Many people dream of correcting the shape of their nose, and plastic surgeons often work with clients who want to make both small adjustments and completely change their nose for the better.
But, first, radical surgery does not leave the patient the opportunity to correct the consequences of the operation (only a 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, own tissues (lipophilization) and other materials are used; nor; hormonal agents that soften the cartilaginous tissue of the nose, which allows to correct its shape.
Secondly, the operation is more expensive and in case of a surgeon's mistake, whose probability always exists, it is not always possible to correct the consequences. Today, as an alternative to this method, a contour that is performed faster and has no serious negative consequences is successfully used.
Glucocorticosteroids are used for hormonal rhinoplasty, in which cartilage resorption is a side effect.
Therefore, in order to have an effect, they are applied in large doses. They show up for a very long time - within six months.
A common complication with the use of hormonal rhinoplasty is nose failure.
Indications and contraindications
Nasal surgery is an effective way to achieve the desired result, but this type of intervention can be relieved if a small correction of certain areas is needed.
Indications for contour rhinoplasty, which enables fast and safe performance, are:
- too thin, drooping or upturned tip of nose;
- hump;
- asymmetrical nose;
- irregularities of various natures;
- scars and other similar defects.
Contour correction has a number of contraindications, which can be absolute or relative. The first group includes oncological diseases, individual intolerance to the drugs used and their ingredients, hemophilia, autoimmune diseases and diseases of the endocrine system.
Relative contraindications are factors that do not allow nose correction 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 area in the proposed area of the rhinoplasty procedure;
- pregnancy and lactation;
- rehabilitation period after complex cosmetic procedures.
Also, the procedure is not performed 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 are the disadvantages of contour rhinoplasty to help correct it?
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 guarantees the removal of:
- Asymmetrical shapenos. After the rhinoplasty procedure, the nose becomes even, regardless of what caused such a deviation (trauma, surgery or was present from birth).
- HumpbacksOn the nose. Sometimes this defect is not considered as such and does not affect aesthetic perception, but in some cases bumps make a person’s face unattractive, and this is easily corrected by rhinoplasty.
- Form renewalnose 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 removed.
- Removal of variousfailures, pits and irregularities.
Also, rhinoplasty experts are consulted to eliminate snubs or, conversely, to lift the tip of the nose.
What 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 medications used and the agents used during the procedure.
You can then discuss the details of the operation with a rhinoplasty specialist. In this phase, the result is predicted, the correction zones are determined and all additional wishes of the client and other nuances are discussed.
Prior to correction, an ointment in the form of an ointment is applied to the nose and around the nose, which begins to act after approximately 15 minutes. Next, the correction process begins, which can be performed in different ways.
Non-surgical rhinoplasty with fillers
If the correction is done by introducing a filler, the procedure does not take longer than forty minutes. At the same time, the changes are noticeable immediately, because unlike surgery, this procedure does not have such consequences 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 formed by the synthesis of bacteria. It turns out to be a completely safe ecological product, harmless to the body.
The main advantage of this type of fillers 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.
Fillers are injected using a syringe with a fine needle. Such a needle ("cannula") differs from the usual one with a rounded blunt end, and the opening of the cannula is on the side.
The drug is stored in closed packaging immediately before the procedure and is opened immediately before the administration procedure. Depending on the depth of filler injection and the desired effect, a certain amount is used.
There are different types of fillers, each of which differs in terms of duration and efficiency. In addition to drugs 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 chemical compounds of the human body, do not degrade and are excreted from the body longer than other species.
- Biodegradable- they are broken down under the influence of enzymes produced by the body, and over time they are removed, they are broken down 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 the introduction of such drugs lasts no 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 used.
Autologous drugs do not have such disadvantages, but are much more expensive, and processes using such 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 shape the shape of the nose, but wearing such an accessory lasts no more than one day, after which the patient can remove it himself.
Nose surgery without hormone-based drug surgery
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 subsequent correction of its shape.
The complexity of such a procedure lies in the fact that the specialist needs to accurately calculate the amount of injected drug and correctly determine the depth of injection. In case of failure, the formation of cavities in the nose is possible, and even uncontrolled tissue atrophy, which is caused by an excessive amount of medicine.
