Contour plastic surgery is the filling of wrinkles using gel fillers (fillers). This technique is used to correct wrinkles of any depth, folds, receding scars, changing the shape and increasing the volume of the lips, correcting the oval of the face and cheekbones. With the help of contour plastic surgery, you can instantly remove nasolabial folds, emphasize the contour of the lips and the shape of the cheekbones.
Currently, natural filler gels, so-called fillers, based on stabilized hyaluronic acid are used. Hyaluronic acid is a natural component of the skin and therefore does not cause allergic or other adverse reactions.
Thus, the administration of these drugs is absolutely safe and does not require allergy tests. Today there are a huge number of different lines of fillers. The most popular are Surgiderm, Juviderm, Restylane, Teosyal, Belotero, Styllage, Princess, etc. Each line contains preparations of different densities. The choice of drug is determined by the patient’s skin type, the level of administration (dense gels are injected into deeper layers), and the assigned tasks. It should be noted that each line has its own nuances, which the doctor can feel only with long-term practice on a specific drug. Thorough knowledge of the properties and behavior of drugs, the ability to combine them for various problems allows an experienced doctor to competently correct the age-related characteristics of each patient.
With a correctly selected drug, it evenly fills the wrinkle, is not detected in any way, is not felt during palpation, and is not felt by the patient in any way. The result looks completely natural.
Contour plastic surgery is the most favorite procedure for many women, as it allows you to get an instant effect immediately after the procedure, which lasts for a year or more.
It should be noted that with repeated injections of fillers based on hyaluronic acid, the duration of the effect is significantly prolonged, which is due to the fact that these drugs stimulate the synthesis of one’s own hyaluronic acid, collagen and elastin. Thus, even with complete resorption of the gel, we observe the preservation of the result due to the “own” tissue.
How are wrinkles filled with fillers?Before the procedure, local anesthesia with lidocaine cream is performed. In rare cases, if necessary, it is possible to perform infiltration or conduction anesthesia using injections of Ultracaine or Lidocaine. Thus, contour plastic surgery is very well tolerated by patients and is practically painless. As mentioned above, the choice of drug depends on the depth and location of wrinkles. Consult with a specialist to determine the most suitable drug for you, depending on the severity of skin changes and the desired result. |
Causes of nasolabial folds
Nasolabial lines are symmetrical deep stripes directed from the wings of the nose to the corners of the lips.
They are formed in the layer of facial muscles during puberty during the formation of hormonal levels and an increase in facial and articulatory activity.
They reach their maximum severity by the age of 35, when the process of age-related dehydration is activated.
Other reasons for the formation of grooves in this area are:
- loss of skin elasticity, thinning;
- hypertonicity or hypotonicity of the facial muscles;
- individual structural features;
- sudden weight loss;
- high loads on the articular apparatus;
- excessive enthusiasm for various techniques, massage;
- alcohol abuse, smoking.
Description of the procedure
Injection plastic surgery allows you to correct moderate age-related defects.
Fillers are injected under the skin with a thin needle or cannula, so the risk of complications is minimal.
The preparations have a viscous gel-like consistency. They not only fill creases and wrinkles, but also soft tissues without sufficient volume.
During one procedure, up to 20 punctures are performed along intersecting lines; they are applied to evenly distribute the gel under the skin and symmetrically introduce it.
Efficiency
Modeling using injections smooths out nasolabial folds, reduces the visual manifestations of age-related changes, and returns expressiveness and clarity to the face.
The technique allows you to compensate for the lack of soft tissue volume, which is especially important in case of sudden weight loss or in the presence of an incorrect bite.
Thanks to injections, hydration is restored as hyaluronic acid molecules attract and retain water.
Buyanov Sergey Yurievich (Expert Doctor):
One drop of hyaluronic acid added to half a glass of water allows you to remove all the water from the glass with your fingertips.
The complexion also improves, the relief is evened out, and the local immunity of the skin increases.
