Many people dream of correcting the shape of the nose, and plastic surgeons often work with clients who want to make both small adjustments and completely change their nose for the better.
First, however, radical surgical intervention does not leave the patient a chance 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 purpose, fillers based on hyaluronic acid, own tissues (lipofilling) and other materials are used; Threads; hormonal agents that soften the cartilage tissue of the nose and allow it to correct its shape.
Second, the operation is more expensive, and in the event of a surgeon's mistake, the probability of which is always there, it is not always possible to correct the consequences. As an alternative to this method, contouring is used successfully today, which is carried out more quickly and has no serious negative consequences.
Glucocorticosteroids are used for hormonal rhinoplasty, in which cartilage resorption is a side effect.
Therefore, in order to have an effect, they are given in large doses. They are displayed for a very long time - within six months.
A common complication of using hormonal rhinoplasty is nose failure.
Indications and contraindications
Nose surgery is an effective way to get the result you want. However, this type of intervention can be dispensed with if a small correction of certain areas is required.
The indications for a contour rhinoplasty, which allows it to be carried out quickly and safely, are:
- nose tip that is too thin, drooping, or upturned;
- Humpback;
- asymmetrical nose;
- Other types of irregularities;
- Scars and similar defects.
The contour correction has a number of contraindications that 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 make it possible to correct the nose at any given time without surgery, 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 breast feeding period;
- Rehabilitation phase after complex cosmetic procedures.
The procedure is also not carried out for anyone under the age of 18. This is due to the fact that at this age bone and cartilage tissue have not yet formed completely, and medical intervention can lead to negative deviations.
What disadvantages does contour rhinoplasty help with correction?
Since nonsurgical rhinoplasty may not be helpful in all cases, it is important to know when such a procedure is appropriate and will help resolve the patient's problems. This medical procedure is guaranteed to eliminate:
- Asymmetrical shapeNose. After the rhinoplasty, regardless of what caused such a deviation (trauma, surgery, or present from birth), the nose will become flat.
- GorbinkiOn the nose. Sometimes this defect is not considered as such and does not affect aesthetic perception, but in some cases the bumps make a person's face unattractive and this is easy to correct with a nose job.
- Shape recoveryNose 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.
- Remove variousFailures, Dimples and irregularities.
In addition, specialists in rhinoplasty are consulted to remove snub noses or, conversely, to raise the tip of the nose.
How is the procedure
Before correcting the shape of the nose, it is necessary to consult a dermatologist. The doctor will examine the tolerability 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 determined, and all additional wishes of the client and other nuances are discussed.
Before the correction, an anesthetic in the form of an ointment is applied on and around the nose, which begins to work after about 15 minutes. Next, the correction process begins, which can be done in several ways.
Non-surgical rhinoplasty with fillers
If the correction is made by the introduction of fillers, then the process will take no more than forty minutes. At the same time, the changes are immediately noticeable, since, unlike surgical interventions, this procedure has no consequences such as swelling, bruising and puffiness 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 made by bacterial synthesis. It turns out to be a completely safe, environmentally friendly product that is 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 saved 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 cannula opening is on the side.
The drug is stored in a sealed package just before the procedure and opened just before the administration process. Depending on the depth to which the filler is injected and the desired effect, a certain amount of it will be used.
There are several types of fillers, each of which differs in terms of duration and effectiveness. In addition to drugs based on hyaluronic acid, the following are also used:
- Autolog- are made on the basis of the customer's own fabrics.
- Biodegradable- are gel preparations that are not exposed to chemical compounds of the human body, do not decompose and are excreted from the body longer than other species.
- Biodegradable- decompose under the influence of enzymes produced by the body and, over time, are removed and decomposed to the level of the simplest elements.
Each type has its own characteristics, advantages and disadvantages. So, biodegradable fillers are not very expensive, but the effect of the introduction of 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 tissue and scarring) is possible when used.
Autologous drugs do not have such drawbacks, but they are much more expensive and processes using such fillers require time to synthesize the drug.
Regardless of the filler used to contour the nose, it may be necessary to use a splint after the procedure to properly shape the shape of the nose. However, wearing such an accessory does not last more than a day. After that, the patient must be able to remove it himself.
Nose surgery without surgery with hormone-based drugs
In this case, hormonal drugs are not used in the truest sense of the word, but their analogues, which are able to partially dissolve and soften the cartilage 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 the drug injected and correctly determine the depth of injection. In the event of failure, the formation of cavities in the nose and even uncontrolled tissue atrophy, caused by an excessive amount of the drug, is possible.
This method isn't as quick as the others and usually consists of several procedures stretching over two to three weeks. The effectiveness of this method is quite high, but the doctor and the patient gradually go to the desired result, so that in the first few days there are no obvious changes.