This method is not as fast as the others, and it is usually a course of several procedures that span two to three weeks. The effectiveness of this method is quite high, but the doctor and the patient in stages go to the desired result, so in the first days no obvious changes can be found.
Before the procedure, it is necessary to consult an endocrinologist who will determine the patient's hormonal background, and in some cases, doctors state the impossibility of such procedures due to problems with the level of certain hormones.
Non-surgical correction of nasal sutures
Using this method, special areas are passed through areas of the nose that require correction, and which are then retracted in specific areas.
As a result of these "stretches" you can make the necessary changes in the shape of the nose.
During the first two days, the adaptation takes place, after which the remnants of the thread are removed. This procedure is performed under local anesthesia and is mainly used to reshape the wings and tip of the nose.
In modern contour rhinoplasty, threads are not yet used as often as other methods. This is due to the fact that, with a relatively high cost, this method can correct only small shortcomings.
Rehabilitation process
Unlike surgery, which always involves complex surgeries, contour rhinoplasty of the nose without surgery does not require a long period of rehabilitation at the end of the procedure.
Moreover, after nose correction, in such cases the patient can leave the clinic on his own immediately after the operation, without the need to be under the supervision of a doctor.
The day after contour correction, the person can already 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. These may be small local edemas and bruises, but they do not require any 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 cause fibrosis, so if the activity of a person undergoing rhinoplasty is associated with physical activity or the risk of accidental injuries at work, it is better to take sick leave.
In addition, during the rehabilitation period, it is necessary to limit the exposure of the facial skin to open sunlight (especially in summer), you cannot use cosmetics even in minimal quantities and refrain from visiting the solarium. Baths and saunas are also excluded these days.
Contouring efficiency
The effectiveness of rhinoplasty directly depends 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 for a maximum of three years, provided that the most expensive biodegradable drugs are used.
Minimal changes with the use of cheap fillers are noticed 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 name the exact time, because everything depends on the characteristics of the metabolism of a certain patient and the breakdown of the filler components.
Possible complications
The non-surgical rhinoplasty procedure is simple, painless and takes an average of half an hour. But this does not exclude possible complications that can be noticed in patients in some cases.
Sometimes such negative consequences of contour rhinoplasty can be noticed during the rehabilitation period, while recovery can take longer than a few days. If problems start after a week and complications are noticed, 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 areas that have undergone rhinoplasty.
Experts call such consequences acceptable and do not advise taking special measures to eliminate such complications.
A much more serious situation is when, as a result of a doctor’s actions, large blood vessels are blocked. This leads to weakened blood flow, and the result of such a complication in most cases is tissue death.
Embolism is accompanied by symptoms such as cramps, pain syndrome, areas of skin in the area of correction may become bluish. If you find such signs, consult a doctor immediately.
In extremely rare cases, allergic reactions to one or more components contained in the preparations are possible. But provided the procedure is performed under the supervision of an experienced professional, this likelihood is minimized.
Even less often, after the operation, it is possible to break the shape of the nose. This can happen due to unqualified procedures of the doctor, as well as due to the peculiarities of the cartilage and bone tissue of the patient. In such cases, the situation can only be corrected by surgery.
In some cases, non-surgical rhinoplasty can have the following side effects:
- Some clinics may use drugsLow qualitywhich cause pain. By itself, the procedure of 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 in turn can lead to unconsciousness.
- With insufficiently deep introduction of the drug, it may begel protrusionand 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 organism to the intake of foreign substances. But if such inflammation at the injection sites does not disappear for more than three days, this is a reason to consult a doctor. Often, "nodules" form on inflamed areas under the skin, which can only be removed by surgery.
- Too deep injections lead tofiller migration. . . In such cases, it flows under the skin, changing its location, and as a result, the shape and facial features of the patient are distorted. The main reason for this side effect is the incompetent procedures of a doctor who cannot properly determine the depth of drug administration.
When deciding on contouring 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 it is necessary to undergo a comprehensive examination based on the contraindications for contour rhinoplasty: this will guarantee the avoidance of unpleasant consequences.