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Nose Contouring: What you need to know about the procedure

Modern cosmetology is to some extent an alternative to plastic surgery. This also applies to the procedure known as "nose contouring" or "injection rhinoplasty". Point and line injections of certain substances allow you to adjust the shape of this part of the face. Of course, this is not a surgical intervention, but the procedure is quite complicated. A lot of experience is required from the specialist who performs them, from the patient - the ability to choose the right dermato-cosmetologist and strictly follow his instructions.

General information about the procedure and indications for it

Contoured rhinoplasty is not a panacea. For example, unlike plastic surgery, it is not performed when it is necessary to reduce an oversized nose, "straighten" a deviated internal nasal septum, or correct the consequences of serious injuries.

But there are many indications for them:

  • disproportionately small nose;
  • unaesthetically thin or wide, arched back;
  • sagging, sagging skin on the nose (this is especially noticeable on the wings and their tip);
  • depression at the site of the nasal septum in any part of the back;
  • excessively wide wings, their obvious asymmetry;
  • Snub nose (the tip of the nose is raised), "beak-like" (he, on the contrary, "looks down"), the nose is "potato";
  • a pronounced hump, congenital or acquired (for example, due to the need to constantly wear glasses);
  • flattened bridge;
  • the need to slightly adjust the result of plastic surgery if it does not quite suit the surgeon or the patient;
  • the presence of not too noticeable scars, scars, post-acne.

Injection rhinoplasty helps correct many problems with the nose that often cause psychological discomfort.

Nose contouring is performed for people over 18 years old in specialized clinics and medical centers authorized for this type of activity. Only certified dermato-beauticians can do that. The price of the procedure depends on the defect to be repaired, the region and the reputation of the facility.

You should not count on a lasting effect - the substance injected by injection (filler) is gradually absorbed and excreted by the body. Depending on the metabolic rate and other individual characteristics of the body, the result lasts 1-2 years.

Pros and cons of the procedure

Compared to plastic surgery, rhinoplasty has the following undoubted advantages:

  • the ability to do without surgical intervention, which is unacceptable to many for various reasons;
  • relatively short recovery and rehabilitation period;
  • absence of problems with respiratory function, stitches and scars;
  • lower risk of complications, shorter list of contraindications;
  • complete safety of the substances used for health and their biological compatibility with the human body;
  • the short duration of the "session" and the quickly manifested effect;
  • almost complete freedom from pain;
  • cheaper price;
  • "Reversibility" of the outcome if it doesn't suit the patient.

An obvious effect that is not long in coming is one of the main advantages of rhinoplasty.

Rhinoplasty result

Of course, it wasn't without its downsides:

  • Injection rhinoplasty, of course, is significantly cheaper than the "traditional" one, but even in this version, not everyone can afford the procedure.
  • lack of a lasting effect (regular new injections are required to maintain it);
  • Difficulties in finding a truly qualified doctor with the necessary experience (on him the result largely depends).

Many would not mind correcting the shape of the nose, but not everyone can find a suitable specialist.

Existing contraindications for contour plastics

Injection rhinoplasty is classified by dermato-cosmetologists as a slightly traumatic procedure. However, she has a fairly long list of contraindications:

  • not fully healed mechanical damage (scratches, abrasions, burns) or purulent diseases (acne, folliculitis) of the skin in the "surgical area";
  • the presence of malignant, benign tumors, as well as formations of unknown etiology (for this reason, many specialists refuse nasal contouring if there are large birthmarks, birthmarks, warts);
  • any chronic disease in the acute stage (especially hypertension, problems with the liver, kidneys);
  • viral and / or bacterial infection in the body, inflammation, regardless of location (also cold, SARS);
  • Diseases that negatively affect the immune system, cause problems with the endocrine system and hormonal "failures" (including diabetes of any kind);
  • the whole period of child birth and its natural nutrition;
  • Menstruation;
  • trypanophobia (panic fear of injections, syringes, needles);
  • Hypersensitivity of the skin, tendency to hyperpigmentation, formation of coarse keloid scars;
  • recently (within the next 2 weeks) performed "aggressive" cosmetic procedures (e. g. peeling that affects the deeper layers of the skin).

There are no studies on the effect of drugs used in injectable rhinoplasty on a pregnant woman's body and the fetus, but it is unlikely that at least one expectant mother would want to risk her child.

An allergic reaction to fillers is extremely rare (affects 1 in 2, 000 people) but cannot be completely ruled out. Therefore, before the procedure, the selected drug is necessarily tested for individual intolerance.

