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Rhinoplasty, what is it?
Rhinoplasty - changing the shape of the nose. The intervention can be purely aesthetic, that is, work with the external, visible part - correcting the hump, narrowing, raising the tip of the nose. Or maybe for medical reasons, that is, in addition to correcting the shape, also restoring full nasal breathing.
Nose contouring with hyaluronic acid filler
Just a few years ago it was difficult to imagine that anyone other than a surgeon could correct and improve the shape of the nose. Surgical rhinoplasty is a rather complex operation that requires long-term rehabilitation. Of course, for people with impaired nasal breathing or the need for global changes in the shape and size of the nose, this is in any case an inevitable option. But for those who need only external improvements and, in comparison, very insignificant ones, they always wanted a softer version of the correction. And for this it is not enough to watch a cosmetologist’s blog on the topic of facial cleansing. Here the thing is much more serious in all respects. We are changing our face!
Nose correction with hyaluronic acid is a method that helps correct several features on the nose without surgery:
- smooth out or eliminate a hump
- smooth or eliminate nasal asymmetry
- raise the tip of the nose
- straighten the shape of the nose after injuries, surgeries
Before the procedure, the doctor conducts a consultation and examination to determine whether contour plastic surgery will give the expected result and find out the presence of possible contraindications.
Lipofilling
The lipofilling method, or lipomodeling, is one of the latest technologies in aesthetic medicine.
The principle of the method is based on the introduction of the patient’s own fat tissue into the subcutaneous tissue of the correction zone. The buttocks or the lower anterior wall of the abdomen act as a donor of fat cells. The recipient zone can be any part of the body whose contours need to be changed. The indications for non-surgical rhinoplasty using lipofilling are the same as for filler injection: superficial skin defects, a depression on the back, minimal asymmetry, a small hump. Dramatic changes are difficult to achieve. The method is more often used in complex rejuvenation and improvement of appearance simultaneously with lipofilling of cheekbones, lips, nasolabial and nasolabial folds. In this case, fat grafting gives an excellent aesthetic result.
Lipomodeling is not a non-surgical technique. This is a minor surgical intervention that is performed in a surgical hospital by a plastic surgeon. According to indications, before nose correction, anesthesia is performed or the patient is immersed in a state of medicated sleep. After surgery, it is necessary to follow the doctor’s recommendations to improve the survival of fat cells in the recipient area.
Benefits of lipofilling. Minimal blood loss and tissue injury, minimal postoperative risks. No swelling, hematomas or bruises after the procedure. Wide possibilities for subsequent correction, the need for which may arise when the severity of age-related changes increases. (An example of age-related changes is drooping of the tip of the nose.)
Disadvantages of nose correction using lipofilling. Limited options: lipomodeling can only correct minor defects. Another subjective drawback is the relatively high cost of the procedure.
Why are people interested in rhinoplasty without surgery?
The answer is obvious. I would like to fix the existing problem. Some people do not like the relief of the nose in the form of a hump or drooping tip of the nose. At the same time, I don’t want to take additional risks when doing surgery. Rhinoplasty is a complex operation, and not every surgeon, even a plastic one, undertakes it. This is far from blepharoplasty. Rhinoplasty involves anesthesia and a serious rehabilitation period, which is painful and long.
The biggest disadvantage of surgical rhinoplasty is that
you can’t return it to how it was!
That is, if suddenly you don’t like something! The shape of the nose is not the same, something went wrong... then you will have to undergo another operation.
Along with the advent of fillers, it became possible to correct the nose with gel (based on hyaluronic acid). Anamnesis is collected, indications and contraindications are clarified.
I'm taking pain relief. Within 15 minutes I correct the nose and the person leaves with a new nose . Of course, the demand for such a procedure gradually began to go off scale and this is normal.
VIDEO - Why are people interested in rhinoplasty without surgery?
How to fix your nose without surgery
There are nuances when a person has a broken nose, when nasal breathing is impaired. This affects his health, but the cosmetologist cannot do anything here. And if you need to correct external signs, for example, some kind of depression on the nose, a hump, or raise the tip of the nose, then you can improve it very significantly without resorting to the help of a surgeon.
In my practice, there were situations when girls came from surgeons.
The surgeon told them: “Don’t bother, go to a cosmetologist and fix everything that you don’t like!”
The surgeon understands that what needs to be fixed is not worth the risks involved in the operation.
