Facial contouring or contour correction procedure with hyaluronic acid. Lip shape correction.

Today in the world there is a wide range of procedures to preserve youth and beauty. Non-surgical rejuvenation techniques are attracting more and more attention and are gaining relevance and popularity. Therefore, contour plastic surgery is an ideal way for any person to have healthy, beautiful and tightened facial skin.

What is facial contouring? – This is a great opportunity for any woman to look beautiful and young at any age. After all, the skin gradually begins to lose its natural elasticity and to prevent this, surgical intervention is required. However, not every person wants to use the services of plastic surgery, not only because of the high price, but because of the fear of surgical intervention. But it is contour plastic surgery that is a painless cosmetic procedure that gives the skin firmness without surgical intervention and does not leave scars, marks or wounds on it.

Indications for use

A contour facelift is prescribed for the following external signs:

• minor nasal defects;
• “vagueness” of the oval;
• ptosis;
• hernial “bags” in the eye area;
• drooping eyelids;
• presence of scars;
• presence of facial wrinkles and nasolabial folds.

Contour plastic surgery is used if the patient wants to increase the shape of her lips or add volume using gel to certain areas of the face.

The principle of action of the drugs

Injection gels (fillers) are selected depending on the problem that needs to be solved. In most cases, therapy is approached in a comprehensive manner, and each drug consists of several ingredients with different spectrums of action.

Main components:

• hyaluronic acid - moisturizes and stimulates the growth of new cells;
• peptides - designed to start recovery processes;
• amino acids;
• vitamins;
• plant extracts;
• collagen;
• calcium hydroxyalatite - smoothes wrinkles, triggers collagen production;
• poly-L-lactic acid - fills voids under the skin, stimulates collagen production and the synthesis of new cells.

Efficiency of use

A facial contour lift gives the following results:

• saturates the dermis with moisture and oxygen;
• removes toxins;
• provokes the production of collagen, elastin, cell restoration;
• smooths out wrinkles;
• smoothes scars;
• increases tone;
• Gives the necessary contours to the oval of the face.

As a rule, the procedure is prescribed after 30 years, when the natural production of collagen and elastin decreases and the skin needs additional hydration. But facial oval contouring can be applied earlier if there are signs of early aging or correction of existing defects is required - from the age of 25.

Injection rejuvenation helps when you need to moisturize the epidermis, strengthen the muscle frame and launch natural renewal processes. The procedure will not remove very deep wrinkles and excessive sagging skin. Only surgery will help here.

Attention! You should also not expect that the effect of contouring will be long-lasting. The drugs included in the injections slowly dissolve under the skin, and the dermis gradually returns to its original state. After this, the procedure must be repeated approximately once every 6–18 months.

Gel lifting

More recently, only thread lifting made it possible to strengthen the swollen oval of the face without surgery

. With the help of modern gels, you can perform a similar bioreinforcement procedure - create a frame under the skin that will keep it from sagging.

Properly performed reinforcement provides natural lifting. The face simply “flies” up: the jowls are tightened, the nasolabial folds are smoothed out, and the contours of a youthful face are restored. The procedure is perfectly combined with thermolifting, fractional thermolysis and non-surgical lifting APTOS Excellence Visage.

Rosa Syabitova. Cheekbone augmentation in combination with gel lifting with Radiesse. Photos before the procedure and 7 days after. Done by Andrey Iskornev.

The result is high, youthful and plump cheekbones. Elimination of nasolabial folds. Smoothing the lower jaw line. General pronounced lifting. The skin got rid of the “spider web effect” - a network of small wrinkles.

The effect of contouring will increase over several weeks. The result will delight Rose for up to 1.5 years.

Types of procedure

The method of introducing the gel is divided into several types of facial contouring:

• nose job (injection rhinoplasty);
• forehead;
• cheekbone;
• eyebrows (browlifting);
• eyelids (invasive blepharoplasty);
• lips (cheiloplasty).

A special type of contour facelift is bioreinforcement (vector lifting). This procedure is recommended for women 35–50 years old who have severe skin defects: ptosis, sagging, deep wrinkles, drooping corners of the lips, eyebrows, eyes. For bioreinforcement, viscous gels with the densest texture are used.

How much will this or that procedure cost you?

The cost of facial plastic surgery with hyaluronic acid depends on the type of drug used and the extent of the procedure. The minimum price for the procedure starts from 10,000 rubles (smoothing out small wrinkles). The average price is about 13-15 thousand (lips along the contour and shallow nasolabial wrinkles). 30 thousand or more will have to be paid for deep wrinkles, chin and lips.

