Nasal lipofilling

Consultation with plastic surgeons with over 20 years of experience is free! Make an appointment by phone. Waiting for you! Non-surgical rhinoplasty is a minimally invasive method of nose correction using fillers and threads. The procedure is suitable for those patients who have minor nasal defects or are simply not yet ready for major surgery.

The non-surgical correction technique has both advantages and disadvantages that you should know about before deciding to undergo non-surgical rhinoplasty.

Definition and indications

Non-surgical rhinoplasty is a cosmetic term that implies a set of various procedures aimed at non-surgical correction of the nose. As a rule, they form a temporary effect and have a strict list of indications, which include:

• the presence of scars and other visual mechanical injuries on the skin;
• lack of symmetry;
• raised or lowered tip of the nose;
• insufficient volume of the tip of the nose;
• the presence of dips or sharp, protruding corners;
• sagging skin;
• ptosis;
• hump.

In this case, it will not be possible to achieve significant changes in appearance, but a visible positive effect is present and occurs in a short time.

Advantages and disadvantages of non-surgical rhinoplasty

The non-surgical method of nose correction cannot be considered a full-fledged alternative to correction, since despite its attractive advantages, it has a number of features or disadvantages, which we always inform our patients about.

Advantages of non-surgical rhinoplasty:

• low invasiveness of the procedure. Non-surgical rhinoplasty is performed in a medical cosmetology office. Local anesthesia may be used if necessary; general anesthesia is not used. This type of rhinoplasty is bloodless, painless, and there is virtually no recovery period (swelling, pain);
• price. The cost of installing threads or injecting fillers in the nasal area is an order of magnitude lower than traditional surgery. You have the opportunity to save on an expensive operation;
• the opportunity to see the approximate result of a surgical operation. For example, raising the tip of the nose.

Disadvantages of non-surgical rhinoplasty:

• temporary effect (in most cases, the result lasts no more than a year, and repeated correction will be necessary). With a surgical operation, the result lasts for life;
• inability to greatly change the shape of the nose. Removing the hump, changing the width and size of the nose is impossible with this technique. Only a small “disguise” of existing problems is possible.

Biodegradable fillers

Every second non-surgical rhinoplasty is performed with biodegradable fillers (special fillers). They are administered by injection, produce immediate results and gradually dissolve over 1 to 2 years. The following products can be used to carry out this type of procedure:

The manipulations take about an hour. Before they are carried out, make-up is removed, treated with an antiseptic, and local anesthesia is applied (or an anesthetic injection). After the procedure, the patient can immediately leave the clinic and return to normal life; rehabilitation takes place at home. Side effects (swelling, bruising, increased skin sensitivity) are observed within 4 - 5 days; no special treatment is required for them; symptomatic first aid measures are used if necessary.

Operation technique

Thread correction

Non-surgical rhinoplasty with threads is effective if the patient would like to slightly shorten the length of the nose and smooth out the hump.
Threads are often used for non-surgical rhinoplasty of the tip of the nose: it can be raised with the help of such a correction. This is a fairly common request in our clinic.

The result of non-surgical rhinoplasty with threads will be visible immediately, but will last no more than 1-2 years.

If desired, the patient can repeat the procedure before the effect wears off.

The non-surgical rhinoplasty procedure is performed by a cosmetologist in a modern medical office. Local anesthesia is used. Threads (APTOS, Dermafil Happy Lift, etc.) are inserted through micropunctures into a specific area of ​​the nose (wings or tip). Next, the doctor performs a “lift” of the required area: thus, it is possible to give the nose the desired shape. You will be able to see the effect immediately after the procedure, but it is better to evaluate the final result after 2-3 days, when the slight swelling has subsided.

Non-absorbable implants

Rhinoplasty can be performed not only with temporary, but also with permanent fillers, for example, based on liquid silicone. Recommended for older patients; silicone does not dissolve; after use, it is not recommended to perform classical plastic surgery or use biodegradable fillers. Contouring of the nose using this method is characterized by a number of nuances:

• Removal of excess implant is performed surgically.
• Good drugs are expensive, cheap ones provoke complications.
• All products used must contain a sticker with the name and serial number.
• The product is introduced into the deep layers of the skin; violation of the procedure technique provokes the formation of bumps and sagging.
• Liquid silicone can move.
• The procedure is often accompanied by significant complications (swelling, granulomas, necrosis, circulatory disorders).

Ways to reduce your nose without surgery

Cosmetology offers a range of procedures to visually reduce the width and other parameters of the nose - injections of botulinum toxin type A (Botox, Dysport, etc.), injections of fillers based on hyaluronic acid, using lipolytics and threads.

The use of these methods is limited by the following contraindications:

• general inflammatory diseases;
• pregnancy and lactation;
• myasthenia gravis;
• hemophilia;
• incomplete course of antibiotics;
• oncology;
• blood clotting disorder.