The procedure for non-surgical rhinoplasty is in demand and a very common question that arises during the procedure of rhinoplasty with injections: “How is it that you add volume with a drug, but the lips increase, which means the nose should increase, as well as the lips and cheekbones?
In fact, the nose visually shrinks because we add the drug at secret points, thanks to which the profile of the nose becomes neater, the nose becomes more upturned and the hump that visually enlarged the nose goes away. It turns out that in some places I am enlarging my nose, but visually it is shrinking! Here's the thing! It's worth a try if you need it.
CLICK on one photo to view the entire photo gallery
Nose correction - before and after 1
Non-surgical rhinoplasty – 1
In this case, a young girl asked whether it was possible to correct a hump on her nose and raise the tip of her nose without surgery. She was also concerned that the tip of her nose droops quite far when she smiles. During the examination, it became clear that correction with filler is possible and the result will be sufficient. The drug was selected in a small volume and medium density.
The procedure is performed under local anesthesia with cream and is tolerated comfortably. The result is visible immediately. Slight swelling and bruising may occur, but is rare. The effect lasts 6-12 months, after repeated correction up to 18 months.
Cosmetologist's work:
- fix hump
- without surgery
- filler correction
- under local anesthesia
- Effect 6-12 months
Advantages and disadvantages
| Advantages | Flaws |
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Nose correction - before and after 2
Non-surgical rhinoplasty – 2
Almost always, a person who is planning nose correction with filler has a completely logical question: since additional volume is introduced, does that mean the nose will become larger? The concerns are understandable, because you are coming for a procedure to visually reduce your nose, not enlarge it. The answer is that the nose protrudes forward due to its shape, often with a hump.
The filler is injected at several points in such a way that the nose becomes almost straight, and sometimes even upturned, and thanks to this it seems to decrease in size. This is an optical illusion, but still. The nose does not become larger with proper distribution of the drug.
Cosmetologist's work:
- Make your nose smaller
- Short rehabilitation
- Effect 6-18 months
- Anesthesia cream
Nose correction - before and after 3
Non-surgical rhinoplasty – 3
A hump and deformation of the nasal bridge can be not only congenital, but acquired after an injury, for example, or illness. This is an even more annoying problem because usually the problem not only exists, but it progresses over the years. If nasal breathing is impaired, that is, the septum is deviated, then only surgical intervention is possible - surgical rhinoplasty.
But if the changes are only external, as in this case, then it is quite possible to do without surgery and correct this feature with filler based on hyaluronic acid. The effect lasts from 6 to 18 months, local anesthesia is creamy, the duration of the entire procedure, including pain relief, is no more than 45-60 minutes. Rehabilitation usually lasts 2-4 days, rarely up to 7
Cosmetologist's work:
- Procedure 45-60 min.
- Rehabilitation 2-4 days
- Effect 6-18 months
- Anesthesia cream
Indications for non-surgical rhinoplasty
Of all the methods discussed above, three deserve trust: contouring using dermal filler, lipofilling and thread lifting. These methods are most effective when used in comprehensive rejuvenation and improvement of facial aesthetics. Thread lifting can be performed simultaneously with rejuvenation of the middle third of the face, contour plastic surgery and lipofilling - together with solving problems caused by age-related tissue deficiency and disruption of the facial relief inherent in youth. They are used less frequently as independent procedures.
The non-surgical rhinoplasty method, based on the administration of hormonal drugs, is dangerous. The aesthetic result is largely unpredictable, and the risks of medical and aesthetic complications are high. Exercises, massage and braces are ineffective, no matter how hard the authors of these methods try to convince you otherwise.
Nose correction - before and after 4
Non-surgical rhinoplasty – 4
The photo shows a great example of how a straighter and more even bridge of the nose can make the face more feminine and softer. Correct shadows, no recesses, no hump, the tip of the nose looks up - what could be more harmonious? This shape of the nasal bridge is an excellent basis for non-surgical rhinoplasty, that is, correction with filler based on hyaluronic acid.
The density of the drug is always selected during consultation - it can be a medium density or high viscosity gel. The correct selection determines the amount of the drug used, the usefulness of the effect, and its duration. The effect of filler is always temporary - 6-18 months, after repeated correction it lasts longer. The procedure is performed under local anesthesia, is tolerated comfortably, rehabilitation lasts 2-4 days.
