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 the nose for the better.
But in the first place, radical surgical intervention does not give the patient a chance to correct the consequences of the operation (only minor corrections are possible).
Contour rhinoplasty refers to non-surgical methods to correct the shape of the nose more quickly and safely than surgery.
For that, hyaluronic acid based fillers, own fabrics (lipofilling) and other materials are used; topics; hormonal agents that soften the cartilaginous tissue of the nose, which allows to correct its shape.
Second, the operation is more expensive and in case of error by the 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 more quickly and without serious negative consequences.
For hormonal rhinoplasty, glucocorticosteroids are used, in which the resorption of cartilage is a side effect.
Therefore, in order to have an effect, they are administered in large doses. They are shown for a 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 dispensed with if a small correction of some areas is necessary.
The indications for contour rhinoplasty, which allows it to be performed quickly and safely, are:
- tip of the nose very thin, drooping or upturned;
- asymmetrical nose;
- irregularities of another 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 the nose to be corrected without surgery at any given time, but over time the procedure becomes possible.
These contraindications are:
- exacerbation of chronic diseases;
- inflammation of the skin areas in the area proposed for the rhinoplasty procedure;
- pregnancy and lactation;
- rehabilitation period after complex cosmetic procedures.
In addition, the procedure is not done for minors under 18 years of age. This is due to the fact that bone and cartilage tissues at this age have not yet formed completely and medical intervention can lead to negative deviations.
What disadvantages will contour rhinoplasty help to correct?
As non-surgical rhinoplasty may not help in all cases, it is important to know when such a method will be appropriate and will help to solve the patient's problems. This medical procedure is guaranteed to eliminate:
- Asymmetrical shapenose. After the rhinoplasty procedure, the nose becomes flat, regardless of what caused this deviation (trauma, surgery or presence since birth).
- GorbinkiIn the nose. Sometimes this defect is not considered as such and does not affect the aesthetic perception, but in some cases the protrusions make the face unattractive, and this is easy to correct with rhinoplasty.
- Shape restorationnose after injury. Often, after accidents, fights or sports, the shape of the nose is ugly as a result of damage, but this defect is quickly eliminated.
- Removing multipleflaws, dimples and irregularities.
In addition, rhinoplasty specialists are consulted to eliminate short noses or, conversely, to lift the tip of the nose.
How is the procedure
Before correcting the nose shape, it is necessary to consult a dermatologist. The doctor will examine the tolerance of the medications 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 customer wishes and other nuances are discussed.
Before correction, an anesthetic in the form of an ointment is applied to the nose and around it, which begins to act after about 15 minutes. Then, the correction process begins, which can be carried out in several ways.
Non-surgical rhinoplasty with fillers
If the correction is made with the introduction of fills, the procedure does not take more than forty minutes. At the same time, the changes are immediately noticeable, because, 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 performed.
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 turns out that it is an ecological product totally safe and harmless to 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 made are kept for a long time.
The fillers are injected with a syringe with a fine needle. This needle ("cannula") differs from the usual one, with a rounded blunt end, and the opening of the cannula is located on the side.
The drug is stored in a sealed package immediately before the procedure and is opened immediately before the administration process. Depending on the depth at 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 medicines based on hyaluronic acid, the following are also used:
- Autologous- they are made based on the customer's own fabrics.
- Biodegradable- are gel preparations that are not exposed to chemical compounds in the human body, do not decompose and are excreted from the body for longer than other types.
- Biodegradable- decomposes 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. Therefore, biodegradable fillers are not very expensive, 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 (proliferation of connective tissues and scars) is possible if they are used.
Autologous drugs do not have these disadvantages, but they are much more expensive, and the procedures using these fillers require a certain amount of time to synthesize the drug.
Regardless of which filler was used to contour the nose, after the procedure, it may be necessary to use a splint to properly model the shape of the nose, but it does not take more than a day to use such an accessory, after which the patient can remove iton its own.
Nose surgery without surgery with hormone-based drugs
In this case, hormonal drugs are not used in the literal sense of the word, but their analogues, which are able to partially dissolve and soften the cartilaginous tissues of the nose for later correction of their shape.
The complexity of such a procedure lies in the fact that the specialist needs to accurately calculate the amount of the injected drug and correctly determine the depth of the injection. In case of failure, it is possible to form nasal cavities and even uncontrolled tissue atrophy, caused by the excess of the medication.
