Non-surgical rhinoplasty surgery is a medical procedure in which injection fillers, most commonly hyaluronic acids such as Restylane and Juvederm or calcium hydroxyapatite (Radiesse), are used to transform and form a person's nose without invasive surgery. This procedure fills a depressed area of ​​the nose, lifts the end corners or smooths the appearance of the bulge in the bridge. Non surgical rhinoplasty surgery is an enlargement procedure, so it can not reduce the size of a person's nose. This is a cosmetic procedure. Know that fillers can damage the skin and cause serious skin damage, fill the nose with fillers can cause necrosis.
Originally developed at the turn of the century, early attempts to use soft tissue fillers such as paraffin wax and silicon. This procedure is abandoned when a bad late complication begins to emerge. More modern chargers are now in use.
Video Non-surgical rhinoplasty
History
Non-surgical rhinoplasty was reported to have originated at the turn of the nineteenth century, when New York City neurologist James Leonard Corning (1855-1923) and Viennese physician Robert Gersuny (1844-1924) began using liquid paraffin wax to elevate the "nasal dorsum collapse" deformity of the saddle nose. "However, despite its corrective properties, liquid paraffin proved to be biologically harmful.
During the 1960s, soft tissue silicone medical grade fillers were introduced to rhinoplastic surgeons. However, like liquid paraffins, silicone gel proved biologically harmful, causing ulcers and granulomas, as reported in 1977. To minimize the risk, in 2000 D.S. Orentreich advocates a "microdroplet technique", a dose of silicone injection injected over several sessions.
In 1977, Robert Kotler, MD, FACS, studied the microdroplet technique of Jack Startz, M.D. and began offering permanent nasal work to his patients. Promises separated by five to six weeks; less procedure cost than surgical nose surgery.
In 2002, the American otolaryngologist Dr. Alexander Rivkin started using fillers like Restylane and Radiesse recently approved by the FDA to improve the contours of his patients' noses. He developed an office-based procedure consisting of a series of small filler injections at the right location in the nose. After performing the procedure regularly in 2003, Rivkin published this method on various major American news channels as "non-surgical nose jobs" and "rinoplasty injections". The main purpose of this procedure is to make the wavy or curved nose look more straight. She observes that straightening her nose makes her look smaller (though she adds) by making it better to blend into the contours of the rest of the face. This observation is also echoed by further doctors. Rivkin's 2009 study of 385 patients remains the largest experience published with this technique in the world.
In 2005, Dr. Andrew Tuan-Anh Le Australia published a pilot study reporting successful improvement results using soft tissue filler polyacrylam gel (PAAG), a hydrophilic colloid injected into the nasal defect tissue, and is known commercially as Aquamid. Other soft-tissue fillers have started to be used as well, and injection procedures have gained popularity because of their non-invasive and low cost.
Maps Non-surgical rhinoplasty
Overview of procedure
Since the nose is the primary feature of the face, a balanced proportional nose balances one's physiognomic features. Non-surgical correction is considered for patients with aesthetic defects appropriate for treatment, or defects resulting from nasal surgery (either primary or secondary). Although this procedure is usually performed for aesthetic purposes, this procedure can also be used to correct some birth defects. Because the procedure is not invasive, bruises and swelling are minimal. This procedure is not intended to reduce the size of the nose, although it can make the nose appear smaller by making it look more straight. It is often used to increase the height and definition of the bridge of the nose, as well as adding to other nasal areas. This procedure is not used to correct functional defects. Non-surgical rhinoplasty is used by patients of all ethnicities.
The injection-filler technique allows to:
- augmentation of a flat nasal bridge (dorsum depression)
- an additional projection from the tip of the nose
- corrected columella correction
- reduction of small nostril size
- perception reduction from the nose hump
- filling depression of the side walls of the nose
- raises the anterior spine of the interested nose
- increase in lateral maxillas drawn to pirriform (pear-shaped) to replace the anterior plane
- increased saddle nose deformity caused by primary rinoplasty fail
- traumatic injuries
Like other aesthetic procedures, the possible complications of the procedure may include infection, hematoma, discomfort, anatomical asymmetry, or foreign body reactions (called granulomas). Granulomas are extremely rare, and most noticeable with impure silicon and some early versions of non-modern methyl methacrylate (Artecoll or Arteplast, though not Artefill).
Modern filler
The duration of the results depends on the type of filler used. Modern injectable soft tissue fillers include:
- Calcium hydroksyapatite (Radiesse) Ã, - A calcium-based, non-allergenic filler that is stronger than hyaluronic acid and lasts for 10 to 14 months. However, it can not be undone.
- Hyaluronic acid (Juvederm, Restylane, Perlane or Voluma) Ã, - a safe and non-allergenic temporary filler that lasts 6 to 10 months. This filler can be dissolved with an injection of an enzyme called hyaluronidase.
- Liquid silicon <- b> - Silicone medical grade is sometimes used in microdroplet techniques for the permanent version of the procedure.
- Polyacrylamide gel (PAAG or Aquamid) Ã, - Permanent fillers most commonly used in Asia and Australia. Several studies have found increased complications with Aquamid. It was not approved by the US FDA.
- Polymethylmethacrylate (Artefill) Ã, - A permanent filler made of inert, microscopic plastic surgical beads. It is packed with cow collagen as a carrier, so a skin test is required before treatment. The filler is injected into several treatment sessions.
Technique
The preferred anesthesia for non surgical nose surgery is topical cream (topical anesthesia). Some doctors use local anesthesia (ie lidocaine injections), but it can obscure the injected area.
The injector doctor uses a sterile needle, packed with hypodermic fillers and needles (eg 27-G, 25 mm) to inject substances under the skin of the nose, most often in deep subcutaneous tissue, just above the periosteum.
The procedure for injecting and placing soft tissue fillers typically takes 10 to 30 minutes to be done in the surgeon's consultation room, after an initial 15 minutes of numbness. After the procedure, the patient can usually immediately resume normal life activities.
See also
- Cosmetic surgery
- Rinoplasty history
References
External links
- Non-surgical rhinoplasty demonstration on NBC's Today Event (video)
- Demonstration with non-surgical rinoplasty animation (video)
- Operation nose without surgery (video)
Source of the article : Wikipedia
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