Cosmetologist's work:
- The procedure is comfortable
- Rehabilitation 2-4 days
- Effect 6-18 months
- Anesthesia cream
Nose correction - before and after 5
Non-surgical rhinoplasty – 5
Doesn't the nose become wider after correction? This is a very common question. When we smooth out the hump or raise the tip, the nose does not become wider; on the contrary, in some places it even becomes thinner and more miniature. But when it comes to the need to correct the “full face”, that is, asymmetry, when the nose has moved a little to the side or there are some depressions, then with just a little correction the nose can become wider. But the plus is that no one will notice this, because a straight nose always looks more aesthetically pleasing than a nose with asymmetry, even if it is 1-2 mm wider at the back.
In this photo you can see how correcting asymmetry changes the nose and the overall perception of the face for the better. The effect lasts up to 6-18 months. Local anesthesia, cream. The procedure time is 45-60 minutes with consultation and anesthesia. It feels like it can be carried comfortably. Rehabilitation from several hours to 3-4 days.
Cosmetologist's work:
- The procedure is comfortable
- Rehabilitation up to 4 days
- Effect 6-18 months
- Local anesthesia
Exercises, braces, massage and splints
Exercises, various fixatives and massage can be combined into a single group of methods for changing the shape of the nose, which can be used at home. Such techniques have become very popular recently. They are actively advertised on the Internet, and every year there are more and more people wanting to test their effectiveness through their own experience.
Popular gymnastics for facial muscles is the Carol Maggio method. The exercises should be performed every day for a long time (from several months to six months). The promised effect is a reduction in the size of the nose, improvement of the contours and projection of the tip. As practice shows, even strict adherence to the recommendations of the author of this technique does not bring the desired result.
New methods of non-surgical rhinoplasty include the use of various fixators: clips, clamps or splints. According to the instructions, the splint should be worn every day for 15-20 minutes, up to half an hour. If you follow the instructions for six months, you can achieve the desired changes.
According to reviews from people who decided to test the effectiveness of the method, a “session” of using a splint or other fixatives is accompanied by severe discomfort. Due to the pressure on soft tissues, the splint causes pain. Nasal breathing is difficult or impossible. Certain aesthetic inconveniences are associated with marks on the skin that remain after wearing the retainer. And, most importantly, such sacrifices ultimately do not give the desired result.
An equally unscientific method is to model the shape of the nose and correct defects using massage. Massage for nose surgery is ineffective and useless. It should be noted that all of the listed methods have nothing to do with official medicine. No one has ever tried to prove their effectiveness. The bet is on consumer trust and aggressive advertising, and the bet is justified, despite the complete failure of the proposed methods.
Nose correction - before and after 6
Non-surgical rhinoplasty – 6
A fairly common situation is when a whole syringe of filler for nose correction turns out to be too much and we have the opportunity to refresh another area on the face. Mostly, patients choose the lips as the second correction zone. A small amount can make a very delicate correction, but in general, after working on the nose and lips, the face is truly transformed. Pay attention to the photo - the correction is not noticeable, but at the same time the lips have become more expressive, more sensual and positive, and the nose is visually shorter and looks neater on the face - more straight and upturned.
This correction was carried out using 1 ml of hyaluronic acid filler and took about 60 minutes. The effect will last for 8-12 months. Local anesthesia cream. The procedure feels comfortable. Rehabilitation in the nose area: 2-4 days, lips up to a week.
Cosmetologist's work:
- The correction is invisible
- Rehabilitation up to 4 days
- Effect 6-12 months
- Local anesthesia
- 1 ml filler
Purpose of correction
The procedure allows you to correct the shape of the tip and wings, eliminate some aesthetic problems through tightening the soft tissues.
The specialist inserts threads through small punctures in the skin - they create a kind of collagen frame, tightening the skin and smoothing out unevenness. Externally it looks like this:
- tissues shift;
- volumes are increasing.
It is noteworthy that this technique was used by the ancient Indians. Modern techniques have been brought to perfection and allow you to achieve a natural effect quickly and painlessly.
Efficiency
The procedure is effective in solving the following problems:
- the tip of the nose is too long;
- organ prolapse;
- wide nostrils;
- small hump;
- unevenness on the bridge of the nose.
