Many patients who are not satisfied with the shape of their nose prefer non-surgical correction methods. And the fillers available on the market can effectively eliminate the shortcomings in this area. The lack of incisions, anesthesia and recovery period make injection rhinoplasty an attractive option for anyone who wants to correct the shape of the nose.
However, in order to obtain the best results after injection rhinoplasty, it is necessary to correctly select patients, as well as follow certain rules for working with this area in order to avoid dangerous complications, such as loss of vision. Dr. Steven Hopping. talks about it
- Nose Correction with Fillers: Ideal Filler Candidates
- Which drugs are used for injection rhinoplasty
- Nose correction procedure with HA fillers
- Possible complications of injection rhinoplasty and ways to their prevention
Nose correction with fillers: ideal filler candidates
Injection rhinoplasty is not suitable for all patients. This procedure is not intended for:
• reducing the size of the nose;
• suspenders "saggy" tip of nose;
• potato nose corrections;
• eliminate nasal breathing problems.
Follow us on Instagram!
Possibilities of nose correction with fillers:
• nose alignment;
• filling indentations;
• eliminate asymmetry;
• slight elevation of the bridge of the nose and the tip of the nose.
Proper selection of patients and proper information about the procedure – an important condition for obtaining good correction results.
The best candidates for this procedure are patients with minor nasal defects, such as dimples, asymmetries, small bumps or depressions on the back of the nose. The most frequent indication and popular request in the context of injection rhinoplasty is the correction of the nasal bridge. Reduction rhinoplasty with fillers is not performed.
Proper selection of patients and proper information about the procedure – an important condition for obtaining good correction results.
Which drugs are used for injection rhinoplasty
According to Wang and Friedman, the two most commonly used nasal fillers are hyaluronic acid and calcium hydroxyapatite. The author recommends the use of HA fillers for nose correction.
Fig. 1: (A) before and (B) three months after injectable rhinoplasty (1 cm3 of HA filler injected) PMMA and even fat. The patient should be warned that the results obtained after the use of some of the above products are irreversible. A skin test is also required prior to the administration of PMMA with bovine collagen.
Fig. 2: (A) before and (B) after injection rhinoplasty to correct a deviated septum with 1 cm3 PMMA filler with bovine collagen
Read also:
Three-point non-surgical rhinoplasty: technique and results As noted by Johnson and Kontis, the correct plane for filler injection is the deep fat layer, located above the perichondrium and periosteum. It is recommended to administer the drug gradually and in small boluses. The specified plane is characterized by minimal blood circulation and is located
deep in relation to the SMAS.
Nose correction procedure with HA fillers
The nasal area must be carefully treated with povidone-iodine before injection. Sterile technique must be used to prevent infection. A prophylactic course of antibiotics is not required.
The author recommends that the correction be performed with a 25 gauge cannula and administered through a puncture made with a 25 gauge needle. Often, a small amount of 1% lidocaine diluted with epinephrine 1:100,000 can be used to numb the injection site.
The cannula should be inserted to the required level, for example, between the eyebrows in case of dorsum augmentation. The drug is injected with minimal effort as the cannula is withdrawn (retrograde technique). The author also recommends that practitioners apply pressure to the area of the angular vessels with the free hand to prevent retrograde flow of the drug to the retinal vessels in the case of intravascular filler injection (Fig. 4).
Fig. 3: before (A) and after (B) injection rhinoplasty to lift the bridge of the nose. Previously, the patient underwent three rhinoplasties
To evaluate the results, the patient returns for a follow-up appointment after 6-8 weeks. If necessary, the results can be corrected (this is required in about 50% of cases).
Read also:
Injection rhinoplasty: important success rules to follow Patients should be warned that fillers do not provide permanent results and therefore need to be periodically re-corrected.
Fig. 4: finger pressure on the angular vessels during nasal injection to prevent
retrograde embolism Possible complications of injection rhinoplasty and how to prevent them
Complications that may arise from injection rhinoplasty are divided into three groups:
Aesthetic complications that can be minimized by proper patient selection.
- Vascular complications (occlusion may occur as a result of the introduction of the product directly into the lumen of the vessels or their external compression).
As a rule, intravascular injection of the filler is accompanied by an immediate blanching of the surrounding tissues. In this case, it is necessary to stop the injection and inject 300 units of hyaluronidase into the affected area. If there is no improvement within five minutes, 300 units of hyaluronidase should be reintroduced.
Warm compresses, niroglycerin paste, and systemic aspirin are also recommended for these types of complications.
Read also:
Safely inserting fillers: how to prevent possible complications
Vision loss due to intravascular filler injections – a rare but very serious complication, in the event of which it is recommended to immediately inject hyaluronidase and consult an ophthalmologist.
Each practitioner should have a first aid kit for complications of fillers: hyaluronidase (600 units), aspirin and nitroglycerin paste.
3. Infectious complications in many cases arise due to vascular damage and tissue necrosis. Sterile technique minimizes the risk of infections.The use of sterile technique, knowledge of the anatomy of the treated area, the correct insertion technique and the immediate response of the doctor in the event of complications can reduce the risk or minimize the unpleasant consequences of complications after the introduction of fillers.
According to Prime magazine
Share:
Add a comment