From the video you can learn about all the nuances of contouring with hyaluronic acid:

Features of the drugs

The basis of contouring products is hyaluronic acid. As a rule, drugs are available in the form of gels of varying concentrations.

Fillers are divided into two categories and are used for correction of varying complexity.

Monophasic gels

Their peculiarity is that the active substance molecules are the same size and the concentration of hyaluronic acid is in the range of 15–20 mg/g. Such gels penetrate well under the skin, are evenly distributed, and are elastic. Thanks to this, the cosmetologist can adjust the distribution of the drug under the skin by massaging the dermis with his fingers.

Monophasic gels smooth the dermis, giving it clear natural contours. Used to correct faces with shallow wrinkles, fill lips and scars.

They are characterized by a short-lived effect - the hyaluronic acid is absorbed, as a rule, within 6 months, after which the lifting must be repeated.

Biphasic gels

The concentration of hyaluronic acid in such preparations is 20–30 mg/g. The high density of biphasic gels does not allow them to be distributed as evenly as with monophasic products. But they are effective in combating deep wrinkles, lifting cheekbones (shaping the oval of the face) and adding volume in the right places. Biogradation (resorption) of hyaluronic acid occurs within 1.5–2 years. After which you should again resort to contour plastic surgery.

If necessary, a cosmetologist can combine drugs to achieve the desired result.

Note! Many lifting gels contain an anesthetic.

The essence of the procedure ↑

Contour plastic surgery is a delicate injection correction of age-related changes and skin rejuvenation. This procedure eliminates wrinkles, helps create a clear oval face and can even correct facial features.

The drug introduced under the skin has a miraculous effect on various intracellular processes: oxygen access to cells increases, free radicals are neutralized (this explains the rejuvenating effect), the skin is moisturized, defects are corrected, pigmentation is eliminated, the oval of the face and lip contours become clearer, the skin texture is evened out. . This type of plastic surgery has mostly only positive reviews.

Detailed video about the procedure using the example of nasolabial folds:

Review of popular tools

In order for contouring to give the desired effect, a high-quality certified drug must be injected under the skin. Manufacturers produce entire lines of gels for contouring, allowing you to choose the necessary product to prolong youth.

Juvederm (USA)

Juvederm (Yuvederm) has good plasticity and has a long period of biodegradation - up to 12 months. The period depends on what type of gel was administered and in what quantity. Presented with a line of several drugs:

• Smile and Volbella - products designed to increase lip volume and eliminate wrinkles in this area;
• Ultra 2 - gel eliminates superficial wrinkles;
• Ultra 3 - corrects medium-depth folds;
• Ultra 4 - effective in the fight against deep wrinkles, also used to shape the oval and increase the volume of the lips;
• Hydrate - has the lowest density and is used for extra hydration of the skin; an additional substance of the drug is mannitol (mannitol);
• Voluma is the densest gel in the line, therefore it is effective in combating deep wrinkles and modeling facial contours;
• Volift - consists of hyaluronic acid, lidocaine, phosphate buffer; fills tissues well, coping with deep wrinkles and “floating” facial ovals.

As for the price, the cost of Juvederm Hydrate and Ultra 2 ranges from 7,500 rubles, the rest of the line will cost approximately 10,000–13,500 rubles per package (2 bottles of 1 ml).

Restylane (Sweden)

The line is represented by the following products:

• Restylane (Restylane) is a basic filler, the action of which is aimed at filling shallow nasolabial folds, facial wrinkles and wrinkles near the forehead, restoring facial skin and lip filling;
• Touch is an ideal option for those with thin skin, having a finely dispersed structure and designed to fill shallow wrinkles, as well as correct scars and post-acne areas;
• Perlane - the gel has a dense consistency, therefore it is used to fill deep nasolabial folds, model clear shapes in the cheekbones and chin, and is also used in intimate plastic surgery;
• Lipp - recommended for use in cheiloplasty;
• Lip Refresh and Lip Volume - the products are flexible and are intended for the correction of male and female lips if the patient wants to maintain their most natural appearance;
• Sub Q (SubQ) is a gel with a dense texture designed to fill the subcutaneous tissues in patients suffering from lipodystrophy (lack of fat deposits) of the cheekbones and chin.

The cost of the drug is about 7,000 rubles per package.

Princess (Austria)

Release options:

• Rich - in addition to hyaluronic acid, the preparation contains glycerin, which gives the gel a more viscous structure, due to which it moisturizes, improves tone and eliminates fine wrinkles of the skin;
• Filler - the concentration of hyaluronic acid in the product is close to physiological (23 mg/ml), which allows you to replenish a small volume of tissue;
• Volume - effective for contour-volume plastic surgery, as it fills deep wrinkles, smoothes scars, evens out the surface layer of skin, and eliminates acne;
• gels with lidocaine - Princess Filler Lidocaine and Princess Volume Lidocaine , which provide pain relief during injections.