The shelf life of the result depends on the chosen drug and can vary from six months to 3 years.
Indications for contour plastic surgery
Correction of fine wrinkles:
- forehead wrinkles
- wrinkles on the nose
- crow's feet around the eyes
- purse string wrinkles
- neck wrinkles
- cheek wrinkles
- small scars
- stretch marks
Correction of medium depth wrinkles:
- nasolabial folds
- cheek wrinkles
- labiomental wrinkles
Correction of deep folds and wrinkles:
- nasolabial folds
- labiomental wrinkles (drooping of the corners of the mouth)
- nasolacrimal trough
Indications and contraindications
Contour correction is necessary for patients aged 35-40 years who have the following severe symptoms;
- vertical creases above the lips;
- sagging skin in the nasolabial area;
- gradient deep stripes;
- scars in the fold area;
- thin linear superficial wrinkles without symptoms of suppression;
- occurrence of the nasolabial groove for various reasons (heredity, malocclusion, birth trauma, sudden weight loss);
- excessive dryness of the dermis;
- unclear oval face;
- deficiency of soft tissue volume on the cheekbones and cheeks.
Rejuvenation with fillers is not carried out in the following cases:
- pregnancy, lactation period;
- oncology;
- diabetes mellitus;
- blood diseases;
- pathologies of the thyroid gland;
- exacerbation of chronic diseases;
- the presence of permanent makeup on the lips;
- viral, fungal, bacterial infections;
- intolerance to components;
- carrying out hardware or chemical peeling 2 weeks before plastic surgery;
- A permanent drug has already been injected into the correction zone.
Alternative methods for correcting the nasolabial area
| Procedure name | The essence of the method | Duration of rehabilitation in days | Possible complications | Approximate cost in rubles | Average duration of effect |
| Botulinum toxin injections | Using a thin needle, Botox, Dysport or Xeomin is injected under the skin into the fracture site. The principle of action of botulinum toxin is not to fill wrinkles, but to block nerve impulses and temporarily paralyze facial muscles. | 3-14 | Headache, allergies, nausea, skin paresthesia, “mask-like face”, difficulty articulating, impaired speech and sensitivity, asymmetry, difficulty eating and controlling the mouth muscles. | 1500-3000 | 4-6 months |
| Thread bioreinforcement | A course of mesothreads or fillers is administered to certain points in the nasolabial area. Injections are performed using a special flexible cannula, the length of which significantly exceeds the size of a standard needle. The injections are placed so that a mesh of the active substance is formed under the skin. | 4-7 | Hematomas, swelling, protrusion and movement of the thread with its coming out, inflammation, infection, formation of “dimples” at the puncture sites. | 14 000-60 000 | From 6 months to 2 years |
| Lipofilling | The creases are filled with the patient's own fat tissue. After collection and necessary processing, fat cells are injected under the skin of the nasolabial fold. | 14-18 | Lack of engraftment of the transferred material, clumping and contouring of fat, necrosis, formation of scars and scars, overcorrection. | 15 000-45 000 | 4–6 years |
| Hardware methods (laser peeling and resurfacing) | A course of 4-6 procedures is required. In this case, the laser attachment removes old collagen in skin cells and provokes the formation of new one. | 7-10 | Erythema, increased pigmentation, skin infection, scar formation, uneven contours. | 15 000 | 4-12 months |
| Endoscopic midface lift (facelift) | Minimally invasive surgical intervention using modern endoscopic devices. Incisions are made behind the ears and under the chin. | 3-60 | Bleeding, necrosis, loss of sensitivity, disruption of natural facial expressions, scarring, general deformation of facial contours. | 50-500 | 5-10 years |
Advantages and disadvantages
| pros | Minuses |
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Types of fillers
Modern cosmetology offers drugs with short-term or long-term effects.
Correction of nasolabial folds is carried out with fillers. They come in different types.
Biodegradable. Viscous gels have an absorbable composition that is ideally compatible with human cells.