Botulinum therapy

If the nose is actively involved in facial expressions, that is, it moves during conversation, then it can be corrected with Botox, Dysport or Xeomin. The cosmetologist will ask you to say something or say a tongue twister, a poem, and will watch your profile. If the tip moves during a conversation, it can be relaxed and raised with botulinum toxin type A. The habit of moving the nostrils can also be eliminated, but not always. If when the patient takes a deep breath, the nostrils close tightly, then botulinum therapy cannot be performed. Botulinum toxin is injected into the base of the nose to block the muscles that pull the tip down when speaking. The effect will last for approximately 3-6 months.

Filler injections (“non-surgical rhinoplasty”)

Fillers are dense fillers injected under the skin. They allow you to correct minor imperfections - remove asymmetry, irregularities, depressions, hump, and defects that arose after surgery. You can narrow the nose or make its root wider, change the width of the back, adjust the contour, increase the convexity, modify the columella, raise the tip. Very often, clients turn to a cosmetologist to remove a small hump. To do this, fillers are injected above and below it, so the transition becomes smoother. Fillers allow you to make the back absolutely straight and remove curvature.

A large hump cannot be removed, because fillers add volume, thereby leveling out the height difference. Therefore, cosmetologists work only with small humps, filling the recesses nearby with fillers.

The result lasts for about a year. All fillers have high density and hyaluronic acid as the basis of the composition. They are used to remove small dips and curvatures. The drugs are administered through a needle or cannula with an atraumatic end. Injection - through the tip or along the back. To relieve pain, an anesthetic cream is applied before the procedure, but the session is still associated with unpleasant sensations. Due to the high sensitivity of this area, tears may flow during injections.

A technique similar in effectiveness and capabilities is lipofilling. However, the filler is not a drug based on hyaluronic acid, but the patient’s adipose tissue. It is taken from other areas - buttocks, abdomen, thighs, back - cleaned, centrifuged and injected into problem areas. The effect of the procedure lasts on average 2 years.

Use of lipolytics

Lipolitics are drugs that reduce the volume of subcutaneous fat, relieve swelling and remove excess intercellular fluid. Basically, this technique allows you to remove excessive massiveness, narrow the tip and make it less “fleshy”. The procedure consists of several stages, which are carried out at intervals of 7-10 days. The effect is quite long-lasting—from a year.

Thread technique

Threads are rarely used to correct this area, because the tightening looks unnatural. The threads allow you to slightly reduce the length, straighten the contour, raise the tip, and change the nasolabial angle to 110°. All this can rejuvenate the face and make it fresh. Threads can also widen the internal valve to restore nasal breathing. However, thread lifting in this area should be treated with caution, because there is a high risk of developing an inflammatory reaction.

Lipofilling

Another injection method is carried out not with fillers, but with injections of your own fat deposits. The procedure is rarely performed directly to correct the nose; more often it is a bonus to one of the types of liposuction. The advantages of this technique include:

• no risks of allergies or rejection;
• naturalness of results;
• the ability to perform two procedures simultaneously (liposuction and non-surgical rhinoplasty);
• low level of trauma;
• improvement of skin condition (reduction of dryness, wrinkles).

Before and after the lipofilling procedure

It should be remembered that over time, such a natural filler will dissolve and after 3-4 months you may need additional correction. Prices for such a procedure start from 30 thousand rubles.

Non-surgical rhinoplasty: experts talk about the pros and cons of the procedure

Previously, those who wanted to change the shape of their nose went straight to the surgeon's office.
There were no other options. However, for some time now, cosmetologists have learned to use injectable preparations (for example, gels based on hyaluronic acid) to correct the profile in less than 15 minutes. We learned from the experts all the intricacies of non-surgical rhinoplasty. The American cosmetologist Alexander Rivkin is considered the inventor of the non-surgical rhinoplasty technique (he performed this procedure back in 2002), although hundreds of plastic surgeons and dermatologists now offer this service around the world. The before and after photos are so incredible that many people think they can change the shape of their nose during their lunch break. However, everything is not so simple.

How it works?

Most fillers provide a temporary effect (from three months to two years, depending on the type of drug chosen).

Many people do not understand why injections are necessary if the results are fleeting. For example, Volumema lasts for a year and a half. Once the drug dissolves, many move on to Bellafill (a collagen-based injection commonly used to treat acne scars). The effect after its introduction lasts for years, notes Alexander Rivkin.

Correction methods

Botulinum toxin injections

In people with developed nasal muscles, the tip of the nose usually drops down (the so-called “droopy” nose). Botulinum toxin relaxes facial muscles and blocks the appearance of wrinkles. Modern formulations of the drug are practically safe, but there are individual contraindications.