The cost of Princess drugs ranges from 2,300 to 5,000 rubles.

Teosyal (Switzerland)

During the production of Teosyal gels, the protein is completely removed, so they are highly hypoallergenic. Recommended even for patients with hypersensitive skin. The fillers in the line have the following features:

Redensity 1. Contains two drugs - one that rejuvenates the eyes and one that evens out the contours of the face. Main components of the gel:

• hyaluronic acid;
• vitamin B6;
• copper and zinc;
• antioxidants.

Redensity 2. The product contains:

• zinc;
• copper;
• amino acids;
• vitamins.

Ultra Deep. Corrects pronounced wrinkles and sagging facial skin, evens out the surface layer.

Kiss. Used in cheiloplasty of any level: filling, correction, strengthening, moisturizing.

are also available :

• Deep Lines PureSense - eliminates eyebrow and nasolabial folds;
• PureSense Global Action - smoothes wrinkles of medium depth and has an accumulating effect with each procedure;
• RHA 1 - evens out the skin while maintaining mobility, making the face look natural after the procedure;
• RHA 4 - eliminates deep wrinkles and maintains mobility.

The cost of Teosyal drugs is 10,000–15,000 rubles. Redensity products will cost approximately 6,000–7,000 rubles.

Surgiderm (France)

The composition contains high concentrations of hyaluronic acid, so the product is recommended for people over 35 years of age.

The most popular Surgiderm gels (Surgiderm):

• 24 XP - eliminates the effect of a “floating” face and skin aging, fights small and medium wrinkles, increases the volume of the lips;
• 30 XP is the most powerful drug in this series, which copes with noticeable signs of aging.

Both products are distinguished by long-term biodegradation - more than 1 year.

The cost of Surgiderm drugs is about 7,500–9,000 rubles.

Popular materials for contouring

There are two types of fillers used for contouring of the face and body: based on hyaluronate and another active substance. All of them differ both among themselves and within their own line in the density of the gel and the durability of the effect, but at the same time they perfectly solve any aesthetic problems.

The rating of the best fillers will help you understand the variety and find the best option.

Each of the fillers is good in its own way. Which one should you choose? Ask this question to a cosmetologist.

How does the procedure work?

Before resorting to facial contouring, it is important to choose a good clinic and a highly qualified dermatocosmetologist. The final result depends on how experienced the cosmetologist is, and the likelihood of side effects will be minimized. In addition, it is worth checking the expiration date of the drug and checking the availability of a certificate for the selected product.

Important! The filler package must be opened in the presence of the patient. Further storage of the gel is not allowed. And the master is obliged to give the client a reminder with the number, name of the drug and the date of the invasive lifting.

After the patient is laid on the couch, the facial contouring session begins:

1. First, makeup is removed from the surface of the skin.
2. Next, anesthesia is performed. To do this, apply a gel with an anesthetic effect to the dermis and wait 30–40 minutes.
3. The skin is treated with an antiseptic.
4. A drug based on hyaluronic acid is administered. Depending on the problem that needs to be solved, injections are made: subcutaneously, intradermally, or to the desired depth of subcutaneous tissue. During the administration of the drug, the treated areas can be kneaded to distribute it evenly. The recommended dose of filler for each injection is up to 0.1 ml. Moreover, it is better to use no more than 1–2 ml of gel per session for the entire treated area. The introduction of large doses is fraught with oversaturation of the filler and such consequences will have to be eliminated. In cases where the specified amount is not enough, experts recommend repeating the contouring procedure after 10–14 days.
5. The entire surface of the skin is treated with an antiseptic drug.
6. It is possible to use a soothing mask.

The duration of the procedure depends on the size of the treated area and is 30–90 minutes including anesthesia.

If the patient wishes, painkillers may not be administered. This step is often skipped when using lidocaine gels.

Is it worth doing contour plastic surgery - all about the risks

But, despite all the positive aspects of the procedure, on the Internet you can often come across photos of unsuccessful facial contouring. To prevent such situations, it is necessary to remember the contraindications to the procedure:

• problems with blood clotting;
• taking medications based on aspirin or ibuprofen - they contribute to blood thinning and further formation of hematomas;
• severe forms of allergic reactions;
• the presence of inflammation at or near the intervention site;
• diabetes;
• pregnancy and lactation;
• individual intolerance to filler ingredients;
• pathologies of internal organs or severely decreased immunity.