They may be based on:
- hyaluronic acid;
- collagen;
- poly-L-lactic acid;
- calcium hydroxyapatite;
- acrylic Powder.
Synthetic (permanent). They are created on the basis of artificial polymers that do not dissolve and are not excreted naturally.
Made from:
- liquid silicone;
- acrylic;
- sodium triphosphate;
- polyacrylamide.
The material is durable, but can migrate through tissues, causing inflammatory processes.
Despite their low cost, they are rarely used because they are perceived as foreign substances, attacked by immune cells and rejected. To remove them you need to resort to surgery.
Biosynthetic. They contain synthetic and natural components that trigger natural rejuvenation processes, stimulating the appearance of new collagen fibers.
They have a long-lasting effect, but have a sufficient number of negative consequences.
Most often, biodegradable gels are used to smooth the nasolabial triangle.
However, if folds occur against the background of hypertonicity of the facial muscles, then injections of botulinum neurotoxin are resorted to. Botox and its analogues have a muscle relaxant effect on the facial muscles, which ensures a lasting, high-quality result.
Fillers with hyaluronic acid
Hyaluronic acid is a natural component of the tissues of the human body. It is involved in the processes of regeneration, production of elastin and collagen, and is responsible for fluid balance. Therefore, compositions with it do not cause complications and are as friendly as possible to the body.
The drugs differ from each other in the percentage of active substance and viscosity. Light fillers are suitable for eliminating fine wrinkles, thick fillers are used for deep age-related changes.
The higher the content of hyaluronic acid, the longer the product dissolves, the longer the effect and the higher the qualifications of the specialist, since working with thick gels requires skill.
Review of drugs
With hyaluronic acid
Fillers are:
- animal and synthetic origin;
- monophasic (consist of plastic molecules of the same size) and biphasic - viscous gels with a dense structure, have molecules of different shapes.
Buyanov Sergey Yurievich (Expert Doctor):
For contouring, it is preferable to use preparations with artificially created hyaluronic acid, because products of animal origin tend to cause a violent allergic reaction.
Restylane Perlane (Q-Med)
Manufacturer: Sweden. Release form: bottle 0.5/1 ml. Price: 10,500/13,000 rub.
Validity period: 2 years.
The filler with a dense structure contains 20 mg/ml hyaluronate and 3% lidocaine.
Effect: skin hydration, smoothing wrinkles, replenishing missing volumes, active production of collagen and elastin.
Surgiderm 30 XP (Corneal)
Manufacturer: France. Release form: 2 syringes of 0.8 ml. Price: 8,500 rub.
Validity period: 18 months.
The gel consists of a reticular 3D matrix of hyaluronic acid at a concentration of 24 mg/ml.
Eliminates deep folds, models the shape of the lips and fills the lack of volume in soft tissues.
Princess Volume (Croma)
Manufacturer: Austria. Release form: 1/2 ml in a syringe. Price: 8,000/11,500 rub.
Validity period: 1 year.
Highly elastic monophasic gel containing highly purified hyaluronic acid of non-biological origin.
The SMART technology used (hyaluronate synthesis) allows you to find and fill empty spaces between tissues.
Yvoire Volume (LG Chem)
Manufacturer: South Korea. Release form: 2 ml in a syringe. Price: 6,000 rub.
Validity period: 1.5 years.
The high molecular weight synthesized substance is available in two forms: with and without lidocaine.
Used to fill wrinkles and folds, eliminate nasal caps, lip augmentation, and reinforce the face with severe ptosis.
The drug has a dense structure and is injected into the deep layers of the skin.
Teosyal Kiss (TEOXANE)
Manufacturer: Switzerland. Release form: 1 syringe 3 ml/2 syringes 1 ml each. Price: 7,400/6,500 rub.
Validity period: 12 months.
Contains purified concentrated hyaluronic acid 25 mg/ml.
