised by injecting the gel into the nasal columella area. Visually, this hides the whole tip. In some cases, it is also necessary to inject into the wings of the nose to shrink the noses slightly.

Repair of broken nose

If the nose is damaged more than once, then contouring will not help. In such a situation, only surgery on the nasal septum is indicated. And most likely a complete reconstructive and aesthetic operation. Reconstruction of the osteochondral septum and external skeleton may be necessary.

Backing lining

It is impossible to place the crooked bridge of the nose without surgery. Injectable rhinoplasty only makes it possible to mask the defect. For example, a nasal correction (with a low bridge and a raised tip) is done by injecting filler all over the surface of the nasal bridge up 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 calculate the dose correctly.

The nose becomes thinner and more expressive after hormone rhinoplasty.

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

How old is the operation

There should be clear reasons for facial surgery. A conscientious plastic surgeon will not undertake the correction of a minor's nose if a certain whim of a girl or boy serves as the basis.

Persons who have reached the age of 18 are allowed to have surgery. 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 to be patient until the onset of age, when the operated organ is formed at least 80-90%.

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

In contrast to classical surgery, it is easier to prepare for a non-surgical procedure. Perhaps your doctor will advise you to consult a dermatologist, to tell you what tests have been taken to identify contraindications and limitations.

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

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

The doctor prescribes taking antihistamines. With a fever, menstruation, respiratory illness, the procedure will have to be abandoned until recovery.

Do I need anesthesia?

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

Performing technology

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 in advance. The average duration of manipulations is 35-60 minutes. The operation continues step by step as follows:

1. The patient is conscious, only local anesthesia is used. The doctor uses a lidocaine-based cream on the nose and the area around it. Exposure time under film is 10-15 minutes.
2. After opening the ampoule with the medicine and filling the gel into the microchannel, gradually and carefully inject the filler into certain 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 keep to himself.
3. If necessary, the beautician can refill the filler.
4. The final stage is a light manual massage. It is necessary for better filler distribution.

The result can be evaluated immediately. Fillers are safe and completely absorb within 1. 5 years.

Consequences and contraindications of non-surgical rhinoplasty

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

• acute infectious diseases;
• keloidosis;
• autoimmune pathologies;
• endocrine system pathologies, including diabetes mellitus;
• hemophilia and other blood clotting problems;
• individual allergies and intolerances to the components of the medicines used;
• oncological diseases, tumors of any localization.

What complications may arise

Postoperative complications occur in 10% of cases. They can also occur during surgery (bleeding, skin rupture, rupture of the muco-cartilage flap, violation of the integrity of the bone pyramid, fracture of the bone surface).

If some cosmetic defects are eliminated during the operation, a number of complications can develop:

• nosebleeds;
• postoperative pigmentation;
• bone marrow;
• swelling and soft tissue hematoma;
• loss of smell;
• the appearance of keloid scars;
• difficulty breathing;
• curvature of the nasal septum.

Non-surgical rhinoplasty is not as dangerous, although it is also considered a difficult procedure in cosmetic surgery. After that, a special nozzle is applied to the patient's nose, which adjusts the result and protects from damage.

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

Rare complications include processes that may occur due to the surgeon’s experience performing the procedure, or the patient’s failure to follow postoperative rules: displacement of fillers and rupture of threads inserted under the skin. The doctor must deal with the problem, and urgently.

Take care of your nose after surgery

Laser rhinoplasty, hyaluronic acid injections and fillers reduce the rehabilitation period to a minimum. Immediately after the nose contouring procedure, you can go home. The swelling subsides within 1-2 days.

On average, rehabilitation takes up to several days (depending on the method of correction performed). There are almost no restrictions after the manipulation is performed. You can continue to go to work, play sports and live your normal life.

In the postoperative period, it is necessary to monitor facial expressions: you can not look with the eyes, frown. For several hours, you do not have to 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 swimming place (ponds, pool, baths, saunas). You should also give up sunbathing, smoking, foundation.

You can not massage the injection site or perform physiotherapy for 2 weeks.

How long does edema last after surgery?

The whole post-surgery rehabilitation period can last about a year. In the first days, the patient should wear a bandage, bandage or plaster. Swelling of the face will subside 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, traces of side effects subside, but minor changes may occur by 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 nasal defects are not the only ones.

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

When the procedure is repeated

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

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

Benefits of non-surgical rhinoplasty

The filling and suturing procedure may not be considered a complete alternative to surgery, but it has a number of obvious advantages. The main ones are:

• Without pain;
• short rehabilitation period (sometimes absent);
• rapid achievement of results;
• reversibility (you can always return to the previous form if the result is not satisfactory).

The procedure has its pros and cons. Has an extremely low effect on the general condition of the body, does not damage facial tissues, after which no scars and sores are created. But if injected incorrectly, gel lumps can form under the skin. Shifting them will lead to a change in the shape of the nose.

After minimally invasive intervention, no sutures, the skin heals better. But the risk of infection and infection remains.

The low cost makes the procedure available to anyone who wants to improve their appearance. However, the potential complications force us to treat the choice of clinic very carefully.Most often, unsuccessful cosmetic interventions occur after visiting non-specialized salons and doctors who do not have the appropriate qualifications.The final decision should be made only after you have studied the previous master thesis and the clinic evaluations.