If the basic rules are not followed, the contouring procedure can provoke the following complications and side effects:

1. allergic reactions: swelling, itching, redness;
2. inflammatory processes as a result of infection;
3. the appearance of nodules and fibrosis if an excessively dense gel is introduced;
4. in rare cases - ischemia and embolism (if the drug enters the vascular lumen).

Rehabilitation period

Immediately after the procedure there may be swelling, redness and minor bruising. In most cases, such phenomena disappear on the second to fourth day. Less commonly, the situation persists for up to 10 days.

Skin care after the procedure

To avoid the risk of infection, as well as to achieve the desired effect from hyaluronic acid, you should follow certain rules.

On the first day after facial contouring, the following is prohibited:

• use decorative and skincare cosmetics;
• touch the treated areas with your hands;
• rub the drug injection sites.

Within two weeks you need to give up:

• visits to baths, swimming pools and saunas;
• solariums;
• physical activity (including sports).

Such measures are aimed at avoiding the release of hyaluronic acid during intense heating.

Also, until the wounds at the puncture sites are completely healed, they need to be treated with an antiseptic. Special massages are also recommended to help distribute the gel more evenly under the skin. A doctor should perform such manipulations.

You should avoid aggressive procedures for a month: peeling, microdermabrasion, physiotherapy, etc.

When will the result be noticeable?

In most cases, one procedure is sufficient. Sometimes additional correction may be necessary, which can be done after two weeks.

The result lasts depending on the structure of the patient’s skin and the drug administered - on average 6–18 months.

Preparation for the procedure ↑

Before the procedure, the cosmetologist individually selects a drug with a certain degree of viscosity and structure, depending on the correction area and the problem that needs to be eliminated, and he also determines the depth of insertion of the device. The specialist determines the type of facial skin, assesses its condition and determines the absence of contraindications. Only after this does an experienced doctor begin the procedure.

The procedure from and to video:

The preparations used for such plastic surgery must be high quality and certified. Low-quality drugs can cause harm to health.

It is very important to follow a special diet before the procedure, which completely excludes spicy, fatty and salty foods. Otherwise, allergic reactions may occur.

After the procedure, it is important to follow some tips:

• You should not stay in the sun for a long time during the first 10-12 days.
• You should refrain from visiting the bathhouse and swimming pool in the first week.
• You should limit your facial massage for 2 weeks after the procedure.

Contraindications

Contraindications to contour plastic surgery are:

• pregnancy and lactation period;
• age under 18 years;
• skin damage;
• a large number of moles in the treated area;
• infections of bacterial, viral and fungal origin;
• severe diseases - epilepsy, diabetes, immune disorders, tumors;
• tendency to form keloid scars;
• fear of injections;
• allergy to the drug.

Important point! You cannot inject a drug based on hyaluronic acid if silicone filler has already been injected in this area. It is worth refusing to have a facelift during menstruation.

Contouring with hyaluronic acid

Facial contouring with hyaluronic acid involves non-surgical correction of facial contours and additional smoothing of wrinkles.

Why has hyaluronic acid become so popular?

What is facial contouring? A similar procedure is carried out through subcutaneous injections of hyaluronic acid. The latter is a viscous gel, which, once under the skin of the face, does not dissolve for a long time. In general, hyaluronate is considered a natural component that can be found in the human body. For this reason, hyaluronic acid is considered as harmless and close to the body as possible.

Before the procedure, you must consult with a cosmetologist. The specialist examines the patient’s facial skin and discusses the desired results with her. Based on the client’s wishes, the master selects the optimal product and checks for the presence or absence of allergic skin reactions to its components. Also, the cosmetologist must determine the required amount of the drug and the depth of its administration.

The duration of the procedure is usually about 40 minutes. Usually the injections are painless, but at the client’s request, the necessary areas of the face can be treated with anesthetics.

The positive result of the procedure is visible almost immediately, but it reaches its maximum effect after a few days. The result lasts from 6 months to 1 year.

Possible consequences

Expected early consequences include the following:

• swelling;
• hematomas;
• redness;
• itching and soreness at the injection sites.

Within two weeks the following may appear:

• herpetic rash (in persons prone to manifestations of herpes);
• disruption of blood supply at the puncture site if the gel gets into a blood vessel;
• allergic reaction;
• whitish accumulations under the skin;
• dense nodes that form as a result of an excessive amount of injected drug or when fibrous tissue forms around the puncture;
• filler migration;
• infectious inflammation.

If at least one of these signs appears, you should immediately see the doctor who performed the injection.