Result: removes defects in the lip area, folds in the nasolabial triangle area.
It is injected shallowly - at the border with the dermal layer.
With calcium hydroxyapatite
Fillers are no less in demand because they trigger the synthesis of natural collagen and keep their shape well.
The validity period reaches 3 years and depends on the individual characteristics of the organism.
Radiesse (Merz-Aesthetics)
Manufacturer: Germany. Release form: 0.8 ml, 3 ml in a syringe. Price: 8,000/18,500 rub.
Validity period: 2 years.
Composition: 30% calcium hydroxyapatite, 70% distilled water in the form of a gel carrier.
Does not cause allergic reactions, disintegrates and is excreted well. Fills empty areas under the skin, produces new collagen fibers.
With polylactic acid
The drugs give better results than fillers with hyaluronate.
SCULPTRA (Sanofi Aventis/Sinclair Pharma)
Manufacturer: France. Release form: 2 bottles of 5 ml. Price: 12,500 rub.
Validity period: 24 months.
A universal long-acting filler with minimal risks of rejection, since it is of artificial origin.
Often used if preparations with hyaluronic acid have not brought a positive effect.
AestheFill (Regen Biotech)
Manufacturer: Korea. Release form: 200 ml bottle. Price: 13,500 rub.
Validity period: 2 years.
It is represented by many porous particles of polylactic acid in the form of balls. Cells and substances necessary for the production of collagen penetrate into their pores.
The shell of the microsphere disintegrates, but a new protein remains.
Our prices
| CONTOUR GELS, FILLERS | ||
| Name | Quantity | Cost, rubles |
| Radiesse | 0.8 ml | 17500 |
| Radiesse | 1.5 ml | 23500 |
| Radiesse | 3 ml | 39000 |
| Belotero Balance | 1 ml | 15500 |
| Belotero Intense | 1 ml | 17100 |
| Yvoire Classic | 1 ml | 15800 |
Carrying out plastic surgery
Before anti-aging injections, you need to visit a doctor who will study your medical history, assess your general condition, determine your skin type and make sure there are no contraindications.
A prerequisite for the procedure is informed consent signed by the patient. The card contains information about the name of the drug, its series, dose, expiration date, points of administration and anesthesia.
The choice of filler is the competence of a specialist who has experience in using certain products in different areas of the face and body, taking into account age and gender characteristics.
The preparatory stage includes taking antiviral medications to avoid the appearance of herpes, avoiding alcohol and following a diet.
How it goes
To correct nasolabial folds, 0.5 ml of filler is injected on each side.
Preference should be given to drugs without lidocaine, since the substance causes temporary whitening of the tissue at the puncture site and simulates ischemia.
Nasolabial folds are removed using the linear-retrograde technique and its variations.
They work with a 13 mm needle or flexible cannula - it moves parallel to the skin in the middle or deep layers. The material is removed when the tool moves backwards.
- In the first case, lidocaine cream or gel is applied as anesthesia. The desired areas are treated with it, left for 25 minutes, and then removed. The skin is thoroughly wiped with antiseptics.
- In the second, an injection of local anesthetic is performed.
Techniques:
- The filler can be injected along the nasolabial fold. Then the injections are carried out at intervals along the entire length of the needle; for the first, 13 mm are retreated from the wing of the nose.
- It is also possible to move perpendicularly in 10-12 mm tracks. Consecutive injections are made from the nose to the corner of the mouth.
Each gym requires 15 to 20 punctures. Manipulations take about 40-60 minutes.
What problems does contour plastic solve?