Various methods and drugs used

The technique and specific medication chosen by the injection rhinoplasty specialist depend on the nature and extent of the problem.

Fillers can be injected;

  • under the skin;
  • subdermal;
  • intradermal;
  • into the mucous membrane.

The drug is a viscous dense gel that is able to keep its shape. Its main component is hyaluronic acid or calcium hydroxyapatite. In the first case, the substance is intended to fill voids, increase volume, the "side effect" is tissue rejuvenation at the cellular level by stimulating the synthesis of collagen and elastin. In the second, after its introduction, a kind of "scaffold" is formed, which graduallybecomes overgrown with connective tissue fibers.

The shape of the nose after contouring is supported by special preparations - fillers.

Fillers based on hyaluronic acid are eliminated from the body more quickly. However, preparations with calcium hydroxyapatite require precise calculation by a specialist - where, how and in what dosage it should be administered. In the event of a mistake, very serious complications and negative consequences are possible.

The success of the procedure depends on the quality of the filler. Therefore, reputable clinics and centers only use products from companies with a solid reputation, and such drugs simply cannot come cheap.

A high-quality filler, together with the skills of a dermato-beautician, ensures the desired effect after the injection rhinoplasty.

How is the preparation and the process itself?

Preparation for injection rhinoplasty necessarily includes a consultation with the doctor who will perform the procedure. In conversation with the patient, it is determined whether nose contouring will work at all in this case, with the help of computer graphics, the result of the "operation" is modeled, taking into account the patient's wishes . The most suitable drug and its dosage are selected. It is alsonecessary to find out whether there are contraindications to injection rhinoplasty.

In addition, the procedure of the procedure, the preparation for it and the recovery phase are explained to the patient. Recommendations are made to be followed later, even if they seem like ridiculous reassurance. The consultation ends with the appointment of the "operation date".

Nose contouring is not performed without a preliminary study of the patient's medical history and clarification of the issue of the absence of contraindications.

The preparation starts a week before. The patient needs:

  • take a course of the recommended antiviral drug if there is a tendency to herpes;
  • avoid alcohol, strong tea and coffee, minimize smoking if possible (ideally quit smoking altogether), include whole and healthy foods in the diet;
  • do not take anticoagulants (if a course of blood-thinning drugs is prescribed and it cannot be interrupted, you will have to wait until the end of nasal contouring);
  • Do not perform cosmetic procedures in the salon (especially hardware and injections).

Coffee consumed in large quantities retains fluid in the body, which prevents rapid tissue regeneration.

The session itself lasts 30-45 minutes. It's going ok:

  1. The dermato-beautician cleans the "operative field", if necessary she removes decorative and caring cosmetics. The filler injection area is additionally treated with an antiseptic.
  2. At the patient's request, the doctor uses a local anesthetic. In most cases, they do without it - hairpins are used for filling injections, punctures almost do not cause pain. But everyone's skin sensitivity is different, so some prefer to play it safe. It takes 15-20 minutes for the anesthetic to work. At this time, the specialist prepares everything necessary. The ampoule with the drug must be new, it is opened in front of the patient. All "consumables" (syringes, needles, gloves) are used only as single-use items. The patient has the right to inspect the ampoule to ensure that it is the correct dosage and expiration date.
  3. The doctor wipes the remnants of the anesthetic cream or gel with a cotton pad, repeats the treatment with an antiseptic again.
  4. The specialist will inject the required amount of filler into the required areas. Then it must be correctly distributed with the fingers, as if "forming" a new shape of the nose. Blood will come out of the puncture sites, a feeling of "breaking" at the puncture site is normal.
  5. At the end of the procedure, the "work area" is disinfected again. Then the patient is recommended to spend another 15-20 minutes in the clinic. If there are no complaints or a deterioration in health, you can go home.

The most important part of the procedure, the filler injection, takes only 10-15 minutes.

In order for the fountain pen to "remember" the new shape more quickly, it is sometimes practiced to put on a special splint. You have to wear it for a maximum of one day, then you can dispose of the "accessory" yourself.

Recommendations on the rehabilitation period

Rehabilitation after contour plastic surgery is divided into 2 phases. The first lasts 3-4 days, during which it is clearly evident that the nose has undergone an intervention.

At this time, dermato-cosmetologists recommend:

  1. Minimize hand touches on the face. In no case do not touch the injection sites of the filler, except when you need to apply a doctor-recommended antiseptic, regenerating and / or anti-inflammatory cream. In addition, you can not pull your nose, press it, rub the bridge of the nose, the back and so on.
  2. Refrain from using caring and decorative cosmetics in the "area of application". It is better that not even water gets on your nose.
  3. If possible, sleep only on your back or at least on your side, but under no circumstances – without burying your face in the pillow.