To get the desired result, it is important to inject the gel to the desired depth and in a certain amount. Incorrect administration of the drug is fraught with the following consequences:

• bumps and other irregularities - the gel was injected too close to the top layer;
• gray or dark circles under the eyes appear for the same reason;
• purulent inflammations and granulomas - the drug was injected very close to the sweat/sebaceous glands, or sanitation rules were violated during facial contouring;
• lack of effect - the gel is injected very deeply and does not have the desired effect;
• migration of filler under the skin - improper kneading was carried out after injections and the product was squeezed out of the areas that should have been filled.

Only an experienced doctor can correctly determine the required dose and depth of administration of the drug.

Why does the drug not work?

There are cases when, after facial contouring, there is no desired result. The reasons for this may be:

• puncture is too deep - the effect of the drug is not noticeable, since the gel does not work in the layers where it is needed;
• low quality filler - the product is not certified or is a fake;
• individual characteristics of the patient's skin - this happens in rare cases.

After the filler injection procedure

The aesthetic result depends on the initial objectives:

• Small wrinkles disappear, deep creases and folds are smoothed out.
• Facial features take on the desired shape. The lips become fuller, the chin becomes larger (important for men), the bridge of the nose is straightened, etc.
• The effect of age-related ptosis (tissue drooping) is eliminated.
• Visible signs of skin rejuvenation appear.

The final result of filler injection can be assessed 1-2 weeks after the procedure, when the drug is finally distributed in the tissues.

If necessary, the result of the procedure can be corrected by introducing an additional dose of filler, or reducing its volume by introducing enzymes that hydrolyze hyaluronic acid.

To ensure that the drug is distributed evenly and does not undergo fragmented degeneration, after the procedure you should not sunbathe, visit the bathhouse or solarium for two weeks. It is also recommended to exclude sports activities for three days and refuse massage. You can use decorative cosmetics the very next day.

Repeated facial skin contouring with fillers is indicated after the drug has been absorbed. The speed of this process depends on the characteristics of the gel, the area being corrected, and the individual characteristics of the body.

Comparison with other anti-aging procedures

Contour plastic surgery is often confused with other invasive techniques: mesotherapy, Botox, PRP therapy. But they have characteristic differences.

Thus, mesotherapy is used to saturate the skin with useful components, improve its general condition, stimulate cellular metabolism, and moisturize. The composition does not necessarily have to contain hyaluronic acid.

The effect of Botox is due to the effect on the nervous system due to the introduction of botulinum toxin into wrinkles. The muscles in this area stop contracting, and the formation of facial wrinkles stops.

PRP therapy based on the introduction of a specially created drug based on the patient’s own blood plasma. The injections are designed to eliminate ptosis and stimulate the natural production of collagen and elastin.

Advantages and disadvantages

The benefits of facial contouring include:

• obtaining long-term effect;
• quick results;
• the procedure does not last long;
• You can return home immediately after the session;
• rare cases of complications (if the procedure is performed by an experienced specialist);
• short rehabilitation period.

The disadvantages of a contour lift include:

• the possibility of side effects;
• high price.

Opinion of cosmetologists

In their reviews, cosmetologists emphasize that contour plastic surgery can only be performed by a doctor:

A cosmetologist talks about whether lumps after gel injection are normal and whether there is a risk of fibrosis from Chinese drugs in this review:

When analyzing a case where a patient experienced complications after contouring, and three-time injections of hyaluronidase did not help, the cosmetologist advises resorting to ultrasound therapy with hydrocortisone and magnetic therapy. She also suggests that in this case, trauma to the periosteum could have occurred and recommends treatment with Nise with a course of antibiotics.

Patient reviews

Patients have different opinions about the contour plastic surgery performed.

Some are delighted and try to bring their face closer to the ideal by injecting fillers into different areas.

Here the patient says that after 6 months the result is still noticeable and she plans to repeat the procedure in the future.

The following review tells how long the effect lasts after contouring and that there were no complications after the procedure. The patient also talks about the disadvantage of the technique - cost.

And in this review, the patient tells how painful the procedure was for her, even with the use of anesthesia:

And representatives of the fair sex share their experience of using different drugs. Thus, for this patient it was unsuccessful when using the drug Amaline. Here the product is compared with Princess Volume:

Facial contouring can be a successful experiment. But before deciding on such a procedure, it is important to choose a doctor who is well versed in the nuances of using the technique and the features of the drug. Before the session, you should inquire about the origin of the gel and make sure its expiration date.

And also keep in mind that facelift can cause complications . Only under the supervision of an experienced dermatocosmetologist and following all his recommendations after the session can you count on an ideal result with the least risk to health and a minimum of side effects.