- Filling nasolabial folds
- Filling of labiomental folds
- Raising the corners of the mouth
- Lip augmentation
- Enlargement of cheekbones
- Filling fine wrinkles on the forehead and bridge of the nose
- Filling fine lines around the eyes
- Filling the lacrimal and nasal grooves
- Non-surgical blepharoplasty, correction of dark circles under the eyes
- Nose shape correction
- Cheek augmentation
- Filling ring-shaped wrinkles on the neck and décolleté
- Eyebrow lifting
- Filling purse-string wrinkles around the lips
- Filling wrinkles on cheeks
- Treatment of stretch marks and atrophic scars
Below are some results from our patients:
Healing period
A few hours after the intervention, the patient can return to normal life. Minor swelling and redness of the surface is acceptable, which is explained by the influx of intercellular fluid to the injured tissues.
Pain, burning, bruising - symptoms that are considered a normal reaction can last up to 3 days and do not require drug treatment.
Recommendations
During the rehabilitation period (about 2 weeks) you need to:
- refuse to visit the sauna, bathhouse, swimming pool, beach;
- remove physical activity and sports training;
- do not do massage or other cosmetic procedures;
- avoid hypothermia and overheating;
- do not drink alcohol;
- control the amount of sun you receive by applying sunscreen to your face when leaving the house;
- If possible, do not use decorative cosmetics.
Precautionary measures
The technique is not difficult, but there are nuances that can cause complications: special attention should be paid to the upper third of the nasolabial fold, since the angular branch of the facial artery is located there. Its damage is fraught with the development of embolism.
If complications occur, the filler must be neutralized.
Hyaluronate is removed by injection of hyaluronidase, lidase, or physiotherapy using these substances. Electrophoresis, microcurrents, darsonval, electroporation with cell activators (agents that increase membrane permeability) are prescribed.
Collagen, lactic acid and calcium hydroxyapatite are resolved using hardware techniques, since there is no neutralizer.
Side effects
- Vascular complications . They arise due to the introduction of a large amount of filler near the vessel, which can lead to compression and poor circulation. Damage caused by filler entering the lumen threatens the development of embolism. Ischemia is diagnosed with a sharp whitening of tissue, which can cause necrosis.
- Translucent material (Tyndall effect) . It appears due to the superficial administration of the drug and the characteristics of light refraction. Pink or blue stripes are visible under the skin.
- Granulomas . They are the result of a reaction to a foreign body. Also, granulomatous capsules can occur if the fillers contain a high content of residual substances, which are used to stabilize hyaluronic acid molecules.
- Fibrosis . Scarring of tissue in the injection area is caused by inflammation or a characteristic of the body.
- Allergy . Individual intolerance to filler components.
- Purulent-inflammatory processes . They are the result of non-compliance with the rules of asepsis and antisepsis during the procedure and postoperative recommendations.
- Asymmetrical correction . Incorrect dosage, poor distribution and migration of material into other tissues.
Fillers with calcium hydroxyapatite
Calcium hydroxyapatite is the main component of bones and teeth. Its use has expanded the possibilities of non-surgical cosmetology. It has truly wonderful properties.
During the injection process, the filler instantly replenishes lost volume and smoothes out wrinkles. Over the next three months, it is absorbed by immune cells, and calcium microspheres provoke the synthesis of natural collagen. As a result, new, elastic tissue is formed in place of the wrinkle. The effect of the injection can last up to two years.
Photos before and after
Comparison with other procedures
| Procedure name | Peculiarities |
| Lipolifting |
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| Mesotherapy |
|
| Plasmolifting |
|
| Threadlifting (mesothreads) |
|
| Biorevitalization |
|
Opinion of cosmetologists
Experts recommend combining contour plastic surgery with other procedures:
Side effects
Any interference in the internal processes of the body provokes its negative reaction, and contour plastic surgery of the nasolabial folds was no exception. Even during the procedure, patients begin to experience unpleasant painful sensations. They can be reduced using local anesthesia, but such anesthesia also does not provide a 100% guarantee of the absence of discomfort.
Soreness may remain after the procedure. It is often accompanied by swelling, redness of the skin, bruising, and increased sensitivity. In isolated cases, there are reviews that the patient experiences a feeling of itching and irritation: such a reaction is usually associated with an allergy to the drug used.