If there is drooping of the tip of the nose when smiling or talking, it would be better to inject botulinum toxin into the muscle that lifts the upper lip and the wing of the nose,

— comments the head of the anti-age department of the LazerJazz clinic, Aptos trainer, dermatologist-cosmetologist Marina Miusova.

Pros: there is no rehabilitation after the procedure, practically no contraindications. As a result, the correction is very delicate.

Cons: it is impossible to radically correct the shape of the nose.

Filler injections

If the bridge of the nose and the bridge of the nose are low, filler injections are a more effective and simple way to correct the shape.

Although injections are less traumatic (not like surgical correction!), after the injection of filler, its volume decreases due to biodegradation, so to maintain the effect, it is necessary to repeat the procedure periodically, says the expert.

Pros: low-traumatic, fast, effective when the bridge of the nose and bridge of the nose are low.

Disadvantages: with their help you cannot make the tip sharper, raise it, get rid of the hump and narrow the wide nose. You also need to repeat the procedure about once a year to maintain the effect.

There is complex blood circulation in the nose area, so a doctor’s mistake during the injection is fraught with edema, ischemic lesions on the skin and thrombosis of the vessels supplying the frontal part of the face and the nose itself.

Thread correction

Recently, methods of nose correction using threads have become very popular. With their help, you can significantly correct the shape of your nose: raise the tip and make it sharper, even out asymmetry, smooth out a hump, you can even visually shorten your nose. But this method also has its limits of what is possible - it is impossible to narrow the wings of the nose and remove the hump completely.

Pros: the procedure is fast, effective and safe, the results last a long time.

Cons: there is rehabilitation, bruising and swelling may occur.

Lipolitics

These drugs eliminate subcutaneous fat and intercellular fluid - it is their excess that gives the nose a massive appearance.

Pros: Helps make your nose look smaller.

Cons: the effect of lipolytics can spread to the cartilage structure and degenerate the “framework” of the nose. Such consequences will have to be corrected surgically.

Hormonal drugs

They destroy subcutaneous fat, affecting the cartilage and septum, which makes it possible to narrow the volume of the back, reduce the volume of the cartilaginous part and tip.

Plus: permanent results.

Cons: unfortunately, it is extremely difficult to predict the exact result. Uncontrolled metamorphosis can result in softening of the cartilage and blockage of blood vessels, followed by ischemia, which manifests itself as whitish spots at the injection sites.

Rehabilitation

If there was a pain scale, Botox would be at the bottom (you can barely feel the injections), cheek injections would be towards the top. Lip injections are somewhere in the middle. What about non-surgical rhinoplasty? All experts say it is almost painless. But some patients still choose to use a local anesthetic to numb the area. However, even ordinary ice helps.

Risks

The advantages of non-surgical plastic surgery are obvious: a “new” nose without anesthesia and a scalpel, fast rehabilitation and relatively low cost. But even seemingly safe methods have disadvantages. All injections are risky. Swelling, bruising, and bleeding may occur. The nose is a particularly delicate area of ​​the face.

Procedures in the nasal area are considered the most dangerous because the blood supply to the nose is quite poor. This is not a procedure that can be done “on sale.” Before deciding on non-surgical rhinoplasty, you need to make sure that the doctor is competent and ask to be warned about all potential risks, the expert notes.

Plastic surgeons most often oppose this type of correction. They are sure that real rhinoplasty cannot be performed without surgery - surgical changes in the structures of the nose, work with bone and cartilage tissues, and mucous membranes. But cosmetologists, in their opinion, cannot do such things: surgical skills and knowledge of an ENT doctor are required.

Personally, I do not carry out such a procedure separately, but in exceptional situations I can use it after surgery as an auxiliary tool. For example, we performed rhinoplasty, but the back sagged and became slightly concave. In this case, you can inject a small part of the drug and thus raise it. When the drug dissolves, its own connective tissue will already form in that place and the back will stand up as it should. That is, in this case, the filler plays the role of a temporary fixative, but nothing more,” Otari Gogiberidze, leading plastic surgeon at the Time of Beauty clinic, explains his position.

According to the expert, it is not worth correcting the shape of the nose with injectable drugs on a regular basis.

Constant tissue trauma can lead to scarring. But, alas, this often happens: the patient changes the shape of the nose with the help of fillers, and after a few months everything resolves and correction is inevitably required, says Otari Gogiberidze.

The most dangerous thing, according to the surgeon, is when it is not drugs based on hyaluronic acid that are injected, but non-absorbable biopolymers. This can cause tissue thinning, necrosis and deformation of the nose. And in the end, you will still have to go to a plastic surgeon to correct the situation. But working with this will, of course, be more difficult than with an “untouched” nose.

Plastic surgeon Dmitry Skvortsov, winner of the Crystal Lotus 2019 award in the category “Best plastic surgeon for rhinoplasty,” also agrees with the previous expert.

