The idea of administering drugs for the purpose of aesthetic correction of the nose dates back to the early 19th century when Corning and Gersuni first described the introduction of liquid paraffin to correct a deformity in the form of a saddle nose.
In 1919, Bruning attempted to correct postoperative cosmetic deficiencies in the nose with fat injections, and in 1986, Webster presented a 20-year retrospective study of silicone injections, which were accompanied by serious complications.
In 2003, the FDA approved the use of hyaluronic acid fillers for rhinoplasty. On estet-portal.com, read who is shown this procedure, and also read the protocol for its implementation.
For which patients is indicated nose contouring
Nose contouring can correct minor or moderate cosmetic defects of the nose:
· make the back of the nose more pronounced;
· raise or make the tip of the nose more expressive;
· disguise the hump on the nose;
· correct the asymmetry of the tip or dorsal surface of the nose;
· correct nose defects after rhinoplasty.
Which of the patients prefer injection rhinoplasty?
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Most often these are young patients who cannot afford or do not want to resort to surgical correction of the nose.
There is also a percentage of patients who feel better do nose contouring than surgery, because it is very afraid of surgery and anesthesia.
And the third type is patients who have already undergone one or more surgical rhinoplasties, but still & nbsp; disappointed with the aesthetic result after operations (or operations) and they too desire an efficient alternative with injections .
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Injection rhinoplasty technique
It is important to choose the correct position of the patient for injection rhinoplasty: the patient must sit in a comfortable position position, resting your head on the back of the couch.
Start need with anesthesia. If the procedure is planned carried out with a needle, then 15 & ndash; 20 minutes before the start of the injection & nbsp; application anesthesia is applied, and if by cannula - & nbsp; then in place access cannula inject anesthetic . After treating the injection site with an antiseptic, using a 27-28G needle (or using a cannula), & nbsp; a small amount of hyaluronic acid.
Filler inject in the region of the root, back, tip and columnella of the nose. Then a massage is carried out in the zone & nbsp; drug administration. In my practice, I I prefer to work cannula technique (cannula 22 g or 21g) , because today it is the safest tool for work, taking into account the anatomical features of the nose area and the frequency of complications.
Most fillers decrease in volume by about 25% within the first month or two, the patient should be invited for an additional follow-up visit 3 weeks after the first injection.
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Choice of drug for injection rhinoplasty
Hyaluronic acid is currently the most popular filler for nasal contouring.
With FDA approval of Allergan Juvéderm® Voluma™ In October 2013, injectors received a valuable new tool that provides longer correction than any other filler.
Juvéderm® Voluma™ made using VYCROSS™ technology, and therefore has a higher percentage of low molecular weight hyaluronic acid, which makes the gel smooth, viscous and cohesive.
Unique cross-linking technology makes the filler more resistant to enzymatic degradation, so the correction effect lasts up to 2 years.
Original drugs of the Allergan company You can only purchase from the official distributor.
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