Before the procedure, it is necessary to consult an endocrinologist who will determine the hormonal background of the patient. In some cases, doctors state that such interventions are impossible due to problems with the levels of certain hormones.
Non-surgical rhinoplasty with sutures
In this method, special threads are pulled through the areas of the nose to be corrected, which are then pulled in specific areas.
By doing these "pull-ups" you can make the necessary changes to the shape of your nose.
During the first two days, an adjustment takes place, after which the remnants of the threads are removed. This procedure is performed under local anesthesia and is mainly used to reshape the wings and tip of the nose.
In modern rhinoplasty contouring, sutures are not used as often as in other methods. This is due to the fact that this method can correct only small errors at a relatively high cost.
Rehabilitation process
In contrast to surgical procedures, which always involve complex operations, nose contouring without surgery does not require a long rehabilitation time at the end of the procedure.
In addition, in such cases, after a rhinoplasty, the patient can leave the clinic immediately after the operation has ended, without the need for supervision by a doctor.
A day after the contour correction, a 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.
However, a contour rhinoplasty can have some complications. This could be small local edema and bruising, but they don't require additional procedures and medical intervention and will go away in a day or two.
The main thing that you should avoid during the rehabilitation period, which lasts from several days to a week - any, even the slightest, injury. This can lead to fibrosis. So, if the activity of a person who has undergone a rhinoplasty is associated with physical activity or the risk of accidental injury at work, it is better to take sick leave.
In addition, during the rehabilitation period, it is necessary to limit exposure to the skin of the face to open sunlight (especially in summer). You can not use cosmetics even in minimal quantities and visit the solarium. Baths and saunas are also excluded on these days.
The effectiveness of the contouring
The effectiveness of rhinoplasty is directly related to three factors: the type of procedure in the case of fillers, its variety, and the cost of such a tool.
Contrary to the results of plastic surgery, the effects of nonsurgical rhinoplasty lasts a maximum of three years, and this presupposes that the most expensive biodegradable drugs are used.
Minimal changes when using cheap fillers are observed only in the first six to eight months, after which the process must be repeated. On average, the effects of this type of rhinoplasty last about a year and a half. It is impossible to name the exact timing, since it all depends on the characteristics of the metabolism of a particular patient and the breakdown of the filler components.
Possible complications
The nonsurgical rhinoplasty procedure is simple, painless, and takes an average of half an hour. However, this does not rule out possible complications that, in some cases, can be observed in patients.
Sometimes such negative consequences of contour rhinoplasty can be noted during the rehabilitation period, while recovery may take more than several days. If after a week there are problems and complications are observed, it is necessary to conduct a diagnosis, after which the appropriate treatment is prescribed.
The most harmless complications are:
- slight swelling and bruising;
- Pain in the area of correction;
- Swelling in areas that have had a nose job done.
Experts consider such consequences to be acceptable and advise against taking special measures to eliminate such complications.
Much more serious is the situation when, due to the actions of the doctor, large blood vessels are clogged. 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 cramps, pain syndrome, areas of the skin in the correction area can take on a bluish tint. If you find any such signs, you should consult a doctor immediately.
In extremely rare cases, allergic reactions to one or more of the components contained in the preparations used are possible. Provided the procedure is carried out under the supervision of an experienced specialist, this likelihood will be minimized.
An injury to the shape of the nose is possible even more rarely after the operation. This can occur both due to unskilled actions of the doctor, and due to the peculiarities of the cartilage and bone tissue of the patient. In such cases, the only way to correct the situation is through surgery.
In some cases, nonsurgical rhinoplasty can cause the following side effects:
- Some clinics may use medicationLow qualitythat causes pain. The procedure for inserting a needle under the skin is quite uncomfortable in itself, but if there is pain, the doctor may use an anesthetic as an anesthetic. An overdose of anesthetics can in turn lead to unconsciousness.
- This may be the case with insufficiently deep introduction of the drugLedge of the geland its migration under the skin. As a result, such problem areas look uneven and bumpy. Purple spots appear at the injection sites in people with thin skin.
- inflammation- the 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, it is a reason to consult a doctor. Often "nodules" form under the skin in the inflamed areas, which can only be removed by surgery.
- Injections that are too deep lead toFiller migration. . . In such cases, it flows under the skin and changes its position. This distorts the shape and features of the patient's face. The main reason for this side effect is the incompetent actions of the doctor who cannot correctly determine the depth of drug administration.
When deciding on contour plasty that does not require surgical intervention, it is important to clearly understand the prospects and weigh all the pros and cons of this method.
In most cases, this is the best way to correct the shape of the nose. However, before the procedure, it is imperative to conduct a full examination based on contraindications for contour rhinoplasty. This guarantees that unpleasant consequences are avoided.