The purpose of a thread lift is to make the nose shorter and less upturned, narrow the wide base, get rid of wide wings, and beautifully shape the back. You can extend the result by applying a notch to the ligature.
Contraindications
Thread correction cannot be performed in the following cases:
- during pregnancy and breastfeeding;
- for oncology;
- for cardiac pathology;
- diseases of blood vessels and blood;
- for autoimmune disorders, tuberculosis, hepatitis;
- during a bacterial or viral infection;
- if there is damage in the area of the planned manipulations: scars, scars, etc.
Also, this technique is not suitable for patients with very fair skin.
Nose correction - before and after 7
Non-surgical rhinoplasty – 7
Quite often people come to the appointment for advice on nose correction. Basically to hear that there are no options, surgery is needed. And indeed, when there is pronounced asymmetry, the nose does not breathe due to a displaced septum, or, for example, there is a desire to significantly reduce the size of the nose, then of course you should immediately see a surgeon. And when the size of the nose is not so important, but you just want to visually smooth out the hump and thereby “soften” the facial features, then a cosmetologist can almost always help.
So it is in this case. We needed 1 procedure to smooth out the hump and lift the tip of the nose. The nose became straighter, even slightly upturned. The patient was pleased with the effect. In this case, the remaining filler in the syringe was used to lightly beautify the lips, which enhanced the effect of softness and femininity. A total of 1 ml of filler for both areas.
Cosmetologist's work:
- The procedure, including pain relief, lasts 1 hour.
- Application anesthesia - with a special cream
- The procedure is comfortable and well tolerated
- Rehabilitation 1-7 days. Effect up to a year.
Carrying out the procedure
Implantation must be carried out by a qualified specialist: a dermatocosmetologist or a plastic surgeon.
All manipulations will take no more than an hour. The procedure is carried out on an outpatient basis with strict adherence to sanitary standards. For pain relief, an analgesic cream is applied to the nasal area.
Preparation
The doctor assesses the condition of the nose, collects anamnesis and gives recommendations for preparation.
He also selects the type of threads and outlines a plan for implanting ligatures. Preparatory measures:
- a week before plastic surgery, the patient undergoes blood tests to exclude infections;
- 2 weeks before, you must stop taking antibacterial and anti-inflammatory drugs, and 2 days before, medications that can thin the blood;
- 2 days in advance you should give up alcohol and smoking.
Nose correction - before and after 8
Non-surgical rhinoplasty – 8
A common reason for people seeking nose correction is unevenness of the nasal bridge. In profile and from the front, the nose can be perfect and chiseled, but in projection the half-cup has some irregularities that create the effect of a hump. For those who find this feature significant, injection rhinoplasty with hyaluronic acid fillers may well be indicated. The drug is administered at several points in such a way that the line of the nose from any point of view becomes ideal.
In this case, 0.6 ml of medium density filler was used. The procedure took 45 minutes including pain relief. The patient tolerated it very well. Rehabilitation lasted about 2-3 days (there was slight swelling on the back of the nose). The effect of the procedure lasts up to 1 year.
Cosmetologist's work:
- 0.6 ml medium density filler
- The procedure took 45 minutes
- Rehabilitation 2-3 days
- The effect of the procedure is up to 1 year
Anatomy of the zone: what features need to be taken into account
The outer part of the nose has a pyramidal shape. The root of the nose is located above, and its rounded tip is located below. Between the base and the tip is the bridge of the nose. The nostrils are pear-shaped openings leading into the vestibule of the nasal cavity, delimited medially by the nasal septum, and laterally by the wings of the nose.
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The skeleton of the external part of the nose consists of cartilaginous and bony components. The bone component is located above and is formed by the frontal, nasal and maxillary bones. The inferior cartilage consists of one septal cartilage, two lateral cartilages, two alar cartilages, and smaller alar cartilages. While the skin over the insidious part of the nose is thin, in the cartilaginous part it is thicker and contains sebaceous glands.
Rice. 1: outer part of the nose
Nose correction - before and after 9
Non-surgical rhinoplasty – 9
In this case, the patient wanted to reduce the severity of the hump and the drooping of the tip of the nose during facial expressions, in particular when smiling. Such corrections are possible using a combination of Botox + filler, or using one method. Here we only used filler. The photo shows how nose contouring allows you to change the profile - the nose becomes visually smaller, the tip of the nose is perkier, including when smiling, the girl’s facial features are softer.