This method is not as fast as the others and is usually a course of several procedures, which lasts for two to three weeks. The effectiveness of this method is quite high, but the doctor and the patient go to the stages for the desired result, so in the first few days, no obvious change can be found.
Before the procedure, it is necessary to consult an endocrinologist who will determine the patient's hormonal formation and, in some cases, doctors claim the impossibility of such procedures due to problems with the levels of certain hormones.
Non-surgical wired nose correction
When using this method, special wires are pulled through the areas of the nose that require correction, which are subsequently pulled in certain areas.
As a result of these "push-ups", you can make the necessary changes to the shape of the nose.
In the first two days the adaptation occurs, after which the remnants of the threads are removed. This procedure is performed under local anesthesia and is used mainly to reshape the wings and the tip of the nose.
In modern contour rhinoplasty, the threads are still not used as often as other methods. This is due to the fact that, with its relatively high cost, this method can correct only minor defects.
Unlike surgical intervention, which always involves complex operations, rhinoplasty of the nose without surgery does not require a long period of rehabilitation at the end of the procedure.
In addition, after correcting the nose, in these cases, the patient can leave the clinic independently, immediately after the end of the operation, without the need to be under the supervision of a doctor.
One day after the contour correction, the person can return to their usual way of life, and after another three days in the mirror you can see the final effect of the procedure.
But contour rhinoplasty can have some complications. They may be small edemas and local bruises, but they do not require any additional procedure and medical intervention and disappear in a day or two.
The main thing to avoid during the rehabilitation period, which lasts from several days to a week - any, even the slightest injury. This can cause fibrosis, so if the activity of a person undergoing rhinoplasty is associated with physical activity or the risk of accidental injury at work, it is better to ask for sick leave.
In addition, during the rehabilitation period, it is necessary to limit the exposure of the skin of the face to the open sun (especially in the summer), you cannot use cosmetics even in minimal amounts and refrain from going to the solarium. Baths and saunas are also excluded these days.
The effectiveness of the contour
The effectiveness of rhinoplasty depends directly on three factors: the type of procedure, in the case of fillers, its variety and the cost of this instrument.
Unlike the results of plastic surgery, the effect of non-surgical rhinoplasty lasts a maximum of three years, provided that the most expensive biodegradable drugs are used.
Minimal changes with the use of cheap 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 for about a year and a half. It is impossible to name the exact moment, as everything depends on the characteristics of the metabolism of a given patient and the breakdown of the filling components.
The non-surgical rhinoplasty procedure is simple, painless and takes an average of half an hour. But that does not exclude possible complications that in some cases can be seen in patients.
Sometimes, these negative consequences of contour rhinoplasty can be seen during the rehabilitation period, while recovery can take more than several days. If after a week problems and complications are observed, it is necessary to make the diagnosis, after which 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 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, large blood vessels are blocked. This leads to decreased blood flow and the result of this complication, in most cases, is the death of the tissue.
Embolism is accompanied by symptoms such as spasms, pain syndrome, areas of skin in the correction area may acquire a bluish tint. If you find these signs, you should see a doctor immediately.
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 performed under the supervision of an experienced specialist, that likelihood is minimized.
Less often, after surgery, a violation of the shape of the nose is possible. This can occur both due to the poorly qualified actions of the doctor, as well as the peculiarities 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 can have the following side effects:
- Some clinics may use drugsLow qualitythat cause pain. In itself, the procedure for inserting a needle under the skin is quite unpleasant, but if pain occurs, the doctor may use an anesthetic as an anesthetic. An overdose of anesthetic, in turn, can lead to unconsciousness.
- With the insufficiently deep introduction of the drug, there may beprotrusion of the geland their migration under the skin. As a result, these problem areas will appear irregular and rugged. In people with thin skin, purple spots appear at the injection sites.
- Inflammation- the body's normal reaction to the introduction of foreign substances. But if this inflammation at the injection sites does not go on for more than three days, it is a reason to see a doctor. Often, "nodules" form under the skin in the inflamed areas, which can only be removed by surgery.
- Very deep injections lead tofill migration. . . In these cases, it flows under the skin, changing its location and, as a result, 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 medication administration.
When deciding on a contour surgery that does not require surgical intervention, 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, a thorough examination is essential, based on the contraindications to contour rhinoplasty: this will guarantee to avoid unpleasant consequences.