Injection techniques are appropriate for correcting small defects, but only a plastic surgeon can predict and provide a lasting natural result. There is the so-called “conserving rhinoplasty” and, in particular, low-traumatic ultrasound correction of the nose using a piezotome. The volume, course and appropriate method of correction should be determined in detail in consultation with a qualified and experienced specialist,” he says.

Price

The average cost of rhinoplasty in Russia is 250 thousand rubles. Non-surgical rhinoplasty using Voluma gel will cost 60 thousand rubles per year. It cannot be said that the procedure saves money, but it is performed without general anesthesia and does not have irreversible changes.

Hormonal correction

Another method of nose correction is injections of artificial hormonal drugs (popular Diprospan, Kenalog). They act on the principle of dissolving cartilage tissue. Indications for use: hump, correction of the wings and tip of the nose. They often receive negative reviews due to poorly predicted results. The thing is that a simple input technique is preceded by complex calculations of the required amount of product.

Nasal lipofilling

People who are 100% satisfied with their nose are perhaps an overwhelming minority. Most people want to fix something about it. But rhinoplasty (surgery to change the shape of the nose) is not always justified. In a large number of cases, the nose can be corrected using lipofilling, an injection technique for transferring the patient's fat cells from one area to another.

This procedure will help if your nose is too sharp, the tip of your nose is too thin, or if you have congenital or acquired asymmetry. In addition, lipofilling successfully copes with nasolabial folds, making them invisible and smoothing the skin.

The undeniable advantage of lipofilling over rhinoplasty is that general anesthesia is not used, there are no large bruises and swelling and a long recovery period. In just a few days you can lead your normal lifestyle, and the effect of the procedure will last for 2 years.

Why is it better to do nasal lipofilling at the Beauty Trend clinic?

• the procedure is completely safe, low-traumatic, there are no age restrictions, has a minimum of contraindications, can be performed on almost any part of the body that needs correction, and does not require long rehabilitation. It only takes about a week to fully recover. During this time, the puncture sites where the adipose tissue was “taken away” heal, and minor swelling disappears where it was transplanted;
• To improve the appearance, no fillers or acids are used, but only the patient’s own fat tissue. Everything is as natural and safe as possible, the risk of allergies or rejection is zero;
• for a visible reduction of wrinkles, smoothing and tightening of the skin, giving the necessary volume, only one procedure is needed;
• the result of lipofilling, no matter what part of the body it was performed on, looks as natural and natural as possible;
• the positive result of lipofilling “accumulates” over two months and lasts for up to two years, after which the technique can be repeated;
• In our clinic, the lipofilling procedure is performed by experienced doctors who have been trained in Russia and abroad, constantly practice and improve their skills.

Interested? Our clinic specialists will answer all your questions and assess the need for correction in your case. Sign up for an in-person consultation by phone (495) 411-03-03

The procedure is carried out.

• Zlenko Vladimir Aleksandrovich Plastic surgeon, Candidate of Medical Sciences. More than 7 years of experience.
• Lonskaya Ekaterina Aleksandrovna Plastic and maxillofacial surgeon, laser surgeon. More than 6 years of experience.
• Andryushchenko Olesya Anatolyevna Plastic surgeon, Candidate of Medical Sciences. More than 15 years of experience.

Types of lipofilling

• Facial lipofilling
• Lipofilling of lips
• Breast lipofilling
• Lipofilling eyelids
• Lipofilling of the buttocks
• Lipofilling of cheekbones
• Lipofilling of the legs
• Chin lipofilling
• Cheek lipofilling
• Hand lipofilling
• Lipofilling of legs
• Lipofilling of thighs
• Nasal lipofilling

Correction with threads

The procedure involves the implantation of bio or non-absorbable threads into the problem area. This way you can correct the appearance of the tip of the nose or the shape of its wings. It is generally accepted that this technique is easily tolerated and almost does not provoke complications, however, reviews from specialists indicate low effectiveness. Prices for surgery start from 15 thousand rubles.

Recovery and side effects

Even the safest intervention obliges the patient to comply with rehabilitation rules. So, after minimally invasive rhinoplasty, the following are recommended:

• cold compresses (reduce swelling and bruising);
• light self-massage (if necessary, even distribution of filler);
• protection from mechanical stress and injuries (the rule is relevant not only for the recovery period, but also for all subsequent times).

During the week, you should reduce physical activity, do not use decorative cosmetics, and avoid going to the beach, swimming pool, solarium or sauna. In the first days after the procedure, typical side effects may occur. These include:

• swelling;
• soreness;
• change in skin color;
• bruises.

Unfortunately, in addition to the standard local reaction, even the safest non-surgical procedures can cause significant complications. Among them:

• necrosis of soft tissues;
• allergy;
• inflammation and development of infection;
• vascular embolism;
• obtaining undesirable results.

Photos before and after contouring with hyaluronic acid filler