If severe symptoms indicating intervention disappear, then for the next 2-3 weeks it is necessary to refrain from:

  • Visits to baths, saunas, solariums (firstly, high temperatures are harmful, secondly, sweat decomposes punctures that have not yet fully healed, inhibits regeneration, and thirdly, you can catch an infection, which is now very undesirable);
  • bathing in natural and artificial reservoirs (this is also a potential "source of infection");
  • Sunbathing (every time you go outside after the punctures are fully healed, you need to put sunscreen with an SPF of 30 or higher on your nose);
  • frequent stay in the "upside down" position;
  • intensive sports training and any other physical activity;
  • all cosmetic procedures in the salon;
  • use of skin care products containing alcohols, acids, dyes, fragrances, other "aggressive" substances (hypoallergenic cosmetics for sensitive skin is currently the best choice), scrubs, scrubs, decorative cosmetics;
  • long lying in a hot bath (hot showers are also undesirable).

Intensive training also involves a risk of injury to the nose, so it is better to avoid it in the rehabilitation phase after contouring.

Possible negative consequences

If both the doctor and the patient strictly follow the "protocol" of the procedure, both in terms of the injection session of the filler itself and in terms of the preparatory and rehabilitation phases, the risk of complications after injection rhinoplasty will be minimized.

Of course, in the next 3-7 days you will have to endure some unpleasant symptoms, but in this case they are considered the norm:

  • bruising in places where the skin is pierced;
  • Swelling, swelling and/or redness in the "surgical field";
  • mild dull or aching pain;
  • small hematomas.

Immediately after contouring, the nose may not look very presentable, but this is a temporary phenomenon.

More serious complications and negative consequences can be caused by both the doctor and the patient. The first can introduce an infection under the skin during the introduction of the filler, incorrectly select the injection sites and determine the volume of the injected drug. The second is to ignore the instructions given to him. In addition, complications may not appear immediately, but only after 2-3 weeks after contouring the nose.

These include:

  1. Fountain pen "Migration". This is most common with a poor quality drug or with a mechanical effect on the nose after its administration. The filler is displaced, the nose looks unnatural, asymmetry and disproportion appear.
  2. "Bumps" and palpable seals under the skin, pronounced asymmetry of the nose. It occurs when you "overdo it" with the filler or insufficiently distribute it during the procedure.
  3. Allergic reaction. It cannot be excluded unless a test of individual intolerance to the selected drug has been performed. The manifestations of allergies range from unpleasant but tolerable (rash, itching, burning, redness) to dangerous to health and even life (Quincke's edema, difficulty breathing).
  4. Inflammatory process, suppuration. Typical symptoms are redness, hyperemia of the skin, an increase in body temperature. They develop when an infection is introduced into the puncture sites during or after an injection rhinoplasty.
  5. Tissue necrosis, blockage of blood vessels, embolism. It is accompanied by cramps, loss of skin sensitivity, severe pain, a change in skin tone to cyanotic or dead white. It occurs when the filler is accidentally injected too deep and "pinches" small capillaries and larger blood vessels. Preparations based on calcium hydroxyapatite are particularly dangerous: their penetration into the blood vessels can cause serious problems with the cardiovascular system, up to and including a heart attack.

The absence of the desired effect after injection rhinoplasty can also be considered a kind of negative consequence. This is due to the introduction of a poor-quality drug or injections into too deep subcutaneous layers.

Is it possible to "reverse" the effect?

The need to get rid of the injected filler can arise both with complications dangerous to health, and when the result of the procedure simply does not suit the patient. Hyaluronic acid has an antagonist substance - hyaluronidase. It is injected in the desired dosage by injection or hardware into the desired area. One (in rare cases 2-3 procedures) is enough for the nose to return to its "initial state".

With calcium hydroxyapatite, everything is more complicated. It doesn't even show up now. To get rid of the filler gradually over several months, injections with saline in combination with hardware procedures will help.

Many people want to correct the shape of the nose if possible. But sometimes you have to turn down cosmetic surgery. However, there is an alternative to surgical intervention - nose contouring. You just need to choose a qualified doctor who will tell you what effect each patient can expect and how to avoid unpleasant consequences after the procedure. In order for everything to be successful, experience and strict adherence to the "protocol" of injection rhinoplasty are required from the specialist, from the patient compliance with all its prescriptions.