Aesthetic nose correction: the possibilities of fillers

When a doctor offers a patient an aesthetic correction of the nose using injectable preparations, he must clearly understand which lines the preparation should be injected in order to make the shape of the nose harmonious, which anatomical features must be taken into account in order to avoid complications, how to choose the right preparation for correction different zones.

All these issues that arise in the process of augmentation rhinoplasty were discussed with the participants of the training seminar by Andrey Viktorovich Danilyuk, an aesthetic surgeon, a specialist in regenerative medicine, a certified trainer in invasive techniques in aesthetic medicine.

Important points to remember before aesthetic correction of the nose

Augmentation rhinoplasty – it is an aesthetic nose correction based only on tissue augmentation techniques. First of all, you need to figure out what the patient expects from the doctor, and whether it is possible to achieve the desired result with the help of injectables. Your goal as a doctor should be to be able to give the patient self-confidence by creating a harmonious nose shape for him.

Technically, the procedure takes about 20 minutes. For aesthetic correction of the nose, a small amount of – about  0.2-0.3 ml.

1. Anatomical features of the nose. It is very important to know the correct angles of the nose (naso-chin, naso-facial, naso-labial, nasolabial), to remember where straight lines should be and where they should not be.

Features of the anatomy of the nose: consists of bone and cartilage parts, & nbsp; cartilages are paired and not fused with each other.

2. Innervation of the nose. The doctor must be well versed in the location of the facial nerves and blood vessels, be able to avoid dangerous areas and be aware of the possible risks of a needle entering an atypically located nerve or vessel.
3. Indications for which augmentation rhinoplasty is recommended:

• Hump correction,
• filling of supratip depression (saddle nose),
• Change of the nasolabial angle,
• changing the length of the nose,
• rotation of the tip of the nose,
• correction of post-traumatic and postoperative deformities.

Contraindications for aesthetic correction of the nose are common, as for any contouring. Preoperative recommendations for the patient: three days before the procedure, avoid aspirin and other drugs that affect blood clotting.

Peculiarities of aesthetic nose correction

Often, patients do not know and do not imagine that nose correction is possible with the help of injectable drugs, it is necessary to talk about it. Sometimes aesthetic correction of the nose becomes the final touch of facial contouring. Since the nose correction procedure requires a small amount of the drug (0.2-0.3 ml), after the declared desired procedure, for example, correction of the cheekbones, nose correction can also be done.

Medicine choice:

• for deep, supraperiosteal administration of HA 26mg/ml – DimondsUltimate (1ml), DimondsFacederm (2ml);
• for subdermal administration of HA 23 mg/ml –DiamondsDeep(1ml), Labiaderm(2ml);

- camouflage: correction of the hump with a filler injection into the bridge of the nose.

Injection technique

Technique bolus and linear retrograde.

The safest technique for the periosteum – prick with a cut down at an angle of 45 *, then the cut of the needle lies on the periosteum. It is inconvenient to work subcutaneously with a straight needle, it is better to bend it at an angle of 45 *.

If the drug is injected into soft tissues, it must be tied to something – work with the cut up so that the drug is fixed to the dense dermis.

Possible complications after aesthetic correction of the nose:

• damage to the cartilaginous structures of the nose,
• hematomas,
• infection,
• ischemia, necrosis of nasal tissues,
• desensitization of the skin of the nose,
• the formation of a vascular network on the skin of the nose,
• pigmentation of the skin of the nose.