This procedure took about an hour. It was performed under anesthesia with a special cream, and the patient tolerated it very well. The recovery period is 1-7 days, it depends on whether bruises appear after the injections. In the case of non-surgical rhinoplasty, bruises are rare. The effect in the case of a pronounced hump after the first procedure usually lasts up to six months, but the hump does not appear to the same extent, it just becomes a little more visible. After repeating the procedure, as usual, the effect lasts up to a year.
Cosmetologist's work:
- Pain relief with a special cream
- Effect up to six months
- The procedure took about 1 hour
- Repeatedly - Effect up to 1 year
Varieties
Different types of implants can be used to perform a lift. They differ:
- duration of action;
- components;
- thickness, etc.
The choice of material depends on the indications/contraindications and the expected result.
Non-absorbable
Not used often.
The base is medical polypropylene. It is used for suturing in medicine. The main advantage is the long-lasting result (noticeable within 5 years).
Buyanov Sergey Yurievich (Expert Doctor):
Along the circumference of the polypropylene thread, a kind of tubular capsule of connective tissue is formed, which secures the cosmetic effect.
But there is also a significant risk - it is unknown how the threads may affect the appearance in the future. In addition, the constant presence of foreign material makes it impossible to carry out other cosmetic procedures for rejuvenation and facelift.
Long-term absorbable
This material is notable for its good elongation and reverse compression.
Composition: polyamide, polyurethane or silicone. The effect lasts up to 4-5 years; if necessary, implants can be removed from the tissue.
The most popular is Tissulift. With its help, you can correct the tip and tighten wide nostrils.
Absorbable
These threads are the most popular.
They consist of caprolac and polylactic acid. The biomaterial has a beneficial effect on the condition of the skin, so it is recommended for women with rabbit wrinkles. Doctors recommend using Aptos bioabsorbable preparations: Nano Spring, Light Lift, Needle and Happy Lift Nose.
They have the following positive characteristics:
- hypoallergenic;
- safety;
- strength.
Absorbable implants are not effective enough. The result lasts only 6-9 months.
Combined
This type of material is absorbed within a year and a half, but its base remains in the body. Composition: polypropylene ligature, polymilk cones.
Such implants are not recommended for women with very thin skin: there is a high risk of contouring.
Nose correction - before and after - 10
Non-surgical rhinoplasty – 10
In my practice, I often encounter patients asking me to correct two areas at the same time - the nose and lips. In fact, this option gives excellent results if there are indications for it. In this case, the patient’s “before” nose does not have a noticeable hump and is very neat. The need for correction arose because he sank down during facial expressions.
A very small amount of filler was used to correct the nose and we used the remainder of the product for light dynamic beauty of the lips. The result in both areas was more than natural and the patient was satisfied. The procedure, including anesthesia, took about an hour. Rehabilitation takes up to 7 days, as the lips react to injections with swelling and bruising. The effect lasts up to a year.
Cosmetologist's work:
- Pain relief with a special cream
- Effect up to a year
- The procedure took about 1 hour
- Rehabilitation up to 7 days
Stages
- Cleansing the face of cosmetics, treating with an antiseptic.
- Local anesthesia.
- Drawing lines for correction.
The material is implanted like this:
- The thread is attached to a special needle and inserted under the skin. Next, the implant is guided along the intended line. There is a fixing mini-anchor at the tip of the ligature.
- Then the thread is pulled out and carefully brought back, displacing the soft tissue.
- The remainder of the material is cut off and removed under the skin.
It turns out that 2 injections are needed per thread. They heal quickly and leave no marks.
Nose correction - before and after - 11
Non-surgical rhinoplasty – 11
Correcting a hump is the most common reason for seeking non-surgical rhinoplasty. This is quite understandable, because in profile, the presence of a hump and recess in the area of the nose visually enlarges even the most neat nose. In this case, this trend is very clearly visible in the “before” photo. In this case, a small amount of filler was used to achieve the full effect of leveling the hump, in addition to slightly raising the tip of the nose. The “after” photo shows how much the profile of the face and nose can change even after a very minor correction.
The procedure took about 45 minutes. Anesthesia with a special cream. The patient tolerated the procedure easily and said that she felt comfortable. Rehabilitation 1-7 days. The effect lasts up to a year and disappears gradually. After a repeated procedure, as a rule